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Antianginal Drugs, NURSING CONSIDERATIONS, *Classic Angina-
Diminished…
Antianginal Drugs
IMPLEMENTATION
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Provide comfort measures for the patient to tolerate side effects (e.g. small frequent meals for nausea, limiting noise and controlling room light and temperature to prevent aggravation of stress which can increase demand to the heart, etc.)
Educate client on measures to avoid angina attacks (e.g. diet changes, rest periods, etc.)
Emphasize to the client the importance of strict adherence to drug therapy to ensure maximum therapeutic effects.
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Calcium-Channel Blockers
*Drugs Which Block H Contraction.
They Produce Vasolidation
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NURSING CONSIDERATIONS
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Assess the patient’s complaint of pain and the activity level prior to and after the onset of pain to aid in identifying possible contributing factors to the pain and its progression.
Monitor cardiopulmonary status closely as the drug can cause severe effects on these two body systems.
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INDICATIONS:
Children-Heart Surgery.
Adults-Educated About The Drug Forms.
*Other Adults-Low Dose Bcoz Of Side Effects. And Not Established For Pregnant Women
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Adverse Effects:
CNS: Headache, Dizzness
GI: Nausea, Vomiting And Diarrhoea.
CV: Hypotension
*Large Dose Lead To Cyanosis.
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CONTRAINDICATION:
Bradycardia, H Block-Block Effect Of Drug
Pregnancy-Harmful To Fetus
*COPD-Block Effects Prevents Maintainance Of Homoestasis
ADVERSE EFFECT:
*CNS-Depressioj,Dizzness, Sleep.Disturbance
GI: Nausea, Vomiting, Diarrhoea
CV: H Failure, Reduced CO
INTERACTIONS:
*Clonidine: Increase Hypertension
*Ephinephrine: Hypertension And+ Bradycardia.
*Insulin And Oral Hypoglycemic Agents: Alteration In HGT.
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Adversr Effects:
CNS: Dizzness And Headache
GI: Nausea
*CV: Hypotension, Bradycardia
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Decreased Cardiac Output related to hypotension and vasodilating effect of the drugs
Risk for Injury related to cardiovascular and CNS adverse drug effects