Nursing 211

N211: Health Differences Across the Lifespan I Medical interventions include thrombolytic agents within 1 to 4 hours of MI. Intraaortic balloon pump (IABP) to improve myocardial perfusion. Class Beta Adrenergic Blockers OLOL Check pulse Central Alpha Blockers Dilating Alpha Adrenergic Blockers ZOSIN Dilating

Decrease Heart Rate Decrease BP Decreases peripheral vascular resistance Decreases 02 consumption of the heart Decreases cardiac workload by reducing heart rate, BP, & contractility Hypertension, Hypertrophic cardiomyopathy, MI, Supraventricular arrhythmia, Angina, Open Glaucoma Atenolol – Tenormin Metroprolol – Lopressor Propranolol – Inderal Bronchospasms, Bradycardia, Fatigue, Insomnia, Peripheral vascular Insufficiency, increased triglycerides, AV block, heart failure, nausea, vomiting, diarrhea and sexual dysfunction Use cautiously in patients with Respiratory Diseases, CHF & heart blocks Caution with diabetics & peripheral vascular disease Take with meals

Decreases peripheral vascular resistance Decrease peripheral vascular resistance by dilating arterioles and ventricles

Effect(s)

Hypertension BPH Urinary outflow obstruction Peripheral vascular resistance Dixazosin – Cardura Prazosin – Minipress Terazosin – Vasocard Syncope, orthostatic hypotension, weakness, palpitations, decreased low density lipoprotein

Hypertension Clonidine – Catapress Methyldopa – Aldomet

Use(s)

Generic Name(s)

Drowsiness, sedation, dry mouth, fatigue, orthostatic hypotension, positive coombs test, sexual dysfunction

Standard Error (SE)

Contraindication(s)

Change positions slowly

Teaching

©2012

Page 28

of 148

Achieve