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35 terms

Cardiac drug nursing implications

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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