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)
- / 2
Answer Action improved coronary blood flow, decreased BP, work- load & O2 demand Use