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thiazide diuretics nursing implications

monitor: vitals, electrolytes, weight, input and output

loop diuretics nursing implications

monitor: vitals, electrolytes, weight, I&O, orthostatics

potassium sparing diuretics nursing implications

monitor: vitals, lytes, weight, I&O, avoid potassium supplements

beta blockers nursing implications

Monitor: vitals, blood sugar, orthostatics, avoid use in clients with respiratyr history, do not abruptly stop, hold for heart rate < 50; monitor for S&S of Heart failure

calcium channel blockers nursing implications

Monitor: vitals, orthostatics and peripheral edema
Assess for bradycardia with verapamil only

ACE inhibitor nursing implicaitions

Monitor for dry cough, vitals, UA and renal studies, monitor for first dose hypotension
monitor orthostatics
Clarify parameters for holding when given for heart failure

Angiotension II receptors nursing implications

monitor vitals, labs, orthostatics, monitor for 1st dose hypotension clarify parameters for BP when giving for Heart failure

Central Acting Alpha Adrenergic Antagonist nursing implications

Monitor vitals, blood sugar, orthostatics
Do not stop suddenly

Peripheral acting a-adrenergic antagonist nursing implication

advise to rise slowly and wear support stockings; monitor vitals, labs

A1-Adrenergic Blockers nursing implications

monitor vitals, labs; advise to rise slowly

Venous vasodilators (nitrates) nursing implications

monitor for side effects, vitals, clarify BP parameters when given for heart failure; nitrate-free period at night to prevent tolerance

arterial vasodilators nursing implications

monitor VS, monitor for side effects

cardiac glycoside nursing implications

assess apical heart rate and rhythm, hold if pulse < 60 or per parameters; assess for therapeutic dig levels, electrolytes, BUN, creatin
teach how to take pulse; hypokalemia potentiates dig toxicity

Inotropes nursing implications

used for short term tx of acute heart failure. Dopamine effect is dose dependent, dobutamine increases heart rate most; monitor blood pressure closely

Human B-Type Natriuretic peptides nursing implication

for acute heart failure; monitor blood pressure and pulse; give through a separate infusion line as it is incompatible with most other IV meds; will see an increase in serum BNP after administration

Statins nursing interventions

monitor liver enzymes, GI status, lipid profile, and montior CPK if any S&S of muscle weakness or aches, usually given at bedtime

Bild acid sequestrants nursing interventions

Monitor GI status; institute measures to prevent constipation; monitor lipid profile; separate time of administration from other drugs (1 hour before or 4 hours after)

Niacin nursing implications

Monitor GI status, lipid profile and liver enzymes; may give ASA or NASAIDs to limit flushing

Fibric acid derivaties nursing implications

monitor GI status, lipid profile and liver enzymes, increased risk of adverse effects when used with statins

cholesterol absorption inhibitor nursing implications

monitor GI status, institute measures to prevent constipation; monitor lipid profile; contraindicated in hepatic dysfunction

antiplatelet therapy (aspirin) nursing implications

observe for bleeding, given alone or in combination with clopidogrel for patients with hx of vascular events

antiplatelet therapy (Plavix) nursing implications

observe for bleeding, monitor CBC and platelet count

folic acid nursing implication

teach to increase intake of folate rich foods (green vegetables

trental nursing implications

watch for bleeding

Pletal nursing implication

monitor for side effects, bleeding

nicotine polacirlex nursing implications

monitor for side effect, concurrent smoking; educate

transdermal nicotine nursing implications

monitor side effects, concurrent smoking; educate

nicotine nasal spray; nicotine inhaler nursing implications

monitor for side effects, concurrent smoking, educate

nicotine lozenge nursing implications

monitor for side effects, concurrent smoking, educate

bupropion SR (Zyban) nursing implications

start 1-2 weeks before quit date; monitor for side effects, concurrent smoking, educate

varenicline (chantix) nursing implications

start 1-2 weeks before quit date; monitor for side effects, concurrent smoking, educate

heparin nursing implications

must be given parenterally, imeediate onset after bolus, monitor ptt, cbc, platelets, monitor for bleeding; PTT should be 1.5 to 2 times normal

LMWH nursing implication

do not require anticoagulation monitor, doses by body weight; given subq in lateral abdomen or flank, do not expel air bubble, monitor for bleeding

warfarin nursing implication

peak effect takes several days, overlap with heparin until therapeutic; contraindicated in pregnancy; monitor INR (2-3 therapeutic); teach bleeding precautions, follow up labs, dietary implications

Aldosterone Receptor Blockers nursing implications

Monitor: vitals, lytes, weight, I&O, orthostatics; classified as potassium sparing diuretics

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