Other
Pre-Work Assignment Cardiac Simulation Clinical
- Course
- NUR 114 (NUR114)
- Institution
- Fayetteville Technical Community College
Assigned pre-work for cardiac clinical simulation for NUR 114.
[Show more]
Seller
Follow
Content preview
Cardiac Simulation Pre-WorkReview the following medication classes:
1. ACE inhibitors: (medications ending in -pril)
Treats: HTN, heart failure, MI, diabetic/non-diabetic nephropathy
Action: inhibits action of ACE, leading to vasodilation and excretion of Na+ and H2O and retention of
K+
Side effects: orthostatic hypotension, cough, hyperkalemia, angioedema
Contraindicated in: history of allergy/angioedema with ACE inhibitor use, bilateral renal artery
stenosis, salt or volume depletion
2. Cardiac glycosides:
Treats: a-fib, a-flutter, CHF
Action: inhibits Na+ K+ ATPase enzyme
Side effects: unusual tiredness/fatigue, anxiety, hallucinations
Contraindicated in: ventricular rhythms (v-fib, v-tach) and 2nd/3rd degree heart blocks
1st Line Medications (Heart Failure): ACE inhibitors, ARBs, beta-blockers
3. Loop diuretics:
Treats: HTN, pulmonary edema caused by HF, seizures, glaucoma, renal diseases not responsive to
other diuretics
Action: inhibit reabsorption of Na+Cl- in proximal and distal convoluted tubules and Loop of Henle
Side effects: orthostatic hypotension, hypokalemia, ototoxicity, hyponatremia, dehydration
Contraindicated in: patients with anuria, electrolyte imbalances, severe kidney/liver dysfunction
4. Beta blockers: (medications end in -lol)
Treats: HTN, heart failure, tachydysrhythmias, angina, MI, hyperthyroidism, glaucoma
Action: blocks beta receptors in heart to decrease cardiac workload, decrease HR, vasodilate
Side effects: bradycardia, orthostatic hypotension, pulmonary edema
Contraindicated in: AV block, sinus bradycardia, heart failure (non-selective beta-blockers),
hypotension, asthma (cardioselective beta-blockers)
Give two examples of medications from the ACE inhibitor class and two examples of medications from
the beta blocker class.
ACE Inhibitors: Captopril, Lisinopril
Beta-blockers: Propranolol, Metoprolol
When administering medications from the classes listed above, what information do you need prior to
administering a medication from that class?
ACE Inhibitors: serum K+ levels, BP, pulse, weight, I&O ratios,
Cardiac Glycosides: serum K+ levels, BP, pulse, apical pulse x 1 min (<60 bpm, hold dose/notify
provider), digoxin levels (if medication being administered), I&O ratios
Loop Diuretics: serum K+ levels, baseline data (orthostatic BP, pulse, weight, serum electrolytes,
location/extent of edema), I&O ratios, ECG rhythm
Beta-blockers: apical pulse x 1 min (<50 bpm or arrhythmias occur, hold dose/notify provider), BP, HR,
ECG rhythm, serum glucose levels, I&O ratios
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller FutureRN24. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
66475 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now