Pharmacology Online

Name: _____Patty Passehl___________________

Points: ______/3.2 points

Cardiac Assignment

Complete this graph for the four cardiac classifications of drugs.

Drug Classification Calcium Channel Blockers Beta blockers They decrease HR & myocardial contractility. They reduce the myocardial need for O2. Hypotension & MI & Angina Action in understandable Reduces coronary vascular resistance terms and increases coronary blood flow. Vasodilation of the coronary an 0.2 points each peripheral vessels Use- list one disease Hypertension & stable angina condition this classification is used for 0.1 points each Drug list one drug Amlodipine (Norvasc) that belongs to each group 0.1 point each Side Effects list 5 HA, Hypotension, Dizziness, flushing common side effects of the skin, Bradycardia for the classification 0.1 points each Nursing Implications list -Monitor for postural hypotension 3 nursing implications for -Monitor HR each classification -Monitor for edema -Monitor BP 0.3 points each -Monitor the BP prior to dose -Monitor apical pulse prior to dose and less then 60 hold medication and contact the MD - Monitor diabetics for loss of glycemic control

Atenolol (Tenormin ) -selective Propranolol (Inderall) - nonselective Sinus bradycardia, Hypotension, Pulmonary edema, Bronchospasms, Behavioral & psychotic response

Drug Classification

Nitrates

Cardiac Glycosides Decreases ventricular rate. Increases myocardial contraction, increases cardiac output and improves circulation and perfusion. CHF, Cardiac arrhythmia

Action in understandable To relax the vascular smooth muscles. terms To reduce the myocardial need for O2 (vasodilators) 0.2 points each Use- list one disease condition this classification is used for 0.1 points each Drug list one drug that belongs to this group 0.1 point each Side Effects list 5 common side effects for the classification 0.1 points each Nursing Implications list -Take BP & pulse prior and after 3 nursing implications for giving the medication each classification -Supervise ambulation-especially with older patients 0.3 points each -Check patient for changes in LOC and Dysrhythemias (irregular heartbeat) CHF, MI, Angina associated with coronary artery disease Nitroglycerin (Nitrostat, NitroBid)

Digoxin (Lanoxin - Lanoxicaps)

N/V, HA, Dizziness, syncope, Hypotension

Fatigue, muscle weakness, HA, mental depression, V/D, confusion, Dizziness

-Take pulse prior to giving for 1 full minnote the rate, rhythm, quality -If apical pulse is less than desired parameters don't give the medication -Know the patients baseline of HR & BP -Monitor Serum levels -Monitor I&O