Nursing 211

N211: Health Differences Across the Lifespan I Indication/Action Adverse Reactio

Drugs

Nursing Implications

Propranolol HCL (Inderal) Atenolol (Tenormin) Nadolol (Corgard)

Anginal prophylaxis Reduces oxygen demand

Fatigue Lethargy Hallucinations Impotence Bradycardia Hypotension Wheezing Heart failure Dizziness Hypotension Fatigue Headache Syncope Peripheral edema Hypokalemia Dysrthymias Heart failure

Monitor apical heart rate Assess for decreased BP Do not stop medication abruptly

Beta Blockers

Calcium Channel Blockers Assess for decreased BP Monitor serum potassium Swallow pills whole Store at room temperature Do not stop abruptly Take one hour before meals and two hours after meals 1.9 Cardiac Failure Cardiac Failure (Heart Failure) is when the heart cannot pump enough blood to meet the body’s metabolic needs or tissue’s oxygen demands. Primary underlying conditions that cause heart failure are ischemic heart disease, myocardial insufficiency, cardiomyopathy, valvular heart disease and hypertension. Verapamil (Calan) Nifedipine HCL (Procardia) Diltiazem HCL (Norvasc, Cardizem) Anginal problems Inhibits influx of calcium ions

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