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Chapter 27 Drugs - Coggle Diagram
Chapter 27 Drugs
lisinopril (Zestril, Prinivil)
Administration Alerts
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if given within 24 hours of MI, improved survival
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Mechanism of Action
ACEI: decreases BP, increases cardiac output
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Drug-Drug Interactions
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potassium sparing diuretics: hyperkalemia, increase in lithium concentration resulting in toxicity
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metoprolol (Lopressor, Toprol)
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Mechanism of Action
beta adrenergic blocker: decreases HR, decreases force of contractility
Administration Alerts
IV: monitor ECG, BP, pulse
assess pulse, BP, before oral admin
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Drug-Drug Interactions
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alcohol, antihypertensives: additive hypotension
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milrinone (Primacor)
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Mechanism of Action
positive inotrope, inccreases cardiac output
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Drug-Drug Interactions
digoxin, dobutamine, inotropic drugs cause additive effects
digoxin (Lanoxin)
Administration Alerts
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check serum digoxin level, if >18 ng/ml dont give and notify doctor
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Adverse Effects
hypokalemia, impaired renal function can cause dysrhythmias
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Drug-Drug Interactions
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ACEI, or K supplements or spironolactone: cause hyperkalemia
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