Chapter 22: Drugs for Heart Failure

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Presentation transcript:

Chapter 22: Drugs for Heart Failure DISCUSSION POINTS Chapter 22: Drugs for Heart Failure Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Diseases Associated with Heart Failure - mitral stenosis - myocardial infarction - chronic hypertension - coronary artery disease - diabetes mellitus Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Cardiac Output - preload - afterload Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Three Fundamental Characteristics of Heart Function - It contracts with a specific force or strength (contractibility) - It beats at a certain rate (beats per minute) - It conducts electrical impulses at a particular speed Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Medications for Heart Failure - Cardiac glycosides - Angiotensin-converting enzyme (ACE) inhibitors - Vasodilators - Diuretics - Phosphodiesterase inhibitors (continued) Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Medications for Heart Failure - Beta-adrenergic blockers - Human beta natriuretic peptide Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

The rationale for taking the client’s apical rate for 60 seconds prior to administering digoxin (Lanoxin) Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

The signs and symptoms of digitalis toxicity Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

The effect of hypokalemia or hyperkalemia on heart function Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Isosorbide Dinitrate (Isordil) - side effects - treatment measures - pharmacologic and non-pharmacologic Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

The rationale for measuring the client’s intake and output when the client is taking medications to treat heart failure Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.