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.
Beta-Adrenergic Blockers "-olol" (Antagonists)
Slow heart rate and reduce BP |
(Negative) inotropic effect |
Reduce workload of heart |
PROTOTYPE DRUG
metropolol |
(Lopressor, Troprol XL) |
ADVERSE EFFECTS
Fluid retention |
Worsening of HF |
Fatigue |
Hypotension |
Bradycardia |
Heart block |
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MECHANISM OF ACTION
Block cardiac action of SNS to slow HR and BP, reducing workload of the heart |
PRIMARY USE
Reduce symptoms of HF |
Slow progression of disease |
(Metoprolol also approved for angina, HTN and reducing cardiac complications following an MI) |
NURSE'S ROLE
MONITOR FOR: |
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worsening symptoms |
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liver function/hepatic toxicity |
Be aware of contraindications: |
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-- (patients with cardiogenic shock, sinus bradycardia, heart block greater than 1st degree, hypotension, and overt HF.) |
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-- (Use with caution in patients with asthma and those with a hx of bronchospasm bc the drug may affect beta2 receptors at hgh doses.) |
PATIENT TEACHING: |
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monitor BP |
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report pulse below 50 |
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report s/s of worseing HF |
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do not stop taking abruptly |
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