Term
Nonselective- (Proprandol/Inderal
Nadolol/Corgard)
Selective- Atenolol/Tenormin
Metoprolol/Lopressor |
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Definition
| what are two examples of beta blockers |
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Term
| DECREASE HEART RATE BUT ALSO CAN CAUSE BRONCHO-CONSTRICTION |
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Definition
| what do the nonselective betablockers do to the body |
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Term
| ACT MORE STRONGLY ON THE BETA RECEPTORS THUS ONLY DECREASING HEART RATE-THESE ARE THE PREFERRED FOR CONTROLLING ANGINA PECTORIS |
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Definition
| what do the selective betablockers do to the body |
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Term
Bradycardia and/or hypotension
Peripheral vasoconstriction
Bronchospasm and/or wheezing
Drowsiness or unusual tiredness
Anxiety/nervousness
Decreased sexual function |
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Definition
| what are s/s of bradycardia |
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Term
| CONTRACTIBILITY OF SMOOTH BRONCHIAL MUSCLE CAUSING SPASM |
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Definition
| BETA BLOCKERS DECREASE THE ________________________ |
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Term
| SIGNS AND SYMPTOMS OF HYPOGLYCEMIa |
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Definition
| BETA BLOCKERS CAN BLOCK THE ______________________ |
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Term
`Monitor vital signs
`Hold drug if HR is less than 60 or systolic BP less than 90
`TAPER DOSE OVER A WEEK OR TWO TO PREVENT A REBOUND EFFECT OF TACHYCARDIA AND VASOCONSTRICTION |
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Definition
| what are the nursing implications of beta blockers |
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|
Term
Take apical pulse
Give with meals
Monitor pt for heart failure, renal dysfunction and fluid retention
Monitor for S/S of depression |
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Definition
| what are some nursing interventions for beta blockers |
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Term
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Definition
| angiotensin II is ____________ that helps control the cardiovascular system |
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Term
| formation of angiotensin II thereby keeping the blood vessels form constricting and allowing hte kidneys to continue to remove sodium and fluid |
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Definition
| what do the ACE inhibitors block |
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|
Term
|
Definition
| what does ACE inhibitors do to the BP |
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|
Term
|
Definition
| ACE inhibors decrease production of ______thereby maintaing circulating blood volume |
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Term
|
Definition
| what does ACE inhibitors do to the serum levels of potassium |
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Term
~reduces BP
~preserves cardiac output
~increases renal blood flow & preserves kidney
~treats CHF
~prevents MI & stroke in pts. with CAD & DM |
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Definition
| what are ACE inhibitors used for |
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Term
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Definition
| what increases survival of MI pts. and pt. with weak hearts with also slowing progression of diabetic neuropathy |
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Term
Fosinopril/ Monopril Lisinipril/ Zestril
Enalapril/ Vasotec Moexipril/ Univasc
Kaptopril/ Kapril Ramipril/ Altace
Benazepril/ Lotensin |
|
Definition
| what are some examples of ACE inhibitors |
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|
Term
|
Definition
| what is the normal range for Potassium |
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|
Term
~muscle twitches
~cramps followed by weakness
~increased GI motility(diarrhea)
~slow irregular heart beat
~decreased BP |
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Definition
| what are the S/S of hyperkalemia |
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|
Term
|
Definition
| onset of S/S from ACE inhibitors usually is seen within ___________ but many occur as late as one yr |
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Term
|
Definition
| what is documented with all ACE inhibitors |
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|
Term
| potassium supplement or potassium sparing diuretic |
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Definition
| when a pt is on ACE inhibitors what supplement do you want them to not take |
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|
Term
~reduces BP
~preserves cardiac output
~increases survival of MI pts and pt with weak hearts
~increased renal blood flow and preserves kidney
~slows progression of diabetic neuropathy
~prevents MI and stroke in pts with CVD and DM |
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Definition
| what are the uses of ARBS (angiotensin II Receptor Antagonists) |
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Term
|
Definition
| What is an easy way to know what the ARBs are |
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Term
~Angioedema
Generalized edema
Muscle cramps
Urticaria
Hyperkalemia
Hypotension |
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Definition
| what are side effects of ARBs |
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|
Term
*ARBS have fewer side effects but are more expensive
*Both have same effect on BP
*ARBS do not produce a cough |
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Definition
Both ACE inhibitors and ARBS block the formation of aldosterone – a potent vasoconstrictor
what are the key pts? |
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|
Term
|
Definition
| Calcium Channel Blockers are also known as what |
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Term
CALCIUM ANTAGONISTS
SLOW CHANNEL BLOCKERS
AND CALCIUM INFLUX INHIBITORS |
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Definition
| what are the calcium channel blockers/calcium ion antagonists also known as**** |
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|
Term
Diltiazem/ Cardizem
Nifedipine/ Procardia
Nicardipine/ Cardene
Verapamil/ Calan |
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Definition
| what are examples of calcium channel blockers |
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|
Term
| SR after the name~ sustained release (do not crush) |
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Definition
| Calcium channel blockers also may come with ____________________________ |
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Term
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Definition
| what should be checked periodically when a pt is taking calcium channel blockers |
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Term
Headaches
Dizziness
Hypotension
Flushing of the skin
Changes in liver and kidney function |
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Definition
| what are the S/E of Calcium Channel Blockers |
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|
Term
|
Definition
| Calcium channel blockers can give you a headache even though it is sometimes used to treat _______________ |
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Term
~Monitor BP/pulse
~Monitor weight daily
~change position slowly
~avoid grapefruit juice/alcohol
~AND IF in hospital do I&O |
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Definition
| what are nursing implications that should be taken when taking care of a pt. on Calcium channel blockers |
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Term
|
Definition
| what does grapefruit juice do when taking Calcium channel blockers |
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Term
| CALMS AND RESTORES THE BODY |
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Definition
| PARASYMPATHETIC SYSTEM does what to the body |
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Term
| GETS BODY READY FOR ACTION-FIGHT OR FLIGHT |
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Definition
| what does the sympathetic system do to the body |
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