Monitor ECG continuously during infusion g PtFamily teaching i Inform pt and

Monitor ecg continuously during infusion g ptfamily

This preview shows page 5 - 8 out of 18 pages.

Monitor ECG continuously during infusion g. Pt/Family teaching i. Inform pt and family of reasons for administration and it is not a cure but a temporary measure to control the symptoms of HF h. Interactions i. None Significant i. Routes i. IV VIII. Spironolactone a. Pharmacology Class i. Potassium-Sparing Diuretic & Aldosterone Antagonist b. Therapeutic Effects i. Increased survival in pt with severe HF c. Action i. Causes loss of sodium bicarbonate and calcium while saving potassium and hydrogen ions by antagonizing aldosterone d. Adverse Effects i. Dizzinesss, hyperkalemia, hyponatremia, and sexual dysfunction e. Desired Outcomes i. Increase in diuresis and decreases in edema while maintaining serum potassium level in an acceptable range ii. Decrease BP f. Nursing Implications i. Monitor intake and output and daily weight during therapy ii. Monitor response of signs and symptoms of hypokalemia iii. Monitor BUN, serum creatinine and electrolytes prior to and periodically during therapy g. Pt/Family teaching i. Instruct pt to take med every day ii. Caution pt to avoid salt substitutes iii. Instruct pt that med might cause dizziness h. Interactions i. Increase risk of hyperkalemia with the use of eplerenone ii. Concurrent use contraindicated i. Routes i. PO IX. Furosemide a. Pharmacology Class i. Loop Diuretic b. Therapeutic Effects i. Diuresis and subsequent mobilization of excess fluid and decrease BP c. Action
Image of page 5
i. Inhibits the reabsorption of sodium and chloride from the loop of Henle and distal renal tubule. Increase renal excretion of water, sodium, chloride, magnesium, potassium and calcium d. Adverse Effects i. Blurred vision, anorexia, dehydration, and hypokalemia e. Desired Outcomes i. Decrease edema ii. Decrease in abdominal girth and weight and BP f. Nursing Implications i. Assess fluid status, monitor daily weight, intake and output ratios, amount and location of edema, lung sounds, skin turgor, and mucous membrane g. Pt/Family teaching i. Instruct pt to take meds every day ii. Instruct pt to change positions slowly to minimize orthostatic hypotension iii. Instruct pt to consult health care professional regarding a diet high in potassium h. Interactions i. Increase of hypotension with antihypertensive, nitrate, or acute ingestion of alcohol ii. Increase of hypokalemia with other diuretics, amphotericin B i. Routes i. PO, IV, & IM X. Hydrochlorothiazide a. Pharmacology Class i. Thiazide Diuretic b. Therapeutic Effects i. Lowering of BP in hypertensive pt and diuresis with mobilization of edema c. Action i. Increases excretion of sodium and water by inhibiting sodium reabsorption in the distal tubule. Promotes excretion of chloride, potassium, hydrogen, magnesium, phosphate, calcium, and bicarbonate d. Adverse Effects i. Dizziness, hypokalemia, hypercalcemia, and acute myopia e. Desired Outcomes i. Decrease in BP ii. Decrease in Edema f. Nursing Implications i. Monitor BP, intake, output, and daily weight and assess feet, legs, and sacral area for edema daily ii. Assess pt for hypokalemia
Image of page 6
iii.
Image of page 7
Image of page 8

You've reached the end of your free preview.

Want to read all 18 pages?

  • Spring '14
  • angina pectoris, Adrenergic receptor, Angiotensin II receptor antagonist, a. Pharmacology Class, b. Therapeutic Effects

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

Stuck? We have tutors online 24/7 who can help you get unstuck.
A+ icon
Ask Expert Tutors You can ask You can ask You can ask (will expire )
Answers in as fast as 15 minutes