Med-Surg Review - Dysrthmias Common Adverse Effects of...

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Dysrthmias Common Adverse Effects of Dysrhythmias New Dysrthmias Worsening existing dysrhtmias Bradycardia Hypotension Congestive Heart Failure Contraindications for most Dysrhymias are: Bradycardia Hypotension CHF AV Block DRUGS TO TREAT DYSRHMIAS Sodium Channel Blockers ( qunidine , lidocaine, flecainide acetate) Beta Blockers (propranolol) Can cause hypoglycemia and brochospasm Inhibits sympathetic response that normally warn people who have diabetes that there glucose is low; therefore these drugs should be used with caution in clients with diabetes and asthma. Potassium Channel Blockers (amiodarone) Highly toxic; can cause Acute Respiratory Distress Syndrome Increases digoxin level (thus, require reduction) Calcium Channel Blockers (verapamil) Can cause orthostatic hypotension, constipation, and fluid retention (therefore, a diuretic is often given in combination) Nursing Interventions for clients taking antidysthrmics Monitor vital signs Assess for CHF (weight gain, edema, dyspnea) Monitor EKG Watch client who have liver or kidney dysfunction (levels of drugs can become toxic) Atropine is used to treat bradycardia It is an anticholinergic; therefore, assess for adverse effects o Dry mouth o Constipation o Blurred vision o Urinary retention o Tachycardia
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Hypertension: Teaching Diet Modification Sodium should be limited to 2.4 grams of sodium per day Diet rich in fruits, vegetables, and low fat dairy products should be followed. Reduce saturated and total fat intake Regular aerobic activity (exercise) Relaxation and stress management techniques Clients whose blood pressure is very high and those who don’t respond to diet modification are treated with drug therapy Detection of an MI EKG: o Inverted T wave, elevated ST segment, Significant Q Wave
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Med-Surg Review - Dysrthmias Common Adverse Effects of...

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