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Jessica Tanner

Cardiac Meds
As a nurse, what adverse
Nursing cares that go
Name of Medication What is it given for? reactions should I be
with this medication
looking for?

Lanoxin (digoxin) Helps make the heart beat AV block, severe 1. Check labs- toxic
stronger and with a more bradycardia, ventricular levels are >2 ng/mL
regular rhythm; also for arrhythmias, 2. Monitor parameters
HF and Afib thrombocytopenia, for Cr, electrolytes,
delirium HR at baseline, then
periodically

Aldactone Potassium-sparing Anaphylaxis, Stevens- 1. Check Cr, electrolytes


(spironolactone) diuretic, antihypertensive, Johnson syndrome, at baseline, then
decreases renal perfusion hepatotoxicity, renal periodically
failure, electrolyte 2. Monitor potassium
imbalance, arrhythmias closely

Coumadin (warfarin) DVT/PE prophylaxis, Major or fatal 1. Talk to your patient


anticoagulant, treat or BLEEDING, pt should about avoiding alcohol
prevent blood clots take pregnancy test at 2. Give your patient a list
baseline, Hct, PT/INR as of juices and food to
indicated eliminate from their
diet

heparin Anticoagulant, Hemorrhage, severe 1. Monitor PT/INR at


hyperkalemia- decreases thrombocytopenia, baseline, then
clotting ability of blood HIT/HITT, injection site periodically
necrosis, bleeding 2. Monitor Hgb and
Platelets at baseline,
then periodically
3. Monitor aPTT at
baseline, then
periodically
4. Stool occult blood
tests

amiodarone Treats life-threatening Pulmonary toxicity, 1. Monitor LFT and


heart rhythm disorders hepatotoxicity, TFTs at baseline, then
proarrhythmic, severe periodically, and chest
bradycardia, AV block, x-ray
tornadoes de pointes, 2. Monitor BP, ECG,
CHF, cardiogenic shock, electrolytes
ARDS (among a very long 3. Call your doctor if you
list of other reactions) have chest pain,
trouble breathing,
jaundice or cough up
blood
Jessica Tanner

Cardiac Meds
As a nurse, what adverse
Nursing cares that go
Name of Medication What is it given for? reactions should I be
with this medication
looking for?

Propanolol Beta-blocker that affects CHF, severe bradycardia, 1. Monitor BP/HR


the heart and circulation. MI if abrupt D/C, heart 2. Check if patient has
Used to treat tremors, block, Raynaud asthma-
angina, HTN, heart rhythm phenomenon, contraindication
disorders and other bronchospasm 3. If patient has a very
circulatory conditions. Can slow heart rate, check
also be used to with doctor as this
treat/prevent heart attack becomes a
and to reduce severity and contraindication
frequency of migraine 4. Patient should not use
headaches if they have an AV
block or “sick sinus
syndrome”

Verapamil Calcium channel blocker- Angioedema, severe 1. Monitor BUN/Cr at


relaxes the muscles hypotension, baseline, more
muscles of your heart and hyperkalemia, syncope, frequently if patient
blood vessels. Used to CHF, pulmonary edema, has CHF or renal
treat high blood pressure AV block, hepatotoxicity, artery stenosis, then
renal impairment, periodically
pancreatitis, 2. Monitor electrolytes
thrombocytopenia, and HR
bradycardia 3. ECG if hepatic or
renal impairment
4. Patient should not use
potassium
supplements or salt
substitutes

lisinopril ACE inhibitor used to treat Angioedema, severe 1. Monitor BUN/Cr at


HTN in adults and hypotension, baseline, more
children who are at least 6 hyperkalemia, SIADH, frequently if patient
years old. Also used to Stevens-Johnson has CHF or renal
treat CHF or improve syndrome, hepatotoxicity, artery stenosis, then
survival after heart attack renal impairment, periodically
pancreatitis, neutropenia 2. Monitor electrolytes
and HR
3. Monitor patient for
cough
Jessica Tanner

Cardiac Meds
As a nurse, what adverse
Nursing cares that go
Name of Medication What is it given for? reactions should I be
with this medication
looking for?

Microzide Thiazide diuretic (water Severe hypokalemia, 1. Monitor BUN/Cr


(hydrochlorothiazide) pill) the helps prevent your electrolyte imbalance, 2. Monitor electrolytes at
body from absorbing too arrhythmias, pancreatitis, baseline, then
much salt, which can photosensitivity, renal periodically
cause fluid retention. Also failure, anemia, SLE
used to treat HTN exacerbation, secondary
angle-closure glaucoma

Nitrostat (nitroglycerin) A nitrate that dilates Severe hypotension, 1. Monitor BP


(widens) blood vessels, syncope, anaphylactoid 2. Monitor patient for
making it easier for blood rxn, exfoliative dermatitis, orthostatic
to flow through them and methemoglobinemia, hypotension and
easier for the heart to nitrate tolerance headache
pump. Also used to treat or
prevent attacks of chest
pain (angina)

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