Medications For Final Exam Flashcards
Enalapril
Classification
Antihypertensive
ACE Inhibitor
Enalapril
Uses
HTN
HF
Left ventricular dysfunction
Enalapril
Therapeutic response
Decrease blood pressure
Decreased aldosterone secretion
Sodium and fluid loss
Furosemide
Classification
Loop Diuretic
Furosemide
Uses
Pulmonary Edema, Edema with heart failure, hepatic disease, ascites, hypertension
Labs to monitor for Furosemide
Increases excretion of water sodium chloride magnesium and calcium, potassium.
May cause hypokalemia
Furosemide AKA
Lasix
Furosemide
Assess/Monitor for
Hypotension I&O Daily weight VS Skin turgor Labs-electrolytes, glucose, BUN, Cr
Diltiazem
Classification
Calcium Channel Blocker
Diltiazem
Uses
Used to manage SVTs
Reduces myocardial contractility
ADH AKA
Vasopressin
ADH promotes:
Water retention and vasoconstriction, raising BP
Vasopressin raises:
BP
What stimulates renin
A drop in renal perfusion
Renin:
Convert angiotension to angiotension one which is then converted to angiotension two in the Longs by ACE
Furosemide monitor for which low electrolyte levels
Hyponatremia
Hypokalemia
Hypomagnesemia
Lorazepam
Class
Benzodiazepines
Phenytoin
Class:
Antiepileptics
Atropine Class
Anticholinergic
Metformin
Class:
Anti diabetic
Phenytoin AKA
Dilantin
Phenytoin can contribute to ___
Demineralization of the bone
Monitor serum calcium levels
Short actin nitrate
Nitroglycerin
Nitro
Adverse effect
Tachycardia
Nitro
Max dose:
SL or ointment
For SL
Give every 5-10 mins with a max of 3 doses
Pain not relieved after first dose then seek medical treatment
ACE Inhibitors can cause
Hyper kale Mia
ACE Inhibitor action
Decreased BP Decreased aldosterone secretion Sodium and fluid loss Avoid high sodium foods Limit potassium rich foods
ACE Inhibitors
Adverse Effects
Orthostatis hypotension Dizziness Headache Dry cough Tachycardia Photosensitivity Renal insufficiency Hyperkalemia Angioedema Bone marrow depression
Should it be taken on an empty stomach
ACEs
Yes
Enalapril
Adverse effects
Gastric irritation
Peptic ulcer
Rash
Pruritis
Beta Blockers and Calcium Channel Blockers
Both medications can cause a decrease in heart rate blood pressure and a changing rhythm. Client states in both of his medications need to carefully monitor themselves