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Cardiac Meds

Unit 6

Cardiac MedsMechanism of ActionDrug Effects/Therapeutic UseSide EffectsInteractionsNursing ImplicationsClassification
Vasotec (enalapril) Zestril (lisinopril) Lotensin (benazepril) Capoten (captopril) Altace (remipril) Accupril (quinapril) Blocks conversion of AT I --AT II decreases aldosterone which decreases sodium and water reabsorption decreased constriction leading to decreased resistance and decreased afterload and BP Therapeutic: decrease BP, afterload reduction for CHF, MI Renal Protection with DM Dry, nonproductive cough Dizziness headache fatigue mood changes loss of taste, proteinuria increase K rash, puritis, anemia NSAIDS decrease therapeutic effect K sparing diuretics lead to increase K other antihypertensives and diuretics lead to hypotension Monitor B/P. I/O, daily weights Monitor K levels Focus assessment: cardiac and pulmonsry Education: risk of hypotension, symptoms of hypotension, medication, ACE-I = pril
Cozzar (losartan) atacand (candesartan) Diovan (valsartan) Micardis (telmisartan) Blocks binding of ATII to its receptors Vasodilation decreased resistance Therapeutic Use: Decrease BP Tx for CHF Second line for pt. intolerant of ACE-I Upper respiratory infections headache dizziness, sleep disturbances, diarrhea, dyspnea, heartburn, nasal congestin, back pain and fatigue Cimetidine (tagament) Increases ARB effect Lithium Increased lithium concentrations Phenobarbital and rifampin decrease ARB effect diuretics enhance hypotensive effects Monito BP, I/O, daily weight Assess serum K, renal function Focus assessment - cardiac and pulmonsry Patient education - medication, hypotension symptoms ARB = sartan
Inderal (propranolol) Lopressor (metoprolol) Tenormin (atenolol) Coreg (carvedilol) Normodyne (labetolol) Binds and blocks B1 receptors on hearts conduction system CARDIOSELECTIVE Decreases O2 requirements of myocardial cells by supressing heart activity (MI protective) decrease HR and BP Increase CO due to increase diastolic time and ventricular fill time decreases renin release Therapeutic: decrease BP, antianginal, cardioprotective Bradycardia, heart block, heart failure, dizziness, fatigue, lethargy, depression, drowsiness, unusual dreams, brochospasms, impotence Enhance effect of digoxin and lidocaiine Diuretics enhance hypotensive effect Monitor B/P, I/O, daily weight Continuous EKG required when IV Focus assessment cardiac and pulmonary contraindicated with bradycardia, heart block, heart failure and some lung diseases Beta Blocker = lol
Created by: Shari
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