diuretics
This type of diuretic is the only one that can lead to HYPERKALEMIA
POTASSIUM-SPARING: SPIRONOLACTONE
Do not give this antihypertensive drug to clients with less than 60/min pulse
Beta blocker- atenolol
This is the product of cardiac output and systemic vascular resistance
Arterial blood pressure
Antidote for digoxin
Digibind
Antidotes for heparin and warfarin
Antidote heparin: protamine sulfate
antidote warfarin: vitamin K
#1 choice for essential hypertension and prevents postmenopausal osteoporosis
Thiazide
impotence is one of the adverse drug effect of this drug
Beta blockers- atenolol
side effects of beta blockers- atenolol (give 3)
bradycardia, hypotension, impotent, orthostatic hypotension, bronchoconstriction, heart failure, shortness of breath, peripheral edema
Therapeutic level for digoxin
0.5 to 2 ng/mL
Monitor PT/INR levels for ___ Monitor aPTT for____
Monitor PT/INR level for warfarin- therapeutic INR is 2-3
Monitor aPTT for heparin - therapeutic aPTT is 1.5-2 times baseline
This diuretic can lead to ototoxicity
Furosemide
dry nonproductive cough is one of the adverse effect of this drug
ACE inhibitors-lisinopril
Avoid this drug when taking an ACE inhibitors as it reduces antihypertensive effect
NSAIDs
nursing intervention/client education for statins
Avoid grapefruit juice, take statin at night , monitor hepatoxicity and nephrotoxicity, avoid alcohol, report muscle pain or cola colored urine stat, an increase creatine and AST level indicate hepatotoxicity
most common ADR to thrombolytic drugs
Internal and superficial bleeding
this drug causes rapid action onset and cause rapid diuresis
loop diuretic-furosemide
If angioedema develop you should stop this drug and notify the provider
ARBs-loSARTAN or ACE inhibitor-lisinoPRIL
Recommended drug therapy for antihypertensive African American clients
Calcium channel blockers and thiazide diuretics
Hypokalemia increases this risk of drug toxicity
Digoxin toxicity
Adverse effects of antiplatelet-aspirin
Prolonged bleeding time, thrombocytopenia, tinnitus, hearing loss, dyspepsia, GI bleed
nursing interventions for loop diuretics-furosemide
Weigh clients each day, take in the morning, initiate fall precaution, eat food high in potassium, report urine less than 30 mL/hr, assess input/output/daily weight, report pain in the chest, calve, and pelvis pain,
These three drugs are the first line treatment for heart failure
ACE inhibitor-pril, ARBs-sartan, beta blockers-lol
These drugs reduce blood pressure by preventing aldosterone secretion
ACE inhibitors- lisinopril and ARBs-sartan
manifestations of digoxin toxicity (list 3)
Halo vision, colored vision, hypokalemia, dysrhytmia, anorexia, nausea, vomiting, diarrhea, flickering lights
stop the drug and notify provider
Nursing implications for heparin
verify IV heparin with another nurse, know the antidote, rotate sub-q injection sites, do not massage injection site to prevent hematoma, avoid injury, regular lab testing