Nursing Implications
The nurse instructs the patient to avoid ___ when taking antihypertension medication
- extreme heat
- foods high in sodium
- changing positions quickly
which alpha blocker is indicated for benign prostatic hyperplasia
tamsulosin
prototypical nitrate
nitroglycerin
define positive iontropic
define positive chronotropic
iontropic = increased force of contraction
chronotropic = increase HR
when administering anitdysrythmics, the nurse always monitors for a prolonged QT interval. What emergency does a prolongation cause?
Torsade de pointes -- intermediate dysrythmia that often deteriorates into V. Fib
when are PO antihypertensives are given to increase absorption
with meals
the nurse assesses for these adverse effects of ACE Inhibitors (at least two)
- dry nonproductive cough
- dizziness
- fatigue
- 1st dose hypotensive crisis- possible hyperkalemia/neutropenia
- angioedema
a nurse teaches a patient with a nitroglycerin patch this to avoid tolerance
remove at bedtime
the nurse recognizes that a patient is at risk for digoxin toxicity occurs when this electrolyte lab value is low
potassium
when administering amiodarone, the nurse expects to see a brief period of
Asystole -- amiodarone is used for ventricular dysrhythmias
what must be assessed before administering digoxin
apical pulse for a full minute
which ace inhibitor will a nurse question a prescription for a pt with liver disease
Enalapril (prodrug)
IsosorbideDN/IsosorbideMN. which produces a more consistent, steady and therapeutic response
IsosorbideMN (because it has no active metabolites)
List at least three signs of digoxin toxicity (100 pt each)
N/V, diarrhea, blurred vision, yellow or green vision, halo effect, headache, drowsiness, confusion, disorientation
used for ventricular dysrhythmias only
lidocaine
the nurse teaches a pt this process when experiencing angina
1. sit down and take SL nitro
2. if no relief after 5 min, take another and call 911
3. no relief after 5 min, take a 3rd
which antihypertensive class decreases SVR and BP via decreasing peripheral smooth muscle tone (drug class, and give a specific drug)
CCBs --> Amlodipine
NonPV tubing is indicated for which anti-angina drug when given parenterally, and why
IV nitroglycerin, must be protected from sun exposure
the appropriate drug level range for digoxin
0.5 - 2 ng/mL
amiodarone
ACE inhibitors may cause what increased lab values
renal impairment = serum creatinine
hyperkalemia
a diabetic has a new prescription for an antihypertensive. The nurse identifies the drug class they are prescribed may require further teaching due to masking the SxS of hypo/hyperglycemia. what is the drug class and give an example drug.
Beta blockers -- metoprolol, atenolol, etc.
a nurse recognizes that a prescription for diltiazem is indicated for what type of angina
the first heart failure drug approved for a specific ethnic group
African Americans -- hydralazine (biDil)
which antidysrthmic drug class may a patient complain of constipation from?
CCBs