Scribd Logo
Upload

Welcome to Scribd!

  • Mod 2 Med Chart

    Uploaded by

    linnaete
    283 views2 pages

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    283 views2 pages

    Mod 2 Med Chart

    Uploaded by

    linnaete

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    Nursing 4 Module 2

    Medications - How These Medications are Used Specifically for a Client with ACS (and prevention of problems)
    Drug Purpose Side Effects Patient Teaching
    Positive inotropes  ↑ force of myocardial Dysrhythmias, bradycardia,  Monitor serum digoxin levels 0.5-
    Lanoxin (digoxin) contraction (contractility) fatigue, HA, confusion, 2.0, BP, I&O
     Slows HR convulsions, anorexia, N/V,  Take radial pulse for 1 min before
    Inotropin (dopamine)  ↓ conduction through SA & diarrhea, halo vision, colored admin. Hold if <60
    AV nodes vision (green/yellow)  Dig tox: anorexia, bradycardia,
    abd pain, N/V, visual
    Dobutamine
    disturbances
    ACE inhibitors  Reco. Anterior wall MI, MI w/ Hypotension, ↓ urine output,  Report signs of infection,
    captropril (Capoten) ↓ LV function (EF < 40%) or cough, hyperkalemia (tall T bleeding or buising
    enalapril (Vasotec) pulmonary congestion wave), renal insufficiency,  No potassium supplements,
    lisinopril (Prinivil, Zestril)  Help prevent ventricular tingling lips, HA, dizziness, potassium salt sub etc.
    remodeling & prevent or tachycardia, pruritis, infection,  Change positions slowly
    ramipril (Altace) GI irritation
    slow progression of HF.
    Glycoprotein IIb/IIIa  Prevent the binding of Bleeding, N/V  Watch for bleeding, bruising
    inhibitors fibrinogen to platelets,
    Abciximab (ReoPro) blocking platelet aggregation
    Eptifibatide (Integrilin)  In conjunction w/ aspirin for
    Tirofiban (Aggrastat) pts @ high r/f UA

    Antidysrhythmics  Alter specific HA, dizziness, fatigue, ARDS,  Take with food if GI irritation
    electrophysiologic properties CHF, bradycardia,  Stay out of sun
    Amiodarone of the heart – correcting hypotension, arrhythmias,  Need to ↓ digoxin & Coumadin
    (cordaraone) arrhythmias constipation, N/V, anorexia,  Monitor ECG
    photosensitivity, ataxia,
    hypothyroidism, peripheral
    Pronestyl (procainamide) neuropathy

    Low molecular weight  Prevention of clot formation Bleeding, anaphylaxis,  Electric razor, soft toothbrush
    heparin anemia  Monitor for bleeding
    (Lovenox)  No ASA or NSAIDS
    Heparin
    Thrombolytic agents  Dissolves clots, restoring Bleeding, dysrhythmias  ↑ risk for bleeding 2 – 4 days post
    altepase blood flow therapy
    streptokinase  Most effective 20min – 12h  Monitor VS, ECG, bleeding
    reteplase (Retavase) after MI onset; ineffective
    after 24h.
    Beta adrenergic  ↓ myocardial contractility, Bradycardia, hypotension,  Avoid in pt with asthma, use
    blockers HR, SVR, & BP wheezing, GI complaints, cautiously w/ diabetes (masks
    Metoprolol (Lopressor)  Reduces size of infarction & weight gain, depression, hypoglycemia)
    Propranolol (Inderal) incidence of complications sexual dysfunction  Do not discontinue abruptly
    Nadolol (Corgard)
    Atenolol (Tenormin)
    Carvedilol (Coreg)
    Vasodilators  Venous & arterial dilation, ↓ Hypotension, HA, tingling  Assess pain & BP Q 5-10 min
    nitroglycerin preload & afterload sensation, tachycardia,  If no relief after 3 doses, call 911
     ↓ anginal pain dizziness
    Antiplatelet agents  ↓ risk of stroke/MI Bleeding, GI bleeding  Monitor bleeding
    ASA
    clopidorgrel
    ticlopidine
    Morphine Sulfate  Vasodilator; ↓ contractility, Bradypnea, hypoxia,  Assess pain & bowel function
    BP, HR (↓ cardiac workload) hypotension, resp.
     Reduces anxiety & fear depressiom
    Calcium Channel  Used if beta blockers are HA, peripheral edema,  Potentiate action of digoxin
    Blockers contraindicated, poorly dizziness  No grapefruit juice
    Nifedipine (Procardia) tolerated, or don’t control  Change positions slowly
    Verapamil (Calan) symptoms
    Diltiazem (Cardizem)  Used to manage
    Prinzmetal’s angina
    Nicardipine (Cardene)
     Systemic vasodilation w/ ↓
    Novasc VSR, ↓ myocardial
    contractility, coronary
    vasodilation

    Critical Thinking
    Nursing 4 Module 2

    Critical Thinking

    You might also like