| ACE Inhibitors | Cardiac Glycosides | Beta blockers | Calcium Channel Blockers and Diuretics |
|---|---|---|---|
|
Pril... ie: Ramipril, Lisinopril.
What is the suffix for all ACE inhibitors?
|
Digoxin
What is the name of the cardiac glycoside mentioned in the handout?
|
lol - Metoprolol, Bisoprolol
What is the suffix for most Beta blocker medications?
|
Antihypertensives
What other category of medication are diuretics included in?
|
|
Hyperkalemia.
What alteration in electrolyte balance would the nurse be most concerned about?
|
Auscultate apical HR for one minute
What is a key assessment piece before administering cardiac glycosides?
|
Atrial Fibrillation
What other disease condition (other than heart failure) are beta-blockers most commonly used?
|
Norvasc
What is the name of a common Calcium Channel Blocker?
|
|
Potassium sparing diuretics.
What other type of medication (mentioned in the handout) would be contraindicated with the administration of ACE inhibitors?
|
60-120. If above or below, hold dose and call physician.
What is the safe range of apical HR to administer a cardiac glycoside? What would you do if HR is outside of this range?
|
slow HR, slows conduction of impulses through conduction system, decreases BP, reduces myocardial contractility (balances oxygen demand/supply)
What are four target outcomes for the administration of beta blockers?
|
Loop of Henle. Inhibits tubular re absorption of sodium, chloride and water.
What part of the nephron does Lasix effect? What effect does it have?
|
|
Prevents ACE from converting Angiotensin I into Angiotensin II, inhibiting aldosterone excretion, enhancing secretion of sodium and water and decreasing blood volume.
How does an ACE inhibitor lower blood pressure?
|
Causes the heart to beat more forcefully and more slowly, improving cardiac output. Calcium.
How does a cardiac glycoside affect the heart? What is the key electrolyte in this process?
|
HR is less than 50-60 bpm and contact HCP, report SOB, edema of feet/ankles, chest pain, as well as report significant side effects such as fainting, difficulty breathing, weight gain and irregular, slow pulse
What are some assessment findings that would cause you to hold (or cosnider holding) your patients AM Metoprolol dose?
|
When calcium enters through the channels in the plasma membrane, muscular contraction is initiated. CCB’s block these channels and inhibit calcium from entering the cell, limiting muscular contraction, while decreasing peripheral resistance and BP.
Explain CCB's mechanism of action.
|
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