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Antidysrhythmics - CARDIOVASCULAR PHARMACOLOGIC MEDICATIONS

Uploaded: 5 years ago
Contributor: tallielassie
Category: Pharmacology
Type: Assignment
Rating: N/A
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Filename:   Antidysrhythmics - med for group activity.docx (17.9 kB)
Page Count: 6
Credit Cost: 1
Views: 126
Last Download: N/A
Description
The 8 different types of antidysrhythmics, their nursing implications, side effects and actions
Transcript
CARDIOVASCULAR PHARMACOLOGIC MEDICATIONS Classification MOA Normal range Side effects Nursing implications need to know Cardiac glycocides Antianginals Antidysrhythmics Calcium Channel Blockers Phenylalkylamines: Verapamil Benzothiazepines: Diltiazem hydrochloride SEE NEXT PAGE Dihydropyridines: Amlodipine Felodipine Isradipine Nicardipine hydrochloride SEE NEXT PAGE Nifedipine Nisoldipine Block the transport of calcium channel into the myocardium and vascular smooth muscle (VSM) cells, (inhibiting excitation) thus promoting vasodilation causing lower BP. Regular release: A: PO Initial 80mg tid, max 480 mg/d Older A: PO initially 40 mg tid, max 480 mg/d Extended release: A: PO Initially 180 mg/d morning maint; 180-240 mg/d; max 480 mg/d Older A PO: Initially 120 mg/d in morning; max 480 mg/d Extended release: A: PO Initially 120-240 mg/d; maint: 240-360 mg/d; max: 540 mg/d A PO: initially 5 mg/d; maint 5-10 mg/d; max 10 mg/d Older: A PO Initially 2.5 mg/d; maint 2.5-10; max 10 mg/d Adol/C >6 y: PO 2.5-5 mg/d; max 5mg/d A:PO: initially 5 mg/d; maint 2.5-10 mg/d; max 10 mg/d Older A: PO Initially 2.5 mg/d; max 10 mg/d Regular release: A: PO: initially 2.5 mg bid; maint 5-10 mg bid; max 10 mg/d Extended release: A: PO: 5mg/d; max 20 mg/d Regular release: A: PO Initially 20 mg tid; maint 20-40 mg tid; max 129 mg/d Sustained release A: PO: initially 30 mg bid; maint 30-60 mg bid; max 120 mg/d A: IV initially 5 mg/h infusion; max: 15 mg/h Extended release: A: PO: 30-60 mg/d; max 90 mg/d Extended release: A: PO: Initially 17 mg/d; maint: 17-34 mg/d; max: 34 mg/d Older A: PO: Initially 8.5 mg/d; max 34 mg/d CV: Arrhythmias, HF, dizziness, jitteriness, weakness, peripheral edema, tachycardia EENT: blurred vision, tinnitus Resp: cough, SOB, dyspnea, GI: increased liver enzymes, Derm: SJS - Monitor BP and pulse before and frequently during admin. Contra in Systolic BP <90 - Risk for falls - Monitor I & O ratios & Daily weight. Assess for signs of HF (peripheral edema, rales/crakles, dyspnea, weight gain, jugular venous distention). - Assess for rash (Stevens-Johnson syndrome). Discontinue if accompanied with fever, fatigue or muscle /joint aches. - Monitor ECG continuously during administration. Emergency equipment and meds should be avail. - Diuretics Thiazides & Thiazide-Like Diuretics Short Loop (High-Ceiling Diuretics Osmotic Diuretics Potassium-Sparing Diuretics Antihypertensives Anticoagulants Antiplatelets Thrombolytics Antihyperlipidemics Drugs to improve blood flow

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