pharm 201 E2 Flashcards
Enalapril Class/Tx
ACE Inhibitor/Heart Failure
Enalapril AE
*Cough, *angioedema, hypoTN, increased K, fetal injury
Enalapril Nsg
*Recognize angioedema, monitor K, BP, cough, do NOT use in pregnancy
Carvedilol Class/Tx
Beta-Blocker/Heart Failure
Carvedilol AE
Bronchoconstriction, inhibits glycogenolysis (masks hypoglycemia), caution in DM
Carvedilol Nsg
Take BP & pulse before admin, monitor hypoglycemia, teach to never stop abruptly.
Carvedilol Fx
Improves LVEF, prolongs survival, increases ecercise tollerance.
Digoxin Class/Tx
Cardiac Glycoside/Heart Failure
Digoxin MOA
Positive inotropic action: increase force of ventricular contraction, increase cardiac output, decrease preload & afterload, decrease blood volume & water retention.
Digoxin AE
*Yellowish Halos (Toxicity), dysrhythmias, AV block, severe bradycardia, anorexia, N/V, fatigue, dizziness, blurred vision.
Digoxin Nsg
Monitor K, give slowly if IV.
Digoxin Toxicity
Hold Dig and K wasting diuretics, monitor K
Give Digibind if severe
Morphine Sulfate Class/Tx
Vasodilator/Heart Failure
Morphine Sulfate Nsg
Decreases preload and afterload, decreases myocardial oxygen demand on heart.
Quinidine Class/Tx
Na-Channel Blocker/Dysrhythmias
Quinidine AE
*Diarrhea, *tinnitus, vertigo, cardiotoxicity, arterial embolism, hypoTN, peripheral neuritis
Quinidine Contra
Conduction defects, complete AV block, caution in CHF, low K, and low Mg
Quinidine Nsg
*Take with food, *Assess apical pulse before admin, monitor ECG, BP, I&O, electrolytes (K), pain/numbness of extremities
Propranolol Class/Tx
Non-selective Beta-Blocker/Dysrhythmias
Propranolol AE
bronchospasm, heart failure, AV block, sinus arrest, hypoTN
Propranolol Contra
Asthma, COPD, sinus bradycardia, heart block, heart failure
Propranolol Nsg
*Do not stop abruptly, *Moderate Na (helps prevent fluid volume overload), w/hold med if HR
Diltiazem Class/Tx
Ca-Channel Blocker/Dysrhythmias
Diltiazem AE
bradycardia, AV block, heart failure, altered liver/kidney fx