Beta Blocker Basics
What do all beta-blocker generic names end with?
-lol
What do ACE inhibitors end with?
-pril
What is digoxin's therapeutic range?
0.5-2 ng/ml
Which diuretic is potassium sparing?
Spironolactone
What’s orthostatic hypotension?
Drop in BP when standing up
Which vital signs must be checked before giving a beta-blocker?
HR & BP
What do ARBs end with?
-sartan
Hypokalemia
Morning
Which lab value should be monitored with ACE inhibitors?
Potassium
Why should beta-blockers be used cautiously in patients with asthma or COPD?
They can cause bronchospasm/bronchoconstriction
Cough
A patient on digoxin reports nausea, vision changes, and weakness. What should you do first?
Hold drug, check dig level, notify provider
Hypokalemia
Sudden drop in BP with first dose
What’s the priority nursing action if a patient on metoprolol has a HR of 48?
Hold the dose and notify the provider
Angioedema
How long can the period of asystole following adenosine administration last?
Up to 15 seconds
A patient taking nitroglycerin develops a headache. What should the nurse do?
Offer acetaminophen, reassure it’s common
Which lifestyle change enhances cardiac drug effectiveness the most?
Low-sodium diet, exercise, weight control, smoking cessation
Name one selective and one nonselective beta blocker.
Metoprolol, propranolol
Why would you switch a patient from lisinopril to losartan?
Intolerable cough
What should you monitor before and during antiarrhythmic therapy?
ECG/heart rhythm, vitals, electrolytes
Why should patients avoid erectile dysfunction drugs while on nitrates?
Risk of severe hypotension
A patient prescribed multiple cardiac drugs faints when standing. What’s the best nursing teaching point?
Rise slowly, dangle legs, avoid sudden position changes