Eplerenone med card PDF

Preview

Summary

Eplerenone med card...

Description

INSTRUCTIONS: 1. For each chapter that teaches about medications, fill in the following table regarding the chosen meds. CLASS: GENERIC NAME: Eplerenone TRADE NAMES: Inspra Antihypertensives MOA: Blocks the effects of aldosterone by attaching to mineralocorticoid receptors. Therapeutic Effects: Lowering of blood pressure. Improves survival in patients with evidence of HF post-MI. INDICATIONS: Hypertension (alone or with other agents). LV systolic dysfunction and evidence of HF post-MI. CONTRAINDICATIONS/PRECAUTIONS: • • •

serum potassium >5.5 mEq/L at initiation, creatinine clearance ≤30 mL/min, or concomitant administration of strong CYP3A inhibitors (e.g., ketoconazole, itraconazole, nefazodone, troleandomycin, clarithromycin, ritonavir, and nelfinavir)

INTERACTIONS with other Drugs/Substances: • Antibiotics • Antidepressant drug • Antifungal drugs • Antiretroviral drugs • High blood pressure drugs • Mood stabilizer drug • Pain drugs • Potassium-sparing diuretics. PATIENT COMMON SIDE ADVERSE REACTIONS: CNS: dizziness, RESPONSE / EFFECTS: fatigue. GI: abnormal liver function tests, REACTIONS: abdominal pain, • dizziness. DESIRED diarrhea. GU: albuminuria. Endo: abnormal vaginal • diarrhea. OUTCOME: bleeding, gynecomastia. F and • coughing. E: HYPERKALEMIA. Metab: hypercholesterolem INSPRA is • flu-like ia, hypertriglyceridemia. Misc: flu-like symptoms. indicated for the symptoms, treatment of such as fever hypertension, to and lower blood body aches. pressure. • tiredness. Lowering blood

S/S TOXICITY: There are no known overdose report s of eplerenone, but the most likely manifestations of overdose would be hypotension or hyperkalemia.Nov 4, 2020

TOXICITY/OVERDOS E TX: If you take too much eplerenone, call your healthcare provider or local Poison Control Center or seek emergency medical attention right away. If eplerenone is administered by a healthcare provider in a

pressure reduces the risk of fatal and nonfatal cardiovascular (CV) events, primarily strokes and MI. These benefits have been seen in controlled trials of antihypertensiv e drugs from a wide variety of pharmacologic classes.

•

gynecomasti a (breast growth in men)

medical setting, it is unlikely that an overdose will occur. However, if overdose is suspected, seek emergency medical attention.

INSPRA is indicated to improve survival of stable patients with symptomatic heart failure with reduced ejection fraction after an acute myocardial infarction (MI).

NURSING ACTIONS:

ASSESS: Assess blood pressure

CARE/IMPLEMENT: Monitor signs of high plasma TEACH: Implement potassium levels (hyperkalemia), including fall prevention

EVALUATE: Counsel patients about additional

Remind patients to take medication as directed to control hypertension and other cardiac conditions even if they are asymptomatic.

periodically and compare to normal values (See Appendix F) to help document antihypertensive effects. Assess dizziness and fatigue that might affect gait, balance, and other functional activities (See Appendix C). Report balance problems and functional limitations to the physician, and caution the patient and family/caregivers to guard against falls and trauma.

bradycardia, fatigue, weakness, numbness, and tingling. Notify physician because severe cases can lead to life-threatening arrhythmias and paralysis.

strategies, especially in older adults or if patient exhibits sedation, dizziness, clumsiness, or other impairments that affect gait and balance. Advise patient that this drug may cause problems in fat metabolism, including hypercholesterolemia and hypertriglyceridemia. Remind patient that periodic blood tests may be needed to monitor plasma lipids. Instruct patient or family and caregivers to report other troublesome side effects such as severe flu-like symptoms, breast growth in men (gynecomastia), abnormal vaginal bleeding, or GI problems (diarrhea, abdominal pain).

interventions to help control blood pressure and cardiac dysfunction, such as regular exercise, weight loss, sodium restriction, stress reduction, moderation of alcohol consumption, and smoking cessation. •...