Slide 5
Pregnant women should not take
Avoid aspirin, NSAIDS, and alcohol
Antibiotics can affect INR levels
INR level 3.0-3.5
Slide 6
Administer over 1-2 minutes then flush with saline
SVT a rapid rhythm exceeding 150/min
Administered rapidly as a 6-mg bolus IV
Over 1-2 seconds followed by a 20-mL saline flush
Slide 7
Monitored for flushing, dizziness, chest pain, or palpitations during and after administration
A brief period of asystole is due to adenosine slowing impulse through the AV node
Slide 1
Check blood pressure before administering
Can cause a dry cough and reflex tachycardia
Do not take while pregnant
Can cause orthostatic hypertension
Slide 2
Help control atrial fibrillation
End in -em like diltiazem
Also end in -ine (Amlodipine)
Most severe adverse effect is dizziness
NO grapefruit juice while taking this or statins
Slide 3
Most severe adverse effect is dizziness
Measure blood pressure before administering
if systolic is under 100 then you hold CCB
Amlodipine, Nifedipine, Amlodipine, Felodipine, Nicardipine. -PINE
Slide 4
The most important adverse effects of Ca channel blockers include
Dizziness, flushing, headache, peripheral edema, constipation, orthostatic hypotension
Promote relaxation of vascular smooth muscles
Lisinopril
Lisinopril
Lisinopril has a low incidence of serious adverse effects except angioedema (rapid swelling of lips, tongue, throat, face, and larynx). Angioedema can lead to airway obstruction and possible death.
Slide 1
Nicardipine
Calcium channel blocker vasodilator
Usually after stroke and patients get extremely hypertensive (systolic over 240)
Slide 1
Nicardipine
It takes effect within 1 minute of IV administration
The drug must be discontinued if hypotension or reflex tachycardia occurs
Slide 2
Beta Blockers
Helps control heart rate and blood pressure (mainly heart rate)
Side effects may be bronchospasms
Slide 2
Beta Blockers
Do not give to people with asthma
Assess for any wheezing
May mask signs of hypoglycemia
Slide 3
ARBS
"sartans"
"sartans"
Can cause hyperkalemia
Do not take with salt substitutes
Slide 4
Slide 4