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*atenolol *amiodarone
*captopril
*carvedilol
*verapamil *adenosine
*enalapril *diltiazem effects of digoxin
Drug *lisinopril *metoprolol *amlodipine *propafenone *digoxin
Names *ramipril *nifedipine *procainamide (0.8 - 2 ng/mL)
*sotalol
*trandolapril *Alpha's dine & sin *felodipine *ibutilide *digitoxin
*fosinapril *clonidine, *prazosin *nicardipine *sotalol (14 - 26 ng/mL)
digoxin toxicity:
hypoT, dizziness, fatigue, AV block (prolonged PR HF, AV block, pulmonary
N/V, brady, P hypoT, KCL - IV or PO
headache, ARF, K+, interval), bradycardia, toxicity, painful breathing,
Side fatigue, bronchospasms, early s/s - N/V/D,
Effects
angioedema, skin rash, hypoT, pulmonary edema, cough, SOB, weakness in
hyperglycemia, head/dizz, brady/tachy, PVC's,
cough, loss of taste, CHF, headache, dizziness, arms/legs, trouble walking,
drowsiness, CHF, ED bi/trigeminy
N/V/C, GI irritation flushing, rash, fever,chills dizziness, lightheadedness
late s/s - visual changes
*assess BP, HR, skin, *ortho BP, LFT's, *I/O, s/s of CHF, *assess BP, AP, lung
weight (daily or weekly) pulm.edema/lungs, *assess BP, RR, apical &
facial edema, K+ radial pulses, renal & LFT sounds, JVD, weight,
serum, renal tests *hold if apical < 60 daily weight, pain level sputum, extremity
*hold HR>120 or <60
Nursing *hold SBP <100 *hold if SBP < 100 *BP & HR q3-4h *safety/safety/safety edema, renal & LFT's
Manage- *ASA/NSAIDs may *avoid EtOH, OTC's, *hold if apical < 60 *keep all aptmts-MD, labs, *teach pt's s/s of
ment reduce effectivness & hazardous tasks if *hold if SBP < 100 etc. & follow diet plan digoxin toxicity
*full effect on BP dizzy; rise slowly *may cause 1 HB *avoid EtOH, smoking, *no herbal drugs
*do not stop abruptly *take with meals OTC's, swallow whole,
may not be seen wax may be found in stool *K+ rich diet; monitor
*caution use with *pines are for BP; varapimil
for 3-6 wks African Americans & diltiazem for dysrhythmias* K+ levels
Classifica-
tion Direct Vasodilators Statin Drugs Antiplatelet Anticoagulation Anticholinergenic
*warfarin
*atorvastain
*hydrazaline
*ASA Antidote = Vitamin K
Drug
*nitroglycerin *lovastatin PT- 9.6-11.8seconds
(sublingual, patch, & paste) *clopidogrel INR- 2-3x norm (1.5-2.0) *atropine
Names
*isosorbide mononitrate *simvastatin *heparin, *enoxaprin
*sodium nitroprusside bisulfate
*fluvastatin Antidote = Protamine Sulfate
aPTT therapeutic - 60-80