Adult 2 Cardiac Drug
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| Cardiac Glycosides (Digoxin) Action: | Increases heart contractions (inotropic) and has the ability to slow heart rate (chronotropic)
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| Cardiac Glycosides (Digoxin) Uses: | HF, A-Fib, A-Flutter, SVA
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| Cardiac Glycosides (Digoxin) Adverse Effects: | Toxicity - fuzzy, yellow/green haze, insomnia, depression
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| Cardiac Glycosides (Digoxin) Nursing Care: | check pulse for 1 min, report if less than 60, therapeutic level is 0.5-2, antidote is Digibind
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| Phosphodiasterase (Inamirone, milrinone, viagra) Action: | stregthen heart's contractions, decreases preload and afterload
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| Phosphodiasterase (Inamirone, milrinone, viagra) Uses: | HF refractory to Dig, vasodilators and diuretics (need a new heart)
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| Phosphodiasterase (Inamirone, milrinone, viagra) Adverse Effects: | arrhythmias, N/V, HA, fever, chest pain, decreased K levels, thrombocytopenia, mild increase in HR
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| Phosphodiasterase (Inamirone, milrinone, viagra) Nursing Care: | don't use if pt had an acute MI, monitor K levels
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| Vasodilators (apresoline, nitropress, nipride, catapress) Action: | blood vessels dilate, BP decreases
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| Vasodilators (apresoline, nitropress, nipride, catapress) Uses: | w/other drugs for mod to severe HTN
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| Vasodilators (apresoline, nitropress, nipride, catapress) Adverse Effects: | increased HR, palpitaions, angina, edema, breast tenderness, fatigue, rash, HA
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| Vasodilators (apresoline, nitropress, nipride, catapress) Nursing Care: | VS, antidote for Nipride is Sodium Nitrate & Sodium Thiosulfate, toxic after 48 hrs - causes hallucinations
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| Nitrates (imdur, isordil, NTG) Action: | vasodilation of veins/arteries, decreases preload and afterload, decrease o2 consumption
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| Nitrates (imdur, isordil, NTG) Uses: | relief/prevention of angina
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| Nitrates (imdur, isordil, NTG) Adverse Effects: | HA< hypotension, dizziness, increased HR
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| Nitrates (imdur, isordil, NTG) Nursing Care: | sublingual only, monitor BP and hold if below 90, can take q5minx3
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| Beta Blockers (metaprolol, acebutolol, atenolol, nadolol, labetolol, propranolol) Action: | decreases strength of heart's contractions, decreases o2 requirements, BLOCK EXCESS SYMPATHETIC STIMULATION
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| Beta Blockers (metaprolol, acebutolol, atenolol, nadolol, labetolol, propranolol) Uses: | A-fib/flutter, paroxysmal Atrial Tach
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| Beta Blockers (metaprolol, acebutolol, atenolol, nadolol, labetolol, propranolol) Adverse Effects: | arrhythmias, bradycardia, HF, hypotension, N/V diarrhea, bronchoconstriction
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| Beta Blockers (metaprolol, acebutolol, atenolol, nadolol, labetolol, propranolol) Nursing Care: | apical rate and pulse, don't abrutly stop, momitor for hypoglyceima, don't use if EF is less than 60%, Glucagon is antidote
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| Ace Inhibitors (capoten, vasotec, accupril, prinivil, monopril, altace) ARBS (cozaar, diovan, avapro) Action: | (ACEI) - decrease BP, stops conversion of angiotensin I to angiotensin II. (ARBS) which is an angiotensin II receptor blocker, blocks action of angiotensin II
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| Ace Inhibitors (capoten, vasotec, accupril, prinivil, monopril, altace) ARBS (cozaar, diovan, avapro) Uses: | HTN, HF
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| Ace Inhibitors (capoten, vasotec, accupril, prinivil, monopril, altace) ARBS (cozaar, diovan, avapro) Adverse Effects: | fatigue, increased K levels, renal insufficiency, ANGIEDEMA, PERSISTENT COUGH
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| Ace Inhibitors (capoten, vasotec, accupril, prinivil, monopril, altace) ARBS (cozaar, diovan, avapro) Nursing Care: | VS, angiedema is life-threatening, cough can take a while to develop (ARBS are given instead if this happens)
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| Calcium Channel Blockers (cardizem, verapmil, norvasc) Action: | vasodilation, decrease HR and SV
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| Calcium Channel Blockers (cardizem, verapmil, norvasc) Uses: | angina, HTN, arrhythmias, migraines, PVD, esophageal spasms
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| Calcium Channel Blockers (cardizem, verapmil, norvasc) Adverse Effects: | DECREASED K LEVELS, hypotension, bradycardia, dizziness, flushing, persistent peripheral edema
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| Calcium Channel Blockers (cardizem, verapmil, norvasc) Nursing care: | VS, heart rythym, Ca supplements decrease effectiveness
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| Diuretics (Thiazide, Loop, K sparing) Action: | (Thiazide) Na reabsorption in kidney, (Loop) Increase secretion of Na, Cl, water, (K sparing) increase secretion of Na, Cl, water, Ca, sparing K
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| Diuretics (Thiazide, Loop, K sparing) Uses: | HTN, edema, nephrotic syndrome, cirrhosis, diuretic induced hypokalemia
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| Diuretics (Thiazide, Loop, K sparing) Adverse effects: | hypokalenia, hyperkalemia, hypernatremia, dehydrationm orthostatic hypotension
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| Diuretics (Thiazide, Loop, K sparing) Nursing care: | Asses electrolytes, VS, I & O, blood sugar, dehydration, sulfa allergies
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| Vasoconstrictors (dobutamine, dopamine, epinephrine, norepinephrine, ephedrine, phenylephrine) Action: | increases HR, dilation of bronchi, increases o2 consumption
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| Vasoconstrictors (dobutamine, dopamine, epinephrine, norepinephrine, ephedrine, phenylephrine) Uses: | hyptension, shock, renal perfusion, bronchospasms, allergic reactions
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| Vasoconstrictors (dobutamine, dopamine, epinephrine, norepinephrine, ephedrine, phenylephrine) Adverse Effects: | HA, palpations, tingling sensations in extremeties, bronchospasm, HTN crisis, AV blocks, restlessness, anxiety, stroke, gangrene of extremeties
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| Vasoconstrictors (dobutamine, dopamine, epinephrine, norepinephrine, ephedrine, phenylephrine) Nursing care: | Assess VS, heart rythym, IV, correct hypovolemia, don't mix with other drugs, stop if extravasions occur and give regintine
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| Antiarrythmics (lidocaine, quindine, proconamide, beta blockers, amiodarone, calcium channel blcokers, adenosine) Action: | Tx of arrhythmias
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| Antiarrythmics (lidocaine, quindine, proconamide, beta blockers, amiodarone, calcium channel blcokers, adenosine) Uses: | V-tach, A-fib/flutter, PAT, Atrial Tach
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| Antiarrythmics (lidocaine, quindine, proconamide, beta blockers, amiodarone, calcium channel blcokers, adenosine) Adverse Effects: | flushing, peripheral edema, SOB, hypotension, bradycardia, N/V, diarrhea, bitter taste, drowsiness, new arrythmias, high risk for Dig toxicity (amiodarone)
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| Antiarrythmics (lidocaine, quindine, proconamide, beta blockers, amiodarone, calcium channel blcokers, adenosine) Nursing care: | Assess VS, heart rythym, use cautiously with asthma pt, must wean off these drugs
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| Sodium Channel Blockers (lidocaine, proconamide, quinidine, propranolol, norpace, rythmol, tambocar) Action: | depress ectopic areas in atria & ventricles, decrease rate of depolarization
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| Sodium Channel Blockers (lidocaine, proconamide, quinidine, propranolol, norpace, rythmol, tambocar) Uses: | V-tach, A-fib/flutter, SVT, PSVT
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| Sodium Channel Blockers (lidocaine, proconamide, quinidine, propranolol, norpace, rythmol, tambocar) Adverse Effects: | diarrhea, abd cramps, N/V, anorexia, bitter taste, drowsiness, hypotension, new arrythmias, poss bronchospasms
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| Sodium Channel Blockers (lidocaine, proconamide, quinidine, propranolol, norpace, rythmol, tambocar) Nursing Care: | check pulse and hold if extreme, use pump for IV, use cautiously in pt with ashtma, monitor strips and electrolytes
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| Anticoagulants (Heparin, fragmin, lovenox, coumadin, plavix, ticlid, ASA, persantine) Action: | decreases ability of blood to clot
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| Anticoagulants (Heparin, fragmin, lovenox, coumadin, plavix, ticlid, ASA, persantine) Uses: | DVT, PE, hemodialysis, post-op clot formation, strokes, valvular disorders, invasive implanted devices
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| Anticoagulants (Heparin, fragmin, lovenox, coumadin, plavix, ticlid, ASA, persantine) Adverse effects: | bleeding, insomnia, HA, dizziness, confusion, edema, rash, joint pain constipation, GI distress
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| Anticoagulants (Heparin, fragmin, lovenox, coumadin, plavix, ticlid, ASA, persantine) Nursing care: | monitor clotting factors, No ASA or NSAIDS, educate on food/drug interactions, monitor for bleeding
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| Thrombolytics (activase, Tpa, streptokinase) Action: | "clot busters", dissolve preexisting clot, thrombus
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| Thrombolytics (activase, Tpa, streptokinase) Uses: | acute MI, acute ischemic stroke, PE, vascular access cath occlusion, arterial thrombus
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| Thrombolytics (activase, Tpa, streptokinase) Adverse effects: | bleeding, allergic reaction
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| Thrombolytics (activase, Tpa, streptokinase) Nursing care: | monitor clotting indicators and hematocrit, 4 IV lines, no automated cuffs or tournoquets, monitor for bleeding
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| Dopamine dosing (Low) Range: | 1-2
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| Dopamine dosing (Low) Uses: | after fluid correction of volume status
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| Dopamine dosing (Low) Action: | increases BP, CO, dilates renal and messentric arteries
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| Dopamine dosing (Low) Receptor: | Dopamine
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| Dopamine dosing (Mod) Range: | 2-10
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| Dopamine dosing (Mod) Uses: | hypotension, decreased contractility
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| Dopamine dosing (Mod) Action: | increases BP and inotrophy
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| Dopamine dosing (Mod) Receptor: | Beta
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| Dopamine dosing (High) Range: | >10
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| Dopamine dosing (High) Uses: | severe hypotension
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| Dopamine dosing (High) Action: | constricts blood vessels, increases inotrophy and chrontrophy and increases BP
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| Dopamine dosing (High) Receptors: | Alpha
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| Digoxin Antidote | Digibind
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| Nipride Antidote | Sodium nitrate & Sodium thiosulfate
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| Beta blockers Antidote | Glucagon
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| What med do you give for extravasions that occur from vasoconstrictors? | Regintine
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