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Heart Drugs

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QuestionAnswer
Contraindications for Iron Hemochromatosis Hemolytic Anemia Normal Iron Balance Peptic Ulcer Colitis Regional Enteritis
Drug-Drug Interactions for Iron Antacids Tetracycline Cimetidine Ciprofloxacin Ofloxacin Chloramphenicol Antacids
Food Interactions for Iron Milk Eggs Coffee Tea
Adverse Effects of Iron GI irritation (NVD) CNS toxicity (coma/death) phlebitis
Iron Patient Education Take 2 hrs apart from other drugs Food interactions have blood work done regularly take with OJ
Iron Nursing Considerations I Administer with meals use straw with liquid IM - Z track monitor hemoglobin and hematocite
Antiplatelet Drugs Aspirin clopidogrel anagrelide
Antiplatelet Contraindications Pregnancy Lactation
Antiplatelet Cautions Bleeding Disorder Recent Surgery Closed-Head injury
Antiplatelet Adverse Effects Bleeding headache dizziness weakness Gl distress Rash
Antiplatelet Action inhibit platelet adhesion and aggregation by blocking receptor sites on the platelet membrane
Anagrelide Action Blocks the production of platelets in the bone marrow
Antiplatelet Indications Reduce risk of recurrent TIA's or Strokes Reduce death for nonfatal MI MI prophylaxis
Antiplatelet Nursing Considerations A: BP, hypovolemia D: risk for injury r/t bleeding I: no shots, hold pressure for 3-5 min after IV is removed, Safety, monitor platelet count, med alert bracelet
Anticoagulant Drugs warfarin heparin
Anticoagulant Contraindications Pregnancy kidney or liver disorders condition that could be compromised by increased bleeding
Anticoagulant Cautions CHF thyrotoxicosis
Heparin Drug-Drug Interactions Nirtoglycerine Penicillin Cephalosporin Salicylates
Warfarin Drug-Drug Interactions Salicylates cimetidine rantidine famotidine penicillin cephalosporin
Anticoagulant Adverse Effects Bleeding GI upset Hepatic dysfunction alopecia dermatitis bone marrow suppression prolonged and painful erection
Anticoagulant Education electric razor soft toothbrush avoid high impact sports dark leafy greens (warfarin)
Warfarin Antidote Vitamin K
Heparin Antidote Protamine Sulfate
Warfarin Labs PT = 11-14 X 1.3-1.5 INR = 0.8-1.2 X 2-3.5
Heparin Labs PTT = 25-35 X 1.5-2.5
Ace Inhibitor Drugs Lisinopril Ramopril
Ace Inhibitor Contraindications Pregnancy Lactation Impaired kidney function
Ace Inhibitor Cautions CHF
Ace Inhibitor Drug-Drug Interactions Allopurinol
Ace Inhibitor Adverse Effects Reflex Tachycardia Angina arythmia GI irritation ulcer constipation renal insufficiency protein urea > Kidney failure COUGH
Ace Inhibitor Indications hypertension CHF diabetic nephropathy left ventrical dysfunction after MI
Ace Inhibitor Actions blocks ACE from converting antiotension I to antiotension II
Ace Inhibitor Nursing Considerations A: cap refill, pulses, assess kidneys, weight, D: Ineffective tissue perfussion I: lifestyle changes vNA ^physical activity vweight stop smoking take on empty stomach watch for dehydration use barrier contraceptive
Angiotension II Receptor Blocker Drugs Losartan
Angiotension II Receptor Blocker Contraindications Pregnancy Lactation
Angiotension II Receptor Blocker Cautions Kidney or Liver Dysfunction Hypovolemia
Angiotension II Receptor Blocker Drug-Drug Interactions Phenobarbitol
Angiotension II Receptor Blocker Actions Binds to Angiotension II receptors
Angiotension II Receptor Blocker Indications hypertension HF renal disease
Angiotension II Receptor Blocker Adverse Effects headache dizziness syncope GI complications rash dry skin upper respiratory infection report fever/cough to MD
Angiotension II Receptor Blocker Nursing Considerations A: BP, HR, EKG, kidney, liver, perfussion, weight D: ineffective tissue perfussion I: Lifestyle changes, give with food, ensure female is not preg, monitor for drop in fluid volume, comfort, safety, notify MD if fever/cough
Calcium Channel Blocker Drugs amlodipine diltiazem
Calcium Channel Blocker Contraindications heart block sick sinus syndrome renal dysfunction hepatic dysfunction pregnancy lactation
Calcium Channel Blocker Drug-Drug Interactions cyclosporine Grapefruit Juice
Calcium Channel Blocker Action slows heart contractions and decreases myocardial contractality and dialation of arterioles which decrease BP, myocardial 02 consumption and workload
Calcium Channel Blocker Adverse Effects GI symptoms dizziness headache light headed fatigue hypotension bradycardia perifierial edema potential heart block
Calcium Channel Blocker Nursing Considerations A: kidney, liver, BP, HR, EKG, Pregnancy D: decressed cardiac output, ineffective tissue perfussion, risk for injury I: monitor HR, cardiac rythem, cardiac output, cardiac monitor, monitor BP, comfort safety
Vasodialator Drugs Diazoxide Hydralazine Minoxidil Nitroprusside
Vasodialator Contraindications Pregnancy Lactation Cerebral Insufficiency
Vasodialator Cautions Peripheral vascular disease CAD CHF tachycardia
Vasodialor Adverse Effects GI upset Cyanide Toxicity Anxiety Reflex Tachycardia Chest Pain
Created by: afortner2102
 

 



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