captopril (Capoten)

Class?

Action? 

Nursing implication?

Expected outcomes?

• ACE Inhibitor
• Reduces SVR (vasodilation) Decreases afterload with an increase in CO Decreases risk of HF post MI
• Monitor s/s HF (I&O, DWT, LS, EDEMA), BP,SE: cough, Hypokalemia, taste disturbance, renal insufficiency, hypotension Monitor labs: K, BUN, Creatinine
• Expect:      Decrease in s/s HF and BP      Decrease in ventricular remodeling by inhibiting ventricular hypertrophy

aspirin

Class?

Action? 

Nursing implication?

Expected outcomes?

• Antiplatelet Agent
• Inhibits platelet aggregation
• Monitor s/s bleeding (color of stools, nose bleeds, gums bleeding, bruising)
• Prevention of stroke, MI, or vascular related death in clts at risk
  Patency of coronary stent

metoprolol (Lopressor)

Class?

Action? 

Nursing implication?

Expected outcomes

• Beta Blockers (Ends in olol)
• Prophylaxis of angina
  Decrease myocardial contractility, HR, SVR, & BP, decrease myocardial O2 demand
• Can exacerbate HF monitor for s/s of HF,
  Monitor VS, ECG, glucose (can mask signs of hypoglycemia in diabetics), BUN, K
• Decrease in BP, angina, HR. Increase in activity tolerance

atenolol (Tenormin)

Class?

Action? 

Nursing implication?

Expected outcomes?

• Beta Blockers (Ends in olol)
• Prophylaxis of angina
  Decrease myocardial contractility, HR, SVR, & BP, decrease myocardial O2 demand
• Can exacerbate HF monitor for s/s of HF,
  Monitor VS, ECG, glucose (can mask signs of hypoglycemia in diabetics), BUN, K
• Decrease in BP, angina, HR. Increase in activity tolerance

furosemide (Lasix)

Class?

Action? 

Nursing implication?

Expected outcomes?

• Loop Diuretics
• Inhibits NaCl reabsorption in the loop of Henle
• Monitor Lab for F & E imbalances (K, Na, Cl, Mg decreases) VS, Ototoxicity, Hyperglycemia, Orthostatic hypotension
• Decreased edema (fluid overload)
  Increased UOP
  Decreased BP
  Lungs clear

morphine sulfate

Class?

Action? 

Nursing implication?

Expected outcomes?

• Opiate Analgesic
• Decreases cardiac workload, lowers O2 consumption, contractility, lowering BP & HR, decrease in preload & afterload via vasodilation
  Reduces anxiety
• Assess level of sedation, VS, pain characteristics
• Decrease in severity of pain

digoxin (Lanoxin)

Class?

Action? 

Nursing implication?

Expected outcomes?

• Treatment for HF and A-Fib
• Positive inotropic drug: increased force of contraction
• Increased renal perfusion with diuretic effect, increase CO
• Negative chronotropic effect: decreased heart rate and slows conduction through AV node
• Decrease in severity of CHF, decrease in renin release
• Increases intracellular calcium during depolarization
• Adverse: Headache, weakness, drowiness, visual disturbances, arrhythmias, GI upset
• Monitor levels (0.5-2 ng/mL)
  

Acetaminophen

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nitroglycerine (Tridil)

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amlodpine (Norvasc)

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 nadolol (Corgard)

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low molecular weight heparin

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nifedipine (Procardia)

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carvedilol (Coreg)

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lidocaine (Xylocaine)

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adenosine (Adenocard)

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warfarin (Coumadin)

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amiodarone (Cordarone)

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atropine

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opiod pain medication

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ibuprofen (Motrin)

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"Stimulant drugs"

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"Anticoagulant therapy"

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ceftiraxone (Rocephrin)

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 prostaglandin E1

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