Elleri Shared "week 3" - 15 Picmonics
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week 3
Cardiovascular Effects of Beta-Blockers
- Cardiac Myocytes and Vasculature
- Decrease cAMP
- Decreases SA and AV Node Conduction Velocity
- Lower Blood Pressure
- Decrease O2 Consumption
- Decreases Mortality Post-MI
2 mins
Angiotensin-Converting Enzyme (ACE) Inhibitors
- "-pril" Suffix
- Mechanism of Action
- Block Renin Angiotensin-Aldosterone System (RAAS)
- Indications
- Hypertension
- Heart Failure
- Side Effects
- Dry Non-productive Cough
- Hypotension
- Dizziness
- Possible Hyperkalemia
- Angioedema
- Nursing Considerations
- Slowly Change Position
- Do Not Stop Abruptly
2 mins
ACE Inhibitor Drugs indicated for Heart Failure
- Heart failure
- Increase survival
- Drugs indicated for CHF
- Captopril
- Enalapril
- Lisinopril
- Contraindications
- Do NOT use with Aliskiren
- Do NOT use in Pregnancy
- Do NOT use in pts w/ Angioedema
- Do NOT use in pts w/ Bilateral Renal Artery Stenosis
Angiotensin II Receptor Blockers (ARBs)
- Ends in "-sartan"
- Mechanism of Action
- Blocks Angiotensin II Receptor
- Indications
- Hypertension
- Side Effects
- Angioedema
- Contraindications
- Renal Artery Stenosis
- Pregnancy
1 min
Calcium Channel Blockers (Verapamil and Diltiazem)
- Mechanism of Action
- Slows AV Conduction
- Indications
- Angina Pectoris
- Arrhythmias
- Essential Hypertension
- Side Effects
- Bradycardia
- Hypotension
- Constipation
- Peripheral Edema
- Gingival Hyperplasia
- Nursing Consideration
- Medication Education
2 mins
Loop Diuretics
- Mechanism of Action
- Thick Ascending Limb of Loop of Henle
- Inhibits Na+-K+-2Cl-
- Sulfa Drug
- Drug Names
- Furosemide
- Lasix
- Side Effects
- Ototoxicity from Rapid Injection
- Gout
- Dehydration
- Hypocalcemia
- Hypokalemia
- Orthostatic Hypotension
2 mins
Vasodilator and Vasoconstrictors
- Vasodilators
- PGI2 - Prostacyclin
- Histamine
- ACE-Inhibitors
- Atrial Natriuretic Peptide (ANP)
- Vasoconstrictors
- Epinephrine
- Angiotensin II
- Antidiuretic hormone (ADH, Vasopressin)
2 mins
Nitroglycerin
- Mechanism of Action
- Decreases Preload
- Indications
- Angina
- Up to 3 doses q 5 mins
- Side Effects
- Headache
- Hypotension
- Contraindications
- Viagra (Sildenafil)
- Nursing Considerations
- Assess Blood Pressure
- Protect From Light
- Use Glass Bottle and Special Tubing
- Gloves for Applying Topically
2 mins
Conversions: Volume
- Volume
- 1 mL = 1 cc
- 5 mL = 1 Tsp
- 15 mL = 1 Tbsp
- 30 mL = 1 oz
- 1000 mL = 1L
- 2 Tbsp = 1 oz
- 8 oz = 1 Cup
2 mins
Digoxin (Lanoxin)
- Mechanism of Action
- Increases Inotropy
- Indications
- Heart Failure
- Atrial Fibrillation
- Side Effects
- Bradycardia
- Fatigue
- Contraindications
- Heart Block
- Nursing Considerations
- Heart Rate Below 60
- Hypokalemia
- Monitor for Toxicity and Visual Changes
- Digibind
2 mins
Milrinone
- Mechanism
- Selective PDE-3 inhibitor
- Increased CAMP accumulation
- Vasodilates Arterioles
- Chronotropy and Inotropy Increased
- Indication
- Acute decompensated heart failure
- Side Effects
- Arrhythmias
- Hypotension
- Considerations
- Given IV
- Depends on renal clearance
- No tolerance after 72 hours
Brain Natriuretic Peptide (BNP)
- Cardiac Ventricle Release Brain Natriuretic Peptide
- Increase cGMP
- Reduction in Renal Sodium Reabsorption
- Sensitive for Congestive Heart Failure
- Measured by Immunoassay
- Nesiritide
- Neprilysin
Heparin (Unfractionated)
- Mechanism of Action
- Suppresses Coagulation
- Indications
- Deep Vein Thrombosis (DVT)
- Pulmonary Embolism
- Side Effects
- Hemorrhage
- Heparin-Induced Thrombocytopenia (HIT)
- Considerations
- Monitor aPTT
- Preferred (Safe) During Pregnancy
- Antidote
- Protamine Sulfate
2 mins
Warfarin (Coumadin)
- Mechanism of Action
- Inhibits Clotting Factors
- Indications
- Atrial Fibrillation
- Venous Thrombosis
- Pulmonary Embolism
- Assessment
- PT/INR Levels
- Observe for Bleeding
- Contraindications
- Pregnancy
- Nursing Considerations
- Vitamin K and Fresh Frozen Plasma
- Prolonged Therapeutic Onset
- Maintain Same Diet
2 mins
Desmopressin (DDAVP) and Vasopressin
- Indications
- Diabetes Insipidus
- Nocturnal enuresis
- Sepsis
- Cardiovascular Collapse
- Bleeding
- MOA
- Conserves water
- Adverse Reactions
- Severe hyponatremia
- Hypertension
- Angina
- Myocardial Infarction
- Nurse Implications
- Give before bed
- Monitor Electrolytes and Fluid
- Daily Weights And Monitor Is and Os
1 min
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