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Cardiovascular Drugs

Cardiovascular Drugs

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Published by lhayes1234
Nursing study guide of common cardiac medications
Nursing study guide of common cardiac medications

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Published by: lhayes1234 on Feb 08, 2010
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03/07/2015

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CARDIOVASCULAR DRUGSBLOOD PRESSURE DRUGS
CLASSIFICATION/DRUGINDICATIONSACTIONSADVERSEEFFECTSCONTRAINDICATIONSDRUG –DRUGINTERACTIONSACEInhibitors
Captopril
capoten)
HTN, CHF,l.ventric,dysfunctionafter MI,diabeticnephropathyBlocks
production
of angiotensin II.
Vasodilation
, BP,
 serum potassium w/ Na
 + fluid loss
 
*
Not effective w/African Americans
.
COUGH
, GI,Renal insuff Hyperkalemia,hard on
kidneys- watchBUN tests.
Preg. Class D, renalimpairment Hx,
Caution:
CHF-doesnot allowvasoconstriction;Alert if havingsurgery, hypotensionpossibleAllipurinol forRA, Diuretics, +Lithium, NSAID*Take 1 hrbefore meals.
Angiotensin IIReceptorBlockers(ARB’s)
Losartan(
Cozaar)
HTN, Strokeprevention,HTN w/ renal pts& type 2diabeticsBlocks the
action
of angiotensin II.
Vasodilation
(arteriole),Na + water excretion,ret. of potassium.Headache,dizziness,syncope,weakness,GI, rash,Preg. Class D,*Alert if havingsurgery, hypotensionpossiblePhenobarbitol,Anti-HTN
CalciumChannelBlockers(CCB)
DiltiazemEssential HTN inthe ER form.(Main use is forangina)Blocking of calciumchannels in blood vessels–vasodilation.contraction+ HR, AV
 node. CCB’s work onheart.Bradycardia,Dysrhythmia,orthohypotensionCaution in lactatingwomen, Heart blockor sick sinussyndrome
GRAPEFRUIT JUICE
Cyclosporinefor transplantpts.Caution w/Digoxin + Betablockers
Vasodilators
Nitroprusside(
Nitropress)
Severe HTN,(hospital useonly for crisis)* Hair growth(Rogaine)Acts directly on vascularsmooth muscle to relax,vasodilation, peripheral
 resistance, BP, does
 not inhibit cardio reflexesRelated tochanges in BP,GI upsetPregnancy, lactationCyanide toxicity,
Caution:
CHF
,
PVD,CAD (blood clots canloosen plaque)Many1
 
CARDIOVASCULAR DRUGS
tachycardia.
CARDIOTONIC AGENTS
CLASSIFICATION/DRUGINDICATIONSACTIONSADVERSEEFFECTSCONTRAINDICATIONSDRUG -DRUG
CardiacGlycoside
Digoxin(
Lanoxin)
CHF, atrialfibrillationMyocardial contraction,
 cardiac output, renalperfusion, HR, AV node
 conduction velocity
Bradycardia, Yellow halos,
GI, arrhythmia,headache,drowsiness,weaknessElectrolyte imbalance(K), ventriculartachycardia or fib.,heart block, MI, renalinsuff.
CHECK APICAL>60.Peds – apical &dose checked by2
nd
nurse.
Erythromycin,tetracycline,cyclosporine,quinine,cholestyramine,*St. John’s wart,psyllium,ginseng,hawthorn,licorice
ANTIARRHYTHMIC AGENTS
CLASSIFICATION/DRUGINDICATIONSACTIONSADVERSEEFFECTSCONTRAINDICATIONSDRUG -DRUG
2
 
CARDIOVASCULAR DRUGS
Class IIAntiarrhythmics
Propranolol
(Inderal)
 Treatment of arrhythmias, esp.SVT; induced bydigitalis orcatecholamines.HTN, angina,migraine,situationalanxietyCompetively blocks beta-adtrenergic receptors inthe heart & kidney; has amembrane-stabiizingeffect, sympathetic
 influence.Bradycardia,CHF, cardiacarrhythmias,heart blocks,CVA, pulmonaryedema, NVD,exercise
 toleranceVerapamil,Insulin(hypoglycemia)
Other
Adenosine
(Adenocard)
Used to convertSVT to sinusrhythm whenvagal maneuvershave beenineffective.Stops heary - fast push,6 second jump, stopsheart only if in SVT. Onlyworks w/ SVTNo adverseeffects T ½ - 6 second
ANTIANGINAL AGENTS
CLASSIFICATION/ DRUGINDICATIONSACTIONSADVERSEEFFECTSCONTRAINDICATIONSDRUG -DRUGNITRATES
Niroglycerin(
nitroglycerin)
 Treatment &prevention of attacks of anginapectoris, producecontrolledhypotension duringsurgeryAct directly on smoothmuscle to relax anddepress muscle toneRelated tovasodilation andthe decrease inblood flow CNS:headache,dizziness, andweakness,hypotensionFlushing, pallor,and increasedperspirationAllergy, Severeanemia,Head traumaand cerebralhemorrhage.Pregnancy andlactation CAUTION:Hepatic or renaldisease,Hypotension,hypovolemia, andconditions that limitcardiac outputErgotderivativesHeparin3

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