MedCards

Question 1

Lisinopril

Answer 1

Classification: Vasodilator
Indication: Antihypertensive, elevated blood pressure, congestive heart failure, improve survival post-heart attack.

Action: ACE inhibitor, which prevents vasoconstriction.

AR/SE: Lightheaded, syncope, high serum potassium, nausea, weakness, chest pain, tingling, irregular heartbeats, loss of mobility, headache, low BP, cough

Nursing Implementation: Check the client’s medication record. Assess and monitor BP before and after administration. Monitor WBC count.

Patient Education: Do not use if pregnant or ever had angioedema or kidney disease. Do not take lisinopril within 36 hours before taking drugs with sacubitril. Measure the liquid medication with a supplied measuring device and not kitchen utensils.

Question 2

Metoprolol

Answer 2

Classification: Beta-adrenergic blocker
Indication: hypertension and angina.
Route: Injection in early stages of heart attack, PO.
Action: Stops absorption of sodium and increases potassium excretion.

AR/SE: Dizziness, exhaustion, drowsiness, depression, confusion, Memory problems, insomnia, diarrhea, mild itching or rash.
Nursing Implication: Administer with or after a meal. Give medication at the same time every day. Assess and monitor BP, HR, RR, SpO2%.
Patient Education: Do not take if you have a serious health problem (Sick sinus syndrome, heart block, slow heart rate) or severe problems with circulation or severe heart failure. Take medicine at the same time each day.

Question 3

Nifedipine

Answer 3

Classification: Calcium Channel Blocker
Route: PO, and injection
Action: Relaxation of heart and blood vessel muscles.
Indication: Hypertension and angina
AR/SE: Call the doctor if you experience worsening angina, light-headed, palpations, heavy pressure on the chest, jaw pain or left arm, nausea, sweating, swelling of the ankles/feet, upper stomach pain, or jaundice
Nursing Implications: Assess and monitor BP, HR, RR, SpO2%, and blood glucose. Check for hypersensitivity to lactose or galactose.
Patient Education: Do not take if you have severe coronary artery disease or had a heart attack within the past 2 weeks. Inform the provider if you have a history of kidney failure or coronary heart disease, taking antibiotics and antifungals, or drugs for HIV/AIDS or Hepatitis C. Do not use if breastfeeding. Take medication as prescribed. Do not crush, chew, or break if using an extended-release tablet.

Question 4

Furosemide

Answer 4

Brand Name: Lasix,Furoscix
Classification: Loop Diuretics
Route: PO
Indication: Fluid retention/ Edema, congestive heart failure, liver disease, kidney disease, and hypertension.
Action: Increases urine production.
AR/SE: Diarrhea, headache, constipation, loss of appetite, numbness, tingling, blurred vision, nausea, vomiting, jaundice, dark urine.Serious: Anaphylaxis and hypersensitivity.
Nursing Implications: Assess BUN, electrolytes, fluid intake, and output, and BP.
Patient Education: Do not take it if you are experiencing urine retention or have liver cirrhosis. Using more than the recommended amount does not improve the efficacy and may cause irreversible hearing loss. If you are using furosemide for hypertension, continue to use the medication even if you start to feel better. Furosemide is a potent diuretic that can lead to excessive urination and electrolyte depletion if used in excess. Do not use if breastfeeding.