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chapter 40 antiarrythmic drugs
galen pahrmacology final
15
Pharmacology
Professional
01/02/2012

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Term

antiarrythmic drugs

 

Definition
primarily used to treat cardiac arrythmias
Term
cardiac arrythmia
Definition
a disturbance or irregularity in the heart rate, rythm or both, which requires administration of one of the antiarrythmic drugs
Term

preadministration assessment

 

 

 

 

 

 

 

 

 

 

 

Definition
taking and recording the blood pressure, apical and radial pulse and resp rate.  assess skin color,orientation level if consciousness and pts general status
Term
ongoing assessment
Definition
monitor b/p, apical and radial pulses and resp rate usually every 1-4 hours
Term
nursing alert
Definition
withholds the drug and notifies the primary healthcre provider when the pulse is above 120 bpm or below 60 bpm
Term
nursing alert
Definition
these drugs are capable of causing new arrythmias as well as exacerbating existing arrythmias. notify provider of this immediately
Term
central nervous system reactions
Definition
hypotension, arrythmias, bradychardia
Term
other reactions
Definition
urinary retenetion, local inflammation
Term
contraindications
Definition
during pregnancy, and lactation. pts with second or third degree av block (if the pt has no artificial pacemaker), severe HF, aortic stenosis, hypotension, and cardiogenic shock
Term
lifespan alert
Definition
when older adults take these types of drugs, they are greater risks for adverse reactions such as additional arrythmias or aggrevation of existing arrythmias, hypotension and HF. a dosage reduction may be indicated
Term
lifespan alert #2
Definition
the nurse monitors the intake and output and reports any signs of HF, such as increase in weight, decrease in urinary output of SOB
Term
Patient/family teaching
Definition
nurse may teach pt/family to take the pulse and report any changes in rate or rythm to the provider
Term
Pt/family teaching # 2
Definition
Do not take non prescription drugs unless approved by provider
Term
Pt/fasmily teaching # 3
Definition
avoid alcohol or smoking unless approved by provider. do not chew tablets ot capsuls
Term
Nursing diagnosis
Definition

Nausea, related to drug.

urinary retention related to cholinergic blocking effects.

impaired oral mucous membranes related to dry mouth.

risk for injury related to dizziness, light headedness. risk for infection related to agranulocytosis.

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