NUR 242 Exam 1 | Medical-Surgical
Nursing Exam Study Guide |
Graded A+ | Latest 2024 | Galen
Non-selective beta blockers: meds
nadolol (Corgard)
pindolol
propranolol (Inderal)
cardioselective beta blockers
-block beta1 receptors
-act on the vascular smooth muscle of the heart to promote vasodilation -Take apical pulse before administering and if <60 bpm, systolic BP <100
or arrhythmia hold and contact HCP ,
-caution in patients with diabetes because may depress the tachycardia associated with hypoglycemia and adversely affect glucose metabolism
Cardio selective beta blockers: meds
acebutolol (Sectral)
atenolol (Tenormin)
betaxolol
bisoprolol esmolol (Brevibloc)
metoprolol (Lopressor)
Beta Blockers SE
fatigue, weakness, depression, dizziness, bradycardia, HF, pulmonary edema, impotence
Mixed alpha and beta blockers
-carvedilol (Coreg)
-labetalol
Mixed alpha and beta blockers nursing considerations
-Same as β-blockers
-IV form is available for hypertensive crisis in hospitalized patients
-Keep patient supine during IV administration
-Assess patient tolerance of upright position (severe orthostatic hypotension) before allowing upright activities (e.g., commode)
ACE inhibitor meds
benazepril (Lotensin)
captopril
enalapril (Vasotec)
fosinopril
lisinopril (Zestril)
moexipril
perindopril quinapril (Accupril)
ramipril (Altace)
trandolapril (Mavik)
Angiotensin-converting enzyme (ACE) inhibitors prevent the conversion of
angiotensin I to angiotensin II and reduce angiotensin II (A-II)-mediated vasoconstriction and sodium and water retention.
ACE inhibitors side effects
-dizziness
-fatigue
-nagging dry cough
-orthostatic hypotension
-hyperkalemia
-taste disturbances,
African Americans do not respond well to ACEIs unless given with diuretic
Aspirin and NSAIDs may reduce effectiveness
Calcium channel blockers (CCB) increase sodium excretion and
cause arteriolar vasodilation by preventing the movement of extracellular calcium into cells.
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