Heart Failure Drugs Flashcards
heart failure drugs evaluate for therapeutic effects
inc. pulse ox
dec. weight
dec. SOB
dec. edema
heart failure drugs nursing
monitor potassium
hypokalemia
heart failure drugs education
increase K intake
take HR prior >60 and <110
daily weights
avoid salt substitutes
avoid bran/herbal supplements
+ inotropic
inc. contraction
+ chromotropic
inc. HR
+ dromotropic
inc. conduction
digoxin MOA
+ inotropic effect
inhibits enzyme sodium-potassium-ATPase
digoxin hemodynamic benefit in heart failure
dec. renin release
dec. sympathetic tone
inc. urine production
digoxin electrical effects on the heart
- chromotropic
-dromotropic
dec. automaticity of SA node
digoxin interactions
adrenergics
verapamil
ACE inhibitors/ARBs
diuretics
bran
quinidine
digoxin nursing
check HR!!!!
apical impulse <60 and >110
monitor K and dig levels
digoxin adverse effects
dysrhythmias
hypokalemia
AV block
halo/blurred vision
HA
fatigue
A/N/V
managing digoxin toxicity
d/c drug
monitor for EKG changes
labs – K and dig
give K
GI support
admin Digibind
SA node modulator MOA
slows HR
SA node modulator side effects
bradycardia
heart block
HTN
visual disturbances