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Angina, MONA, Drug therapy after MI - Coggle Diagram

- - - - MOA: vasodilation; potent dilating effect on coronary arteries
        
        Side effects: headache (will diminish after pt adjusts to medication); hypotension; tachycardia
        
        Interactions: Nitrates should not be taken with medications used for erectile dysfunction
        
        PT. teaching: tolerance may develop; for acute attack (pain that has changed) pts should be instructed to sit or lie down. take one SL nitro, if chest pain not relieved call 911. may take up to 3 total; blood pressure should be closely monitored; medication should burn or tingle when under the pts tongue; medication is stored in brown glass bottle - potency is lost after 3 months
  - - - MOA: vasodilation; potent dilating effect on coronary arteries
        
        Side effects: headache (will diminish after pt adjusts to medication); hypotension; tachycardia
        
        Interactions: Nitrates should not be taken with medications used for erectile dysfunction
        
        PT teaching: tolerance can develop; patch should be removed at night
  - - - MOA: vasodilation; potent dilating effect on coronary arteries
        
        Side effects: headache (will diminish after pt adjusts to medication); hypotension; tachycardia
- - - - interactions: Verapamil and Diltiazem
      - PT. teaching: rebound hypertension may occur if medication is discontinued abruptly. tell pts to report weight gain, SOB as beta-blockers may also precipitate heart failure. take apical pulse daily. administer IV form slowly
        
        Contraindications: non-selective beta-blockers may cause respiratory depression in patients with COPD, asthma
- - - - interactions: beta-blockers, digoxin
      - PT teaching: do not chew or crush extended release tablets; monitor blood pressure and chest pain
        
        Contraindications: liver and kidney dysfunction
- - - - PT teaching: notify providers if cough, rash, and or signs of infection occur; monitor potassium levels
- - - - interactions: opioid narcotics