によって Mindy Anderson 1年前.
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Tx for HTN, angina
Phase 2: block calcium channels, delay phase 1&2
diltiazem, verapamil (CCB)
Tx for V-fib, pulseless v-tach, cardiac arrest
Phase 3: block K+ channels
amiodarone, sotolol
Tx for SVT, PVC
Phase 4: prolongs rest phase decrease BP, workload
Beta blockers -lol
Tx for V-tach
Phase 0: block Na+ channels
Lidocaine, flecainide
dig toxicity
check heart rate
make heart beat slower & harder
Digoxin
Don't give with Lasix
AE: ventricle arrhythmias
increase contraction & increase SNS stim.
Milrinone. IV only
caution w/ A-fib & heart block
AE: bradycardia, HTN, a-fib
slows SA node improves cardiac output
Ivabradine
check HR before administering
lower BP, lower HR
Block SNS response
Beta-blockers -lol
Pt. ed. reasons for med & compliance
1st line med for HTN
increase Na+ & water excretion frim kidneys
hydrochlorothiazide, spironolactone
monitor pt. w/ CAD, CHF, tachycardia
lower BP, causes tachycardia
used in severe HTN emergencies
hydralazine, minoxidil, nitroprusside
AE: low BP S&S
slows contractility & impulses dilates arteries
inhibit movement of Ca+ in action potential Phase 2
-dipine
AE: low BP S&S renal damage
lowers BP
block angiotensin II receptors
-sartan
take on empty stomach
treats HTN
decrease BP decrease aldosterone
block angiotensin-converting enzyme=no Angiotensin II
-pril
Monitor: HTN, seizures, Hgb level
IV or subq only
CKD, dialysis, cancer
epoetin alfa
Monitor GI & bone marrow
sickle cell: hydroxyurea, ABX
Megaloblastic: Folic acid, Vit. B12
Diarrhea, dark stools
Z-track or PO
elevate serum iron
ferrous-