Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
22 Cards in this Set
- Front
- Back
Amiodarone is given for:
|
A-fib (irritable heart after surgery)
|
|
Amiodarone info
|
*Place on bedside monitor
*Need central line for >24hrs *SE: Hypotension from vasodilation |
|
Amiodarone: (monitor for)
|
INC QT, QRS, PR (AV blocks)
DEC HR, B/P |
|
Cardizem is given for:
|
A-fib
Rate control |
|
Cardizem max
|
15mg/hr
|
|
Cardizem info
|
*Place on bedside monitor
*SE: HypoT (remind MD we don't titrate) *DON'T PUSH - give slowly |
|
Cardizem: (monitor for)
|
Dec HR, B/P
Inc PR (AV blocks) |
|
Dobutamine (inotrope) is given for
|
Decreased CO and CHF
(Inc CO, Inc squeeze of heart & rate) |
|
Dobutamine info (monitor for)
|
*SE: sinus tachycardia, dysrhythmias, Inc HR and B/P
may inc ectopy IV site complications |
|
Dopamine is given for:
|
Renal failure (renal perfusion)
Don't give as vasopressor |
|
Dopamine (monitor for)
|
Inc HR, B/P
IV site complications May inc ectopy |
|
Heparin indications:
|
Afib, AMI, DVT/PE
|
|
Heparin weening
|
MD specifies time, especially before procedures - short half life (doesn't need to be weened)
|
|
Lasix (monitor for)
|
urine output and creatinine
Dec B/P (hypotension) |
|
Lasix nursing considerations
|
Change bag q 24hrs
DO NOT run with Milrinone or Dobutamine (need to run in different arms) |
|
Lidocaine is given for
|
VT (antiarrhythmic)
|
|
Lidocaine (monitor for)
|
Dec HR, B/P, heart blocks
Place on bedside monitor |
|
Milrinone is given for
|
CHF (Inc CO, causes vasodilation, prefuses body)
|
|
Nitroglycerin is given for
|
Angina, CHF (Vasodilator, Dec B/P)
|
|
Coreg (carvedilol)
Lopressor (metoprolol) Toprol XL (Beta Blockers) |
Reduces workload on the heart (slows beat, lessens force)
Dec B/P (reduces pressure in vessles/inc flow of blood) (Core measure drug for an MI) |
|
Coreg
|
For stable CHF
Dilates peripheral arteries to Dec afterload and Inc CO Can worsen CHF if decompensated |
|
Beta blocker nursing considerations
*Coreg (carvedilol) *Lopressor (netoprolol) *Toprol XL |
Masks signs of HypoG
Might become less able to handle stressful physical activity (that would normally Inc HR) Dec HR, B/P, CO Inc PR interval (AV blocks) |