"Here we Flo again"
loop and thiazide diuretics cause deficiency in which electrolyte
potassium
nursing interventions for HF patients
strict I and Os, daily weights, sodium restriction (potentially)
SE nitroglycerin
HA, postural hypotension, tachycardia, flushing, burning in oral cavity
Nurse implications for adrenergic meds
monitor BP and HR, monitor with asthma closely, monitor for orthostatic hypotension, promote life style changes (decrease dietary Na, saturated fats, no caffeine, increase exercise, no smoking, etc.), monitor and report wt gain, dyspnea, and muscle weakness
common side effect of medications affecting blood pressure
orthostatic hypotension
Therapeutic uses of loop diuretics
hepatic cirrhosis, peripheral edema, CHF, kidney disease, ascites, HTN
what to assess prior to administering digoxin
blood therapeutic level, BP, HR
Patient education with nitro paste and buccal route
spread thin layer on paper, measure in inches, do not rub into skin, wear gloves, rotate sites, remove old patches before applying new ones, wash with soap and water, cover area with plastic wrap, hair free spots, swim and bathe ok with patch (not paste)
Buccal: don't crush or chew
serious adverse effects of erectile dysfunction meds and nitro
life-threatening hypotension
Expected pharmacological action of amiodarone
decreases peripheral vascular resistance and heart rate, and prolongs action potential and refractory period
Conditions where mannitol is given
to reduce intracranial pressure (i.e. brain trauma)
Drugs of choice for HF
ACE, ARBS, BB, Loop diuretics, aldosterone inhibitors (aldactone), BilDil
drug of choice for ventricular arrhythmias
amiodarone
SE of Niacin
itching, rash, GI sx
effects of epinephrine on the patient
increased HR, increased BP (by which mechanism?)
Adverse effects for potassium-sparing diuretics
dizziness, abdominal cramps, hyperkalemia (what can be given to treat this?)
tx dig toxicity
stop drug immediately, correct predisposing factor, Digibine, digoxin-immune fab,
nursing interventions for a patient receiving nitroglycerin in acute care setting
monitor blood pressure in between doses and assess patient
patient's on antipid medications are at increased risk of developing (or worsening) ...
Liver problems: liver disease, liver failure, etc.
patient education and nursing considerations for beta blockers
obtain BP and HR prior (stable), dont dc suddenly (why?), avoid with asthma (why?), don't use with HF or heart blocks, tx of HTN and arrhythmias, increases survival rates of MI history patients (chronic stable angina patients)
Major drug interactions of Lasix and Amiodarone
digoxin
s/sx of dig toxicity
bradycardia, anorexia, N/V, confusion, colored vision changes, halo vision, flickering lights...
Patient education for Nitro administration for stable angina
stop the activity and rest, take SL Nitro if available as soon as pain occurs, call 911 (if...), how often between nitro doses? how many doses of nitro can the patient have?
SE of "statins" patient should report to provider
muscle pain/tenderness in thighs
common side effects of antidysrhythmic drugs
N/V/D, dizziness, HA, hypotension, bradycardia, new type of arrhythmia