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CARDIOVASCULAR MEDS && KEN: {. Lowers BP: ALL except DIgoXIN 2. Lowers HR: - Beta Blockers “Calcium channel blockers * -ZEM,-AMLL - DIQOKIN 3. DONOT GIVE W/ ¥Y FAILURE ~CANAUM CHANNEL BLOCKERS 4.NES for Y FAILURE! rugosa fDwrentios. ~ Vasodilators 5. Not for pregnancy: ~ACE/ARB’S ~ Kt Sparing divreTios ©. Watch vitals¥ DONT STOP ABRUPTLY CALCIUM CHANNEL BLOCKERS -DIPINE , -ZEM -amit LOWERS a) ut HR, BP onty Jowers BP jowers DOT * ACTION: DIOCKS movement of calclum which relaxes ¢mooth muscle > Vv Resistance yep CONSIDERATIONS: A 1-09 NOT give fo @ failure pts (wut 2. Aways check HR/BP worsen) BEFORE giving SYSTOLIC <40/HR Bronchospasm DO NOY qive to asthirna/ COPD pts AKA: NONSeleCTIVe = propranolol SELECTIVE (Wonty) VOTALOL “AteNO(O4 TUNOL01 Metoprolol ESINOl0[ CONSIDERATIONS: Licart be given wp & Fatlure pts 2. May mask Thy Sx OF (will M improve) hypoglycemia > monitor closely 3. Always check HR/BP BEFORE giving SYSTOLIC <40 / HR< O- HOLD MED 4. CAUTION orthiostatto 5. watch for wheezing DIGOXIN - for ¥ Faulure! Cand antiarryrhimic) hypotension iWHR, VBP LOWERS HR Does Nor EFFECT blood prestuve a ve eu DIG's for a more forceful contractility” ee Doves not Waste Kt, co DO NOT. change Kt diet. CONSIDERATIONS: 1. AIWOYS Check HR before giving <@0=HOLD MED THERAPEUTIU RANGE: 0.5-2.0 FOR HE: FOR AFI) 0.8-2.0 2. Monitor Kidney furction (BUN, Or) Vkidney functlon= vik toxiort 3. Monitor Ke levels (HR: 4. 8/8 Of TOXIGITY: “VISWON changes “NIV - Dizzy /Lightheaded VRE =D risk TOXICITY WY “Irequiay pulse confusion ACE INHIGITORS (-PRIL) (Ist CHOICE } “ARB'S (- SARTAN) (Znd CHQICE? BOTH] intibit/block RAAS > Typically, RAAS SBP by retaining Nat/H20,vKt SO: TKENtNe vody KEY: | TeraTogemioy | 2. Angioederna (RISK: ALIWaY ) eee SX pyyey WITH ACE INHIBITOR CONSIDERATIONS: pt Watch BP levels 2. Watch EKG'S > peak TWave [ST elevation 3. CAUTION orTHOsSTaTIO WY POTeNnsion | 4. Avoid Kt vich food: | “Leafy Greens, AVO, Fruits, bears, LIVER | VASODILATORS — RUIaKes Grnvdth muscly= lower BP algo usud for ‘S more, to the body wrauvre Normal Se flusnin hvadacnu hypotension CONSIDERATIONS: 1.00 NOT TakY With VIAGRA (Sildenafil) » causes extremely W BP 2. HOLD IF BP VYsTOLIG IS VIO OR drops poOeaty lack of coordination 3. Monitor BP And signs: “iyitapie CAUTION OYtHosTane §=— SWYaTing 7 hypotension Paltor EX: Nitrogiycyrin—Also for chest pain Nityoprusside Hydraldzine Minox Isdsorpide 
