CH 35 Cardiac MED THERAPY ETC
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| Name drug therapy for cardiac events | show 🗑
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| show | digoxin/lanoxin
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| antianginals end with: | show 🗑
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| ACE end with: | show 🗑
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| show | slows heart rate, increases force myocardial contraction = increase stroke volume and cardiac output (CO)
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| show | 1) HF 2) a-fib 3) a flutter
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| Cardiac Glycosides interventions | show 🗑
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| show | renal failure
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| Glycoside toxicity symptoms | show 🗑
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| show | > 2.0
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| show | nitrates, beta-blockers, calcium channel blockers
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| show | actual angina episodes and prevention of angina
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| long term drug therapy for angina | show 🗑
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| show | call 911
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| Antianginals nursing interventions | show 🗑
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| show | sit or lie down at onset of angine; place tablet under tongue (tingling means its working), repeat q 5 mins for 3 times; if not relieved call 911; headache decrease with tolerance; take before sex or exercise
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| Mrs. Gorcyca says to keep glycoside tablets in container: what is the rationale? | show 🗑
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| show | you build tolerance
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| show | selective beta-blocker, used in hypetension, prophylactically for chronic stable angina
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| nadolol side effects | show 🗑
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| show | 1) hold meds and contact DR. if HF 2) monitor weight (report gain of 3-4lbs) 3) do not dc aburuptly= taper off 1-2 weeks
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| Atenolol action/classification | show 🗑
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| show | calcium channel blockers, dilates coronary arteries, used in chronic stable angina, coronary artery spasm, HYPERTENSION
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| show | take apical, VS before admin, smoking contraindicated, ECG may be needed, know toxic symptoms
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| show | antidysrhythmics
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| antidysrhythmics action | show 🗑
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| amiodarone: points mentioned by Mrs. Gorcyca | show 🗑
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| show | Amiodarone has iodine in it. Iodine affects the thyroid (like Goiter etc).
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| show | disopiramide/norpace
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| show | apical pulse hold if < 60 > 120 (that is what the book says)...
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| show | Monitory BP; I&O; weigh daily and observe for edema; change position slowly (severely brings down BP); photosensitivity
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| dilate arteries and decrease resistance to blood flow (reduce afterload) by working against the renin-angiotensin-aldosterone | show 🗑
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| what does ACE stand for | show 🗑
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| Ace inhibitors are prescribe for pts w/: | show 🗑
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| show | pril
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| What did Mrs. G say was a side effect of ACE inhibitors | show 🗑
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| show | monitor blood cell count, report changes in urine output because ACE inhibitors cause less fluid retention
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| Why are diuretics given to pts w/ cardiac disorders? | show 🗑
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| name the 3 most frequently types of diuretics and give a name of a med for each one | show 🗑
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| What conditions would diuretics be prescribed for other then those who have edema | show 🗑
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| why is it called Loop diuretic? | show 🗑
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| DIURETICS: What did Mrs. G say were nursing considerations | show 🗑
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| DIURETICS: what did Mrs. G say were side effects | show 🗑
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| drug the PREVENT clot formation by decreasing the ability of blood to prevent clots. | show 🗑
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| show | heparin, LMWH, warfarin
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| show | initially: continuous IV drip; STABILIZED: subq
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| what factor is taken into consideration when adjusting the dose of Heparin | show 🗑
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| show | it is never given orally
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| Heparin is used in conjunction w/ what other type of drug | show 🗑
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| show | LMWH (low molecular weight heparin)
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| Example of LMWH | show 🗑
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| show | anticoagulant effect is more PREDICTABLE; SUBQ once or BID; NO NEED FOR CLOSE MONITORING OF aPTT
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| LMWH is recommeded for pts w/ what conditions | show 🗑
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| show | Warfarin/Coumadin
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| show | Hep = aPTT; War = PT/INR
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| show | Heparin: explanation on next card
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| show | Heparin and Warfarin work on different factors of blood clotting. Heparin works quicker so is uesd for immediate purpose. Warfarin takes longer (days) to reach PT/INR therapeautic lvl. Once that is reached then Heparin is no longer needed.
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| Decreases platelet aggregation (prevents platelets from sticking together) Prolongs bleeding time | show 🗑
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| show | used after AMI, prevents futher AMI events and strokes
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| Plavix considerations | show 🗑
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| Plavix pt. teaching | show 🗑
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| Destroys clots | show 🗑
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| Main example of Firbrinolytic mentioned by Mrs. G | show 🗑
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| show | as sooon as there is evidence of clot formation
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| show | IV
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| Uses: Fibrinolytics | show 🗑
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| Inhibits cholesterol lvls from elevating by affecting LDL, HDL, and triglycerides | show 🗑
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| show | adhere to diet and exercise; quit smoking; may need to take w/ meal
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| many lipid lowering agents end w/ ____. Mrs. G says this "ending" is a substance that damages what organ | show 🗑
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| what tests are done for lipid lowering agents | show 🗑
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| show | Analgesic (Nitroglycerin)
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| show | Lowering BP, rising pulse; lie down
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| show | take a break
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| When nitroglycerin does not relieve chest pain what is given? What does it do? | show 🗑
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| show | demorol/meperdine
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| Morphine and Meperdine are most effect by what route? | show 🗑
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| Mrs. G said when giving Morphine to hold if resperations are | show 🗑
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| show | Have a witness, flush, put in sharps
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| Cholesterol intake should be __mg/day. Sodium __g/day. | show 🗑
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| show | sodium
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| show | Oxgyen per NC or face mask
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| show | Pacemakers
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| show | temp and perm
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| name 3 types of temporary pacemakers and describe each | show 🗑
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| show | False: it is subq but through a vein not artery
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| Temp pacemakers are used for elective and ___ situations | show 🗑
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| T or F: pacemakers increase heart rate beyond set point | show 🗑
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| Permanent pacemaker battery life is 9-10: true or false | show 🗑
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| show | 24hrs; ambulation and encourage to resume activities
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| Pt. teaching for permanent pacemakers | show 🗑
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| After insertion of temp pacemaker what interventions follow? | show 🗑
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| show | 1) failure to pace; 2) failure to capture 3) failure to sense
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| show | failure to pace
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| what are causes of failure to pace | show 🗑
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| show | lack of pacer spike
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| Electrical impulse from pacemaker occurs but doesn't result in contraction is called: | show 🗑
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| show | dislodged of the lead or pacemaker output setting is too low
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| how is failure to capture recognized | show 🗑
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| show | failure to sense
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| cause of failure to sense | show 🗑
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| show | spikes that fall too close to pt's rhythm
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| show | Cardioversion
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| In cardioversion the shock is synced w/ which wave? Why | show 🗑
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| during cardioversion what did Mrs. G say we need to have at the bedside | show 🗑
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| If pt is receiving digoxin during a cardioversion, what is done? | show 🗑
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| what emergency drug is made available for a cardioversion procedure in pts who took digoxin | show 🗑
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| show | right = sternum just below clavicle; left = apex of heart
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| After a cardioversion (the pt was given a sedative) the pt recovered very quickly from the sedative but doesn't remember the event. The nurse see's this as abnormal or normal | show 🗑
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