Cheatography
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Drugs for HF (Module 2 - Pharmacology)
This is a draft cheat sheet. It is a work in progress and is not finished yet.
PHOSPHODIESTERASE INHIBITORS
Block enzyme phosphodiesterase |
Increase calcium for myocardial contraction |
Cause positive inotropic response and vasodilation |
Increase contractility and decrease afterload |
Short-term therapy only |
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MECHANISM OF ACTION
To block enzyme phosphodiesterase in cardiac & smooth muscle, increasing myocardial contraction force and cardiac output |
PRIMARY USE
as a short-term therapy of advanced HF |
ADVERSE EFFECTS
Hypokalemia |
Hypotension |
Ventricular dysrhythmias |
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NURSE'S ROLE
ASSESS: |
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- potassium levels |
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- for renal impairment |
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- for dysrhythmias |
Monitor for hypotension |
IV: |
Monitor for ventricular dysrhythmias |
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PATIENT TEACHING: |
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Report irregular or rapid heart rate |
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Report fever of 101 F or higher |
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Report increase in chest pain |
If given IV: |
Report fever of 101 F or higher or pain/swelling at infusion site. |
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