Nursing meds

• anticonvulsant-can be used as antidysrhythmic
• monitor levels- should be 10-20 mg/ml
• will increase BS
• EKG-  contraindicated in heart block, brady
• Class d pregnancy (okay)

ss: gingival hyperplasia- must continue flossing

toxemia= visual disturbances, slurred speech, lethargy

• Inhibits fibrin to prevent clots
• IV/SQ
• short term (<21 days)
• measured with aPTT (clotting time <70 secs=ok)

antidote: Protamine sulfate

• lovenox: low molecular weight heparin
• long-lasting
• more predictable effect on the body
• Treats DVT

• Blocks B (epi)
• Decreases BP, HR, inotropic, chronotropic, afterload

Indication: arrhythmia, angina, MI, anxiety

-LOL atenelol (tenormin), metoprolol (lopressor)

• Caution: bradycardia <50
• breathing issues (blocks B function)
• CHF
• blood sugar masking
• don't combine with alcohol
• don't combine with CCBs

↓Ca= ↓contractility (neg inotropic)

• -dipine  amlodipine
• -zem   diltiazem
• -amil   verapamil

indication: HTN, arrhythmia, arterial disease (Raynaud's)

SE: constipation, dizzy, fatigue, cough

• Caution: don't mix with BBs
• No grapefruit
• don't combine with Digoxin

• angio-converting enzyme inhibitor
• systemic vasodilation- decreased preload/afterload

May be used with CCBs

indication: HTN, CHF, kidney dysfunction

• SE:  Angioedema
•        Cough
•        Electrolyte imbalance (↑K/proteinuria)

don't mix with ARBs (K retention)

indication: HTN, CHF, post-MI, diabetic neuropathy

less SE than ACEs, but not as powerful

Don't mix with ACEs (K retention)

• Blocks coenyme Q10 C10AA
• lipid-lowering ↓LDL  ⇡HDL
• antioxidant

SE: cramps, weakness, memory loss-dementia, anemia, erectile dysfunction

monitor: BUN, Creatinine, Altsa, CK      THINK KIDNEYS

• Prevents fibrin from growing/forming
• inhibits production of Vit K

• PO
• Long-term therapy (5 day onset)
• 90% protein (should be take with stool softener)

• Lab value= PT/INR (prothrombin time/intn'l value)- should be 2-3 (11-13 seconds)
• Think war-international

antidote: vitamin K (phitonadone)

• Caution: proton-pump inhibitor (increases effects)
• stop 5-7 days prior to sx
• bleeding risk

Can be given along with heparin (short term)

• Increases CO- +inotropic -chrono  -drono
• Check apical pulse for 1 MINUTE prior
• inhibits Na-K pump
• slows SA/AV conduction

• TOXICITY: >2.4
• SS: visual disturbances (halos), N/V, diarrhea, A flutter, H/A, hypokalemia, hypomagnesia
• hypERCalcemia=high risk for Dig tox

• Contraindicated: pregnant
• heart blocks
• milk
• careful with elderly (renal perfusion)
• Don't mix with supplements-St Johns wart, Aloe, Ginsing/golden seal, Ephedra

loop=most powerful   (lasix)

-thiazides (most common) rids lots of H2O. can be used long term

K sparing (spirilactone -think"spare-ilactone")  Doesn't lower BP as well

Indication: HTN, CHF, kidney problems, liver, glaucoma, edema

• se: hypo K
• hypo Na  (cramps)
• HA, dizzy
• increase BS
• Increase cholesterol
• pertussis
• gout