Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

Cardiac System Medications: A Guide for New Nurses, Study notes of Nursing

Medications you need to know in nursing school

Typology: Study notes

2023/2024

Uploaded on 01/18/2024

jeanette-scott
jeanette-scott 🇺🇸

4 documents

1 / 3

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
CARDIAC SYSTEM MEDICATIONS
CARDIAC
MEDICATIONS FOR
HEART FAILURE
COMMON USES WHAT I NEED TO KNOW AS A BRAND NEW
NURSE
Cardiac Glycosides
Common Examples:
Digoxin (Lanoxin)
Indicated for the treatment of
heart failure and dysrhythmias
* Monitor Digoxin levels, therapeutic levels should be between 0.5-
2ng/ml.
* Monitor K+, low serum potassium levels can increase the potential
for toxicity.
* Monitor pulse and teach patient to take their pulse. Hold for pulse
< 60 BPM in adults.
* Administer IV doses slowly over 5 minutes
* A loading or “Digitalizing” dose may be given to get the serum
levels within therapeutic range.
*Common adverse effects include fatigue, anorexia and bradycardia.
Monitor for signs of toxicity which include: HA, vertigo,
photophobia, yellow-green halos, tachycardia and heart block
Phosphodiesterase
Inhibitors
Common Examples:
Milrinone (Primacor)
Indicated for the short-term
management of heart failure.
* Adverse effects include ventricular arrhythmias, hypotension,
chest pain, hypokalemia, tremors and thrombocytopenia.
Miscellaneous Heart
Failure Meds:
Nesiritide (Natrecor)
Indicated for acute treatment
of heart failure in patients with
dyspnea at rest and/or minimal
activity.
* Common adverse effects include cardiac arrhythmias,
hypotension, HA and anxiety.
* Obtain a baseline creatinine level and continue to monitor, can be
nephrotoxic with acutely decompensated heart failure.
pf3

Partial preview of the text

Download Cardiac System Medications: A Guide for New Nurses and more Study notes Nursing in PDF only on Docsity!

CARDIAC SYSTEM MEDICATIONS

CARDIACMEDICATIONS FORHEART FAILURE

COMMON USES

WHAT I NEED TO KNOW AS A BRAND NEWNURSE

Cardiac Glycosides Common Examples:Digoxin (Lanoxin)

Indicated for the treatment ofheart failure and dysrhythmias

  • Monitor Digoxin levels, therapeutic levels should be between 0.5-2ng/ml.* Monitor K+, low serum potassium levels can increase the potentialfor toxicity.* Monitor pulse and teach patient to take their pulse. Hold for pulse< 60 BPM in adults.* Administer IV doses slowly over 5 minutes* A loading or “Digitalizing” dose may be given to get the serumlevels within therapeutic range.*Common adverse effects include fatigue, anorexia and bradycardia.Monitor for signs of toxicity which include: HA, vertigo,photophobia, yellow-green halos, tachycardia and heart block

PhosphodiesteraseInhibitors Common Examples:Milrinone (Primacor)

Indicated for the short-termmanagement of heart failure.

  • Adverse effects include ventricular arrhythmias, hypotension,chest pain, hypokalemia, tremors and thrombocytopenia.

Miscellaneous HeartFailure Meds: Nesiritide (Natrecor)

Indicated for acute treatmentof heart failure in patients withdyspnea at rest and/or minimalactivity.

  • Common adverse effects include cardiac arrhythmias,hypotension, HA and anxiety.* Obtain a baseline creatinine level and continue to monitor, can benephrotoxic with acutely decompensated heart failure.

CARDIAC SYSTEM MEDICATIONS

CARDIACMEDICATIONS

COMMON USES

WHAT I NEED TO KNOW AS A BRAND NEWNURSE

Nitrates and Nitrites Common Examples:Nitroglycerin (Nitro-Bid), Isosorbide(Isordi)

Indicated for the treatment ofstable and unstable angina.Rapid acting forms areindicated for the managementof acute angina episodes andlong acting forms are used forthe prevention of anginaattacks.

  • HA is the most commonly reported adverse effect, othersinclude hypotension, tachycardia and contact dermatitis withtopical forms.* For IV administration: use IV pump, hold for systolic BP < 100 * For sublingual administration: store in dark, light resistantcontainer, replace supply every 6 months, may administer up to3 tabs SL* For topical administration: apply with gloves, use non-hairysites and rotate sites, avoid lower extremities

Beta-adrenergic Blockers (BetaBlockers) Common Examples:Atenlol (Tenormin), Metoprolol(Lopressor)

Indicated for the treatment ofangina, particularly anginacaused by exercise. Mainstaytreatment for the managementof hypertension, cardiacdysrhythmias and MI.Unlabeled uses includemigraines, and tachycardiaassociated with stage fright.

Adverse effects include: bradycardia, hypotension, second and third degree heart block, fatigue, lethargy, depression, wheezing,dyspnea, altered glucose and lipid metabolism.* Hold for HR < 60* Withdraw gradually* Periodically monitor blood sugar, cholesterol and triglycerides.

Calcium Channel Blockers Common Examples:Amlodipine (Norvasc), Diltiazem(Cardizem),Ranolazine (Ranexa)

Indicated for the managementof angina, hypertension anddysrhythmias. Also indicatedfor migraines and Raynaud’sdisease.

  • Adverse effects include: bradycardia or tachycardia, heartblock, hypotension, dyspnea, wheezing, GI complaints anddermatitis.* Grapefruit juice can decrease their metabolism.