Adv Med Surg- Cardiac Meds

Front 1

Sodium Nitroprusside (Nitropress)

Back 1

Used in Cardiac pump failure or cardiogenic shock (alone or with dopamine).
improves blood flow to the myocardium by dilating the coronary arteries. This effect is primary and rapid but short.

Front 2

Nitropress Action

Back 2

Produces peripheral VASODILATION by a direct action on venous and arteriolar smooth muscle. It rapidly lowers BP, decreases cardiac preload, and after load. it improves blood flow to myocardium by dilating the coronary arteries

Front 3

Nitropress A/E

Back 3

• dizziness, headache, restlessness
• blurred vision
• tinnitus
• dyspnea
• hypotension, palpitations
• abdominal pain, nausea, vomiting
• acidosis
• phlebitis at IV site
• CYANIDE TOXICITY, thiocyanate toxicity

Front 4

Nitropress Nursing Interventions

Back 4

• Protect drug container from light—the light degrades the drug quickly
• assess BP at least Q15min—the vasodilating effect can cause systemic vasodilation and hypotension (especially in older adults)

Front 5

Dopamine/Norepinephrine/Phenylephrine

Back 5

VASOPRESSOR (beta adrenergic agonist) : improve blood flow by increasing peripheral resistance, increasing venous return to the heart, and improving myocardial contractility

Front 6

Dopamine/Norepinephrine (Levophed) /Phenylephrine
Nursing Interventions

Back 6

Assess chest pain, urine output hourly, BP Q15 min, Headache, extravasation, EXTREMITIES for color and perfusion!!!!

Front 7

Inotropic Agents (names)

Back 7

Dobutamine/Milrinone

Front 8

inotropic agents (what do they do)

Back 8

drugs directly stimulate adrenergic receptor sites on the heart muscle and improve heart muscle cell contraction

Front 9

Inotropic agents- why assess?

Back 9

Drugs increase myocardial O2 consumption and can cause angina or infarction, HTN is a sign of overdose

Front 10

Digoxin

Back 10

Antiarrythmic- for HF, A fib, and A flutter

Front 11

Digoxin action?

Back 11

↑ the force of myocardial contraction. Prolongs refractory period of the AV node.

↓ conduction through the SA and AV nodes. ↑ cardiac output and slowing of the heart rate.

Front 12

Nursing Interventions for Digoxin

Back 12

• Monitor Apical Pulse before giving (hold of <60)
• Monitor K and Dig levels
• Digibind given if Dig toxicity

Front 13

What are the 3 classifications of anti anginal drugs

Back 13

Ca-Channel blockers, Vasodilators, Beta-adrenergic blockers