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HCN Channel Blocker for HF example
Ivabradine (Corlanor)
Ivabradine use
lower HR when beta blocker didnt work
Ivabradine effects on body
slow heart rate without weakening (heart) contractions
Ivabradine contraindicated
acute decompensated HF, heart block, HR < 60, low BP, pregnancy
Ivabradine side and adverse effects
bradycardia, atrial fibrillation, light flashes, headache
Ivabradine give and check
Oral, twice daily with meals
Apical pulse for 1 full minute; hold if _____ or _____
HR < 60, irregular
Ivabradine client education
light flashes common, caution driving
Ivabradine client report
dizziness or slow irregular pulse
ok
Ivabradine CJMM
Recognize Cues: HR 52, dizzy, sinus bradycardia.
Take Action: Hold, notify, fall precautions.
ok