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13.
What are the major drug classifications the nurse would
anticipate a patient with ACS receiving? For each of the classifications,
identify the action and key nursing implications.
IV nitroglycerin- reduces angina pain and help blood flow, decreased
preload and afterload and increases myocardial oxygen supply.
Monitor BP for hypotension, IV fluid bolus. To help tolerance titrate
dose down at night and up during the day.
Morphine Sulfate- help chest pain, vasodilator, lowers myocardial
oxygen consumption, reduce anxiety. Monitor respirations because
of respiratory depression, hypotension.
Beta adrenergic blockers- reduce heart rate, BP and contractility,
reduces the risk of reoccurrence of MI.
ACE inhibitors- start within first 24 hours especially if STEMI or
anterior wall damage. Help prevent ventricular remodeling and
prevent/slow heart failure. If can not tolerate start angiotension 2
receptor blockers
Antidysrhythmic drugs- prevent the most common complication
from an MI.
Lipid lowering drugs- lipid panel done and given to patients with
elevated triglycerides and LDL
Stool softeners- constipated from bed rest and opioids. Prevent
straining and vagal stimulation from valsalva maneuver that can
cause bradycardia and lead to a dysrhythmia.
14.
What is the half-life of amiodarone? Why is this important for the
learners to know?
Amiodarone has a long half-life of about 58 days and is stored in fat
tissues and organs and cause cause adverse side effects involving
the lungs, liver, thyroid and other organs.
Reference List
Lewis, S., Dirksen, S., Heitkemper, M., Bucher, L., & Camera, I. (2011).
Medical-surgical
nursing: Assessment and management of clinical problems (8th ed.). St.
Louis: Mosby
Elsevier.