NUR 220 Week 1 Medications

diltiazem indications

HTN, angina, arrhythmias (afib, aflutter, and SVT)

diltiazem moa

blocks calcium channels in the heart and blood vessels, leading to vasodilation, which decreases HR and BP

diltiazem side effects

peripheral edema, hypotension, bradycardia, constipation

metoprolol indications

HTN, angina, HF, arrhythmias, MI

metoprolol MOA

decreases BP and HR by blocking beta1 (heart) receptors

metoprolol side effects

bradycardia, hypotension, erectile dysfunction, ischemic heart disease if stopped abruptly

lidocaine indications

ventricular arrhythmias and SVT

lidocaine moa

sodium channel blocker

lidocaine side effects

hypotension, arrhythmias, thrombocytopenia, leukopenia, lupus-like syndrome

amiodarone indications

severe arrhythmias such as vfib and vtach

amiodarone moa

potassium channel blocker

amiodarone side effects

hypotension, bradycardia, blue-gray skin discoloration, thyroid dysfunction, pulmonary hepatic and cardiac toxicity

adenosine indications

SVT

adenosine moa

decreases conduction time through the AV node

adenosine side effects

facial flushing, SOB, brief period of asystole after admin

atropine indications

sinus bradycardia, heart block, drying of secretions during surgery

atropine moa

antagonizes acetylcholine, increases HR

atropine side effects

anticholinergic effects (dried up)

epinephrine indications

anaphylaxis, advanced cardiac life support

epinephrine moa

stimulates alpha1 sites (vasoconstriction), beta1 receptors (increase HR), and beta2 receptors (bronchodilation)

epinephrine side effects

HTN, arrhythmias, angina, nervousness, tremor

norepinephrine indications

shock, severe hypotension

norepinephrine moa

stimulates alpha1 sites (vasoconstriction) and beta1 receptors (increase cardiac output)

norepinephrine side effects

HTN, arrhythmias, digital necrosis with high doses

dopamine indications

shock, sepsis, HF, renal failure

dopamine moa

stimulates alpha1 receptors (vasoconstriction), beta1 receptors (increase CO and HR), and dopaminergic receptors (increase renal perfusion)

dopamine side effects

arrhythmias and angina

nicardipine indications

HTN, angina

nicardipine moa

calcium channel blocker causing vasodilation

nicardipine side effects

palpitations, hypotension, tachycardia