beta blockers
what is an example of a beta-blocker? (drug name)
metroprolol
propranolol
what is an example of an ACE inhibitor?
lisinopril
-pril endings
what is the indication for an ARB? extra points if you can name the contraindications
HTN, HF, kidney protection in diabetes
contraindications: renal artery stenosis (narrowing of arteries that carry blood to kidneys), pregnancy
indication for nitroglycerine
actue angina, prevention of angina
what is the number one cardiac glycoside to watch for?
Digoxin!
what are the indications and contraindications for a beta blocker?
indications: HTN, angina, dysrhythmias
contraindication: asthma/COPD, bradycardia, heart block
what are some serious adverse effects of ACE inhibitors?
angioedema, hyperkalemia, kidney damage
what is an example of an ARB?
losartan
-sartan ending
what are some common side effects associated with nitroglycerine?
headache, flushing, dizziness
what is digoxin used to treat? extra points - how does it treat it?
HF, A-fib
decreases HR and increases contraction strength of heart
what are some common side effects with beta blockers?
fatigue, dizziness, bradycardia, orthostatic hypotension
what are some common side effects of ACE inhibitors?
dry cough, dizziness, hypotension
common side effects and serious adverse effects of ARBS
dizziness, hypotension
SAE: hyperkalemia, renal impairment
when do we call EMS if the first dose of nitroglycerine doesn't work?
right away! could be an MI
V-fib!
what are some of the serious adverse effects of beta blockers?
bronchospasm, HF, severe hypotension (fainting)
what are the indications of ACE inhibitors?
HTN, HF, post-MI
as the nurse, what are we looking for/monitoring in pts taking ARBs?
monitor BP, renal fxn (BUN creatnine), K+
administration instructions for nitroglycerine (tablets)
sublingual under the tongue, repeat every 5 mins up to 3 doses (call EMS if chest pain persists after first dose)
common side effects of digoxin
serious adverse effects?
N/V, fatigue
dysrhythmias, bradycardia
you are a nurse taking care of a pt who was just prescribed a beta-blocker. what will you tell them before discharge? what will you monitor?
monitor your glucose levels (in diabetics), do not D/C abruptly and report shortness of breath and wheezing.
monitor: BP and pulse
what is some pt education to give on an ACE inhibitor?
avoid K+ supplements and salt substitutes!
what is a dietary restriction to let out pts know when sending them home with an ARB?
what do we tell our male pts to avoid when taking nitroglycerine?
erectile dysfunction medications
digoxin toxicity signs and symptoms
nursing implications for administration, what are we monitoring/assessing/when are we holding?
N/V, confusion, blurred vision, bradycardia, weakness, arrythmias
hold and notify provider if HR is under 60 bpm, check apical pulse for 1 min before admin.