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Pharm F Cardiac

QuestionAnswer
Digoxin education For (CHF, A-fub, A-flutter) Decreases HR Hypokalemia enhances drug reaction (bad!) Hold if apical rate <60/min Take own pulse daily, admin same time each day Carry medical-alert ID
Digoxin ADRs Yellow/green halos anorexia, N/V/D Bradycardia Possible tachycardia Headache, depression, weakness
Nitroglycerin education Taper off "drug free" period at night NO ETOH Wait 5 mins between each tab up to 3 times Do not massage ointment Always use IV pump
Nitroglycerin ADRs Hypotension w/reflex tachycardia Severe headache Ortho hypo w/vertigo
ACE Inhibitors ADRs Angioedema Cough Elevated potassium first dose hypotension
ACE Inhibitors education Prevents blood pressure increase "pril" Diuretics/antihypertensives cause additive hypotension NSAIDs can decrease effectiveness First dose at bedtime Check BP daily at home
Beta Blockers education "olol" For (Angina, HTN, dysrhythmias) Contraindications (CHF, asthma, COPD, heart block, bradycardia) Taper off Do not crush or chew tabs Avoid hot tubs
Beta Blockers ADRs Bradycardia AV block Ortho hypo erectile dysfunction bronchospasm Can mask hypoglycemia
Calcium Channel Blockers education For (HTN, angina, dysrhythmias) Cimetidine and grapefruit juice = toxicity Slows conduction
Calcium Channel Blockers ADRs Hypotension Bradycardia AV block Peripheral edema N/V/D Gingival hyperplasia Reflex tachycardia (treat w/ bb)
Heparin education Stop 6 hours before procedures Reversal agent: protamine sulfate Admin concurrent w/ warfarin x3 days LMWH: no need to monitor lab values (DVT, knee surgery)
Heparin ADRs Hemorrhage (monitor aPTT)
Warfarin education Interferes with vitamin k dependent clotting factors For (a-fib, dvt, heart valve) Long term Reversal agent: vitamin k
Warfarin ADRs Hemorrhage Hematoma Nausea Urticaria
Statins education For lowering LDL Monitor LFTs Admin HS (at night) DONT use if pregnant DONT use if liver disease
Statins ADRs Muscle cramps Hepatotoxicity GI distress Rhabdomyolysis
Colesevelam education MUST be taken with meals and 8 oz of water decreases LDLs Dissolve powder in liquid Long-term Low fat, high fiber/fluids
Colesevelam ADRs Constipation Bloating Decreases absorption (digoxin, warfarin) Reduced absorption of vitamins
Amiodarone education Class 3 Antidysrhythmic Potassium channel blocker Sloooooow repolarization For (V-fib, dysrhythmias, a-fib, a flutter) Slow onset REPORT SOB Use sunscreen
Amiodarone ADRs So many Hypotension, bradycardia dry eyes N/V, anorexia, constipation Malaise, ataxia PULMONARY TOXICITY (potentially fatal) Hypothyroidism Photosensitivity
Rivaroxaban education Factor Xa Inhibitors Oral anticoagulant Rapid onset, short duration If stopped = risk of stroke DO NOT use if spinal or epidural anesthesia is planned Once a day w/food No regular lab tests
Rivaroxaban ADRs Expensive GI bleeding Not useful for clients w/ mechanical heart valves
Loop diuretics ADRs Hypokalemia Hearing loss, tinnitus Dehydration Nocturia Orthostatic hypotension
Thiazides diuretics ADRs Hypokalemia Orthostatic hypotension Dehydration Nocturia
Potassium sparing diuretics ADRs Hyperkalemia Impotence Dehydration Nocturia Orthostatic hypotension
Created by: Haydenmeh
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