NUR240 Quiz: Chapter 27 Drug Chart
Document Summary
Inhibits ace and decreasing aldosterone secretion (bp decreased, and. Atpase (enzyme responsible for pumping sodium ions out of the myocardial cell) Monitor concurrent use with diuretics (can cause hypokalemia) Those with renal impairment should receive lower doses. Od: use digoxin immune fab (digibind, which contains specific antibodies for digoxin. Cough, headache, dizziness, orthostatic hypotension, rash, hyperkalemia, taste disturbances, angioedema. Black box: fetal injury and death may occur; stop if pregnancy is detected. Can create dysrhythmias in patients who have hypokalemia or impaired renal function. Patients with av block or ventricular dysrhythmias unrelated to hf. Reduces sympathetic stimulation of the heart, decreasing workload. Advise patient to not crush or chew sustained release tablets. Use with caution in patients with asthma or bronchospasm history. Black box: abrupt withdrawal is not advised in patients with angina or heart disease. Patients with cardiogenic shock, sinus bradycardia, heart block, hypotension, and overt cardiac failure. Most serious ae: ventricular dysrhythmia (1 out of 10 patients)
