Class
What drug class is ramipril (Altace)?
ACE Inhibitor
Digoxin works by making the heart?
slower and stronger
Before giving an ACE Inhibitor, the nurse should check what?
B/P and record it on the MAR
This level increases the patient's chance of dig toxicity
hypokalemia
ACE Inhibitors are often used for what conditions?
HTN, CHF
This drug is often used to treat Afib/A flutter
digoxin (Lanoxin)
Name 10 s/s of digoxin toxicity
anorexia, N/V, diarrhea, abdominal pain, lethargy, depression, weakness, confusion, halos around lights, green-yellow vision, bradycardia, arrhythmia, changes in personality or mood
A patient on digoxin should be encouraged to eat which foods?
foods high in potassium: bananas, orange juice, baked potatoes, cantaloupe
What side effect is common with Ace Inhibitors?
nonproductive cough
What is the expected effect of Ace Inhibitors and Angiotensin II receptor blockers on B/P?
They should decrease it
Before giving digoxin the nurse must check what vital sign?
the Apical pulse for 1 full minute, hold for <60
What question is good to ask female patients before giving ACE Inhibitors?
Ask if the patient is pregnant or on a contraceptive. This medication is teratogenic and can harm the fetus
What drug class digoxin (Lanoxin)
a cardiac glycoside
What is the function of an ACE Inhibitor?
prevents conversion of Angiotensin I to Angiotensin II, decreasing B/P
What is a therapeutic digoxin level
0.8-2
A patient on both diuretics and digoxin, should be given what supplement?
Potassium
medications ending in "sartan" are in what drug class?
Angiotensen II receptor blockers
what is the antidote for dig toxicity
When is the best time to draw a digoxin level?
6-8 hours after dose or right before the next dose
When taking an ACE Inhibitor, educate the patient to do this when changing positions?
Rise slowly from sitting to standing to prevent orthostatic hypertension