NUR 339 Final Exam 2

NUR 339 Final Exam 2

• clopidogrel, heparin

Answer anti platelet agents

• anti platelet agents

Answer Action

act by arious mechanisms to inhibit platelet aggregation, activations, adhesion, and procoagulant activity

Use

reduction of incidence of initial/recurrent MI, stroke, vascular death in pts with atherosclerosis CI bleeding problems, low platelets, clotting factor deficiencies

• Captopril (ace inhibitor - pril)

Answer Action

antihypertensive, block production of angiotensin II -> decrease vasoconstriction -> decreased after load & workload; decreased aldosterone production

AE

postural hypotension, headache, renal insufficiency PT teaching does NOT affect HR

• Diltiazem & Verapamil

Answer calcium channel blockers 1 / 2

• Calcium Channel Blockers

Answer Action

prevent movement of ECF Ca into the cell

• decrease contractility & decrease automaticity & workload by dilating peripheral arteries &

increasing myocardial blood flow by dilating coronary arteries

NI

monitor BP & HR

• percutaneous coronary infusion

Answer bed as alternative to fibrinolytic, used early after fibrinolytic if failure to reperfuse or as first line treatment for STEMI

• Morphine

Answer Action

produces vasodilation leading to decreased LV preload, after load & O2 requirements Route 2-4mg IVP for chest pain unresponsive to sublingual NTG; titrate for effect NI

check BP & RR

• Beta Blockers (olol)

Answer Action improved coronary blood flow, decreased BP, work- load & O2 demand Use

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