Heart Failure Drugs Flashcards

1
Q

heart failure drugs evaluate for therapeutic effects

A

inc. pulse ox

dec. weight

dec. SOB

dec. edema

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2
Q

heart failure drugs nursing

A

monitor potassium

hypokalemia

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3
Q

heart failure drugs education

A

increase K intake

take HR prior >60 and <110

daily weights

avoid salt substitutes

avoid bran/herbal supplements

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4
Q

+ inotropic

A

inc. contraction

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5
Q

+ chromotropic

A

inc. HR

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6
Q

+ dromotropic

A

inc. conduction

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7
Q

digoxin MOA

A

+ inotropic effect

inhibits enzyme sodium-potassium-ATPase

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8
Q

digoxin hemodynamic benefit in heart failure

A

dec. renin release

dec. sympathetic tone

inc. urine production

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9
Q

digoxin electrical effects on the heart

A
  • chromotropic

-dromotropic

dec. automaticity of SA node

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10
Q

digoxin interactions

A

adrenergics

verapamil

ACE inhibitors/ARBs

diuretics

bran

quinidine

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11
Q

digoxin nursing

A

check HR!!!!
apical impulse <60 and >110

monitor K and dig levels

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12
Q

digoxin adverse effects

A

dysrhythmias

hypokalemia

AV block

halo/blurred vision

HA

fatigue

A/N/V

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13
Q

managing digoxin toxicity

A

d/c drug

monitor for EKG changes

labs – K and dig

give K

GI support

admin Digibind

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14
Q

SA node modulator MOA

A

slows HR

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15
Q

SA node modulator side effects

A

bradycardia

heart block

HTN

visual disturbances

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16
Q

SA node modulator risks

A

a-fib and a-flutter

17
Q

dobutamine MOA

A

inc. CO by stimulating beta 1 contractility

18
Q

dobutamine side effects

A

tachycardia
extravessation
palpitations, angina