Antihypertensive
Metoprolol (Lopressor , Toprol)
Beta Blocker
effects Clotting factors II, VII, IX, X
Warfarin
Adenosine (Adenocard)
Indicated for PSVT contraindicated in heart block patients and causes asystole
Digoxin (Lanoxin)
Cardiac Glycoside
Prioe to giving a Beta blocker you must
Check Heart rate and Blood Pressure
Amlodipine (Norvasc)
Calcium Channel Blocker
Effects II, X and IX
Heparin
Class IV Drugs
Verapamil (CAlan) and Diltiazem (Cardizem)
Calcium Channel Blockers
Prior to administering Digoxin you must
Check the heart rate
When giving medications such as Digoxin, furosemide and Ace inhibitors for Heart Failure what assessment other than cardiac is needed
Respiratory and renal
Captopril (Capoten )
Ace Inhibitor
clopidogrel (Plavix)
Aggregation inhibitor
Class III Drugs
Amiodarone (Cordarone)
Inhibits repolarization
Lisinopril (Zestril)
ACE inhibitor
What patient education is needed with Anticoagulants
Diet, s/s of bleeding, other medications that will enhance bleeding, ways to avoid injury
Losartan (Cozaar)
AngiotensionII receptor blocker (ARB)
What is HIT
Heparin induced thrombocytopenia
Class II drugs
Atenolol
Beta Blockers
Valsartan(Diovan)
ARB
If you as the nurse go to give a beta blocker and you notice that the heart rate is below 60 what do you do.
Hold the dose and recheck the heart rate in one hour, if the heart rate is still low, notify the healthcare provider
Hydralazine (Apreoline)
Direct Vasodilator.
Nitroprusside (nitropress) used for Hypertensive crisis
Antidote for Heparin
Protamine
Class I
Procainamide (1a)
Lidocaine (Ib)
Propafenone (Ic)
membrane stabilizing cause anesthetic properties
1b specific to ischemic myocardial tissue
1c block sodium channels
Side effects for ACE inhibitors
Hyperkalemia, angioedema, dry cough
What do you teach your patient about the use of Diuretics'
take in the morning, don't get up without assistance, monitor for toxicities and drink fluid