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Flashcards summarizing key concepts and information regarding phosphodiesterase inhibitors and their use in pharmacology.
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Phosphodiesterase Inhibitors
Medications like milrinone used for short-term treatment of low cardiac output in heart failure.
Therapeutic Use
To provide short-term treatment of low cardiac output in heart failure.
Adverse Drug Reactions
Hypokalemia, cardiac dysrhythmias, hypotension, and anginal chest pain.
Interventions for Milrinone
Correct fluid deficits and hypokalemia, monitor potassium levels, vital signs, ECG rhythm, and chest pain.
Administration Guidelines
Available for IV infusion only; give a loading dose over 10 minutes followed by a dose based on weight.
Client Instructions
Ongoing laboratory monitoring during infusion; report chest pain to staff.
Contraindications
Allergy to phosphodiesterase inhibitors, aortic or pulmonary valve disorder, acute MI.
Precautions
Caution in renal impairment, atrial flutter or fibrillation, and in older adults.
Interactions
Disopyramide may cause severe hypotension; incompatible with furosemide and procainamide.