Diurectic medications
Diuretics indications
Used to decrease edma and HTN
Side effects for all diuretics
Dizziness, vertigo, dry mouth, Orthostatic hypotension, polyuria, hyponatremia, hypokalemia (thiazide & loop)*getting rid of it*, Hyperkalemia (K+ sparing) *Holding K+*,
Beta1-adrenergic antagonists indications and what it does
Treatment of hypertension, Long-term prevention of angina
*O-LOW-SLOW DOWN*
Decreases BP, HR and the force of the heart's contraction
Why do they use Optic beta blocker drops
treat ocular hypertension (glaucoma)
Calcium channel blockers indications
HTN, Angina (chest pain), Arrhythmias
Diurectics medications
Hydrochlorothiazide, Furosemide, Spironolactone
Use cautions when giving Furomoside because?
Ototoxic with rapid IV administration (loop)-Give IV over 1-2 mins
Systemic beta blockers medications
Propranolol, Atenolol, Metoprolol
Nursing considerations for Beta1 Adrenergic Antagonists
Check apical pulse and BP
hold if HR <50 bpm, hold if systolic <90mmHg, Doseage can be adjusted to maintain BP and tolerence, Monitor liver function, Give with meals as indicated
Calcium Channel blockers medications
Amlodipine, Nifedipine, Diltiazem, Verapamil
Hydrochlorothiazide indications
Thiazide diuretic
Blocks Na+ reabsorption in the distal tube (kidney)
Mild to moderate
Nursing Considerations for Diurectics
Take in the morning, take with food, monitor I&O and daily weights, assess K+ levels
Optic beta blocker medication
Timolol, Betaxolol
"the eyes have it!"
Surgical Considerations
Notify anesthesiologist prior to surgery if pt on beta blocker *important to continue meds*
Side Effects for Calcium Channel Blockers
Arrhythmias, Bradycardia, Edema, Heart failure, Hypotension
Furosemide indications
Loop diuretic
Block Na+ reabsorption in the Loop of Henle
Get rid of K+ for severe cases a lot of fluid
Orthostatic is
vitals of HR and BP while client is lying, sitting standing
Side effects of beta blockers
Hypotension,bradycardia, Dizziness, Depression, Fatigue/weakness, *Bronchospasm with history of asthma.
S/S heart failure, coughing,SOB, edema, fatigue
Always Monitor vital signs
Client education Beta adrenergic antagonists
Do not discontine abruptly (may result into HTN, arrhythimias or heart attacks)
Minimize or prevent orthostatic hypotension
OOB slowly and don't make sudden movements
Nursing considerations for calcium channel blockers
monitor HR and BP, Hold and Notify HCP if BP <90/60 HR <50bpm
Spironolactone Indications
Potassium K+ sparing diuretics
Block the effect of aldosterone causing loss of Na+ and water and retention K+
Keeps the K+
Polyuria is
excreation methods (client will have to urinate alot)
*IV works faster*
Apical pulse is where and how long do you listen for?
Heart and 1 min
What should you do if the HR or BP is not normal before giving Beta blockers?
Hold medication and notify HCP
What can you not have while taking calcium channel blockers
NO GRAPEFRUIT