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pharmacology

Name of DrugMOAResponsibilities of nurseEducation for patientContraindicationsCategory of drugUsed forSide Effects
Metoprolol,Esmolol, Atenolol (Selective BB) Decrease BP, HR, Negative Inotropic effect Monitor HR, EKG, Exacerbate HF (lung sounds, weight gain, I and O), Tapered Off, Unstable HF Beta Blocker (end in LOL" Hypertension, stabile angina, dysrthmia, Compensated HF, Glaucoma, migraines, tremor/anxiety
Timolol,Sotalol, Propanolol (Non selective BB) Decrease BP, HR Intraocular Pressure, Bronchoconstriction, Hypo/hyperglycemia,Peripheral vasoconstriction Monitor BP, HR, BG BB can mask tachycardia for diabetic pt. Erectile Dysfunction COPD, Asthma, Peripheral vascular disease Beta blockers (End in "LOL")
Amlodine, Felodipine, Nifedipine (dihydropyridines) Vascular Selctive Slow down HR and BP Monitor HR, BP, EKG, Signs and symptoms of HF, daily weight Teach pt to get up slowly, monitor BP and HR, Do not take w/ grapefruit juice, daily weight, good oral hygiene End in "PINE" hypertension, angina
Verapamil, diltiazem (non-dihydropyridine) Myocardium selective Decrease HR and BP Monitor HR, BP High fiber diet arthymias, hypertension, angina constipation
Digoxin Toxicity NORMAL RANGE 0.5-2ng/ml
Lisinopril Decrease BP, Excrete sodium and water but retains Potassium monitor potassium levels, angioedema, monitor BP, monitor renal and liver enzymes Avoid high potassium intake, tapered off to avoid rebound HTN, Monitor BP ACE Inhibitors hypertension, HF, Post MI, Diabetic nephropathy( type 2) Dry cough, Angioedema, dizziness, nausea, vomiting, headache, hyperkalemia, hypotension
Losartan Decrease BP, Excrete sodium and water but retains Potassium monitor potassium levels, monitor BP, low risk for angioedema Avoid high potassium intake, tapered off to avoid rebound HTN, Monitor BP Arbs hypertension, HF, Post MI, Diabetic nephropathy( type 2)
Digoxin Increase contractility monitor for toxicity, HF, cardiogenic shock, Afib, A flutter nausea, vomiting
Created by: ohdeth
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