Rhythm & Blues
I am a sympathetic nervous system blocker
Beta Blockers
Hold me for low potassium levels
Loops and Thiazides
Check me if on an ACE and diuretic
Blood pressure
3 things to do if client reports muscle weakness
Instruct to hold, notify HCP, anticipate creatinine kinase level to be drawn
Which vital sign may indicate contraindication with Nitroglycerin?
Blood pressure
I cause side effects with smooth muscle like constipation
Calcium Channel Blockers
Teach to change position slowly because of what SE
Orthostatic hypotension
3 side effects of ACE inhibitors
orthostatic hypotension, angioedema, dry prolonged cough, hypokalemia
3 things to teach client about Statins
Report muscle weakness, avoid grapefruit juice, expect life long use, expect Lipid profile 4-8 weeks after starting
What to give a NSTEMI that has unrelieved pain after NTG?
Morphine - a dilator and analgesic
I cause 3-6 seconds of asystole
Adenosine
Taking digoxin and furosemide, what is most important to monitor
Potassium
3 contraindications to ACE inhibitors
Low blood pressure, previous angioedema rxn, renal failure
What do you tell a client who is pregnant about statins
STOP them
STEMI with sat of 88% - What first?
Oxygen, then stat 12 lead; keep sat >95%
I am used to treat symptomatic bradycardia
Atropine
3 s/s of hypokalemia
irregular HR, leg cramping, weakness, confusion
Which hemodynamic parameter do I effect
What is decreasing afterload (SVR)
I am known to lower triglycerides and should not be taken with statins
gemfibrozil
Why aspirin with ACS?
Report respiratory symptoms of pulmonary toxicity
Amiodarone
Could cause peaked T waves
Spiro lactone
What to do if client is pregnant?
NO ACE inhibitors
Important lab value to monitor while on statins
Liver Function Tests
good for 6 months, avoid light, avoid next to body, sit/lie down first, 1 every 5 and activate EMS after first dose....