NUR 3145 - Pharmotherapeutics Final Exam. Study Guide. Spring 2021

NUR 3145 - Pharmotherapeutics Final Exam. Study Guide. Spring 2021. Study Guide for Pharmotherapeutics Final Exam Spring 2019 The chapters/items we will be focusing on are: Cardiac medications- antihypertensive drugs ACE inhibitors- side effects/adverse effects of lisinopril, ● A- angioedema ● C- cough ● E- elevated potassium (hyperkalemia) ● Orthostatic hypotension ● Rash and dysgeusia (altered taste)- usually with captopril ● Leukopenia (sore throat indicates infection)- captopril Beta-blockers- i.e. metoprolol; vital signs to monitor; adverse effects ● Metoprolol (Beta adrenergic blocker) ○ Adverse Effects: - Bradycardia - Monitor pulse. If below 60/min, hold medication and notify the provider. - Decreased cardiac output - AV block - Obtain a baseline ECG and monitor - Orthostatic Hypotension - Rebound myocardium excitation ● Propranolol (Beta Blocker) ○ Special adverse effect: - Bronchoconstriction - DO NOT GIVE TO CLIENTS WITH ASTHMA - Monitor Blood glucose levels - Monitor ECG and blood pressure (monitor for a drop in BP) - Monitor clients closely if taking a CCB and a beta-blocker concurrently. - Take apical pulse prior to giving Metoprolol What vital sign should the nurse be alert of before administering metoprolol? - BP of 80/60 Calcium channel blockers- Nifedipine, Amlodipine- monitor for blood pressure; side effects/adverse effects ● Nifedipine, Verapamil, Diltiazem, Amlodipine ○ Complications: ■ Reflex Tachycardia (special to Nifedipine) ● Monitor client for increased heart rate ● Acute toxicity- resulting in hypotension, bradycardia, AV block and ventricular tachydysrhythmias