maximum dose is 10mg/day, rapid heartbeats, redness or warmth in arms or legs, fainting, medication taken in the morning, dosage normally stats at 5mg/day, not given to children under 6yrs old Pregnancy Category: Antidote: Calcium (IV), Calcium salts Atenolol
Classification: Beta Blockers Action: Blocks stimulation of beta 1 (myocardial) - adrenergic receptors Indication: Management of hypertension, management of angina pectoris, prevention of MI Contraindications: Uncompensated heart failure, pulmonary edema, cardiogenic shock, bradycardia or heart block. Use cautiously in renal impairment, hepatic impairment, pulmonary disease, diabetes mellitus, thyrotoxicosis, pt w/ history of severe allergic reactions Adverse Effects: CNS: fatigue, weakness, anxiety, depression, dizzy, drowsy, insomnia, memory loss, mental status changes, nervousness, nightmares EENT: blurred vision, stuffy nose Resp: bronchospasm, wheezing CV: BRADYCARDIA, HF, PULMONARY EDEMA, hypotension, peripheral vasoconstriction GI: constipation, diarrhea, increased liver enzymes, n/v GU: erectile dysfunction, decreased lidido, urinary frequency Derm: rashes Endo: hyperglycemia, hypoglycemia MS: arthralgia, back pain, joint pain Misc: drug-induced lupus syndrome Nursing Implications: Monitor BP, ECG, and pulse before and during Monitor I&O and daily weights. Assess routinely for HF (dyspnea, rales/crackles, weight gain, peripheral edema, JVD) Monitor prescription refill frequency to determine adherence Assess frequency and characteristics of angina throughout therapy May cause increased BUN, serum lipoprotein, potassium, triglyceride, and uric acid levels Special Client Teaching: Toxicity: Pregnancy Category: Antidote: Digoxin (Lanoxin, Toloxin) Classification: Digitalis glycosides Action: Increase the force of myocardial contraction. Prolongs refractory period of the AV node. Decrease conduction through the SA & AV nodes. Indication: Heart Failure, Atrial Fibrillation & Atrial flutter. Paroxysmal atrial tachycardia. Contraindications: Hypersensitivity, Uncontrolled ventricular arrhythmias, AV block, Idiopathic hypertrophic, Subaortic stenosis, Constrictive pericarditis. known alcohol intolerance Adverse Effects: CNS: Fatigue, headache, weakness, EENT: Blurred vision, yellow or green vision CV: Arrhythmias, Bradycardia, ECG changes, AV block, SA block. GI: Anorexia, Nausea, Vomiting, Diarrhea Hemat: Thrombocytopenia, Metab: Electrolyte imbalances with acute digoxin toxicity Nursing Implications: Monitor apical pulse for 1 full min before administering. Withhold dose and notify HCP if pulse rate is < 60bpm in an adult, < 70bpm in a child, or < 90 bpm in an infant. Notify HCP of any significant changes in rate, rhythm, or quality of pulse. Monitor blood pressure in patients receiving IV digoxin.
You've reached the end of your free preview.
Want to read all 35 pages?
- Fall '19
- Headache, Herpes simplex, Pregnancy category