Cardiac Meds

Question 1

ACE inhibitors (ends with PRIL) and ARBs (ends in SARTAN)

Answer 1

May cause nagging dry cough
Arterial dilation and increased stroke volume
Prevents Na and H2O retention, decreasing FVO

Question 2

ACE inhibitors nursing considerations

Answer 2

Monitor for hypotension especially after the first dose
ACEI can cause angioedema (swelling of tongue and throat), decreased sense of taste or skin rash
Monitor for hyperkalemia- adverse effect especially if they have renal problems

Question 3

Angiotensin receptor neprilysin inhibitor (ARNI)

Answer 3

Used in place of ACEI or ARBs and should not to be given to the pt with history of angioedema

Question 4

Side effects of ARNI

Answer 4

Hypotension
Hyperkalemia
Cough
Dizziness
Renal failure
Monitor potassium and creatinine levels

Question 5

Human B type Natriuretic Peptide

Answer 5

Causes loss of sodium in renal tubules and vasodilation

Question 6

Interventions that reduce preload

Answer 6

Reduce Sodium intake 2g daily
High sodium (bacon, ham, pickles, table salt)
Some pts are placed on strict fluid restriction
Weigh pt daily

Question 7

Diuretics

Answer 7

Reduce preload
Helps with HF and fluid overload
Reducing systemic and pulmonary congestion

Question 8

Morphine

Answer 8

Reduce anxiety, decrease, preload and afterload, slow, respirations, and reduce pain associated with MI