Reply for this post (Shenay)
Description
Heart failure is such a broad term when it comes to how we treat it. Sometimes our patients need only one drug to treat their symptoms, other times they require multiple medications from different drug classes. As we all know cardiac medications come in many different classes and all have a specific symptom they target, which makes them amazing! Sometimes we come across patients who have comorbidities, which require us to rethink our treatment plans in case we have any medication contraindications. According to Metra and Teerlink (2017), The prevalence of comorbidities in patients with heart failure and their effects on prognosis are increasing, particularly in patients with heart failure with preserved ejection fraction.
Lisinopril, also known as Prinivil, is classified as an angiotensin-converting enzyme inhibitor (ACE). I have given this medication many times in my nursing career. These types of medications slow down the activity of enzymes, which in turn slows down vasoconstriction, the result of that being your blood vessels enlarge and your blood pressure reduces. One of the most common side effects of ACE inhibitors is a persistent dry cough. I will NEVER forget this because it was one of my NCLEX questions and I knew I had it! This class of medication may increase blood levels of potassium, so the use of potassium supplements is not recommended. ACE inhibitors are labelled a category C for pregnancy. It was found that mothers who took ACE inhibitors during the 1st trimester of pregnancy had an increased risk of major congenital defects.
Carvedilol, also known as Coreg, is classified as a beta blocker. These are my personal favorite because they end in lol and that just makes me smile! It was also a fun way to remember them while in nursing school. Beta Blockers work by blocking epinephrine, which allows your heart to beat more slowly, which leads to reducing blood pressure. Possible side effects could be fatigue and weight gain, although most people report no issues. This class of medication is not typically used in patients with asthma because it has been known to trigger asthma attacks. In addition, it can mask the symptoms of low blood sugar levels in patients with diabetes.
References
Metra, M., & Teerlink, J. (2017). Heart failure. The Lancet, 390(10106), 19811995. https://doi.org/10.1016/S0140-6736(17)31071-1
Anonymous. (2006). ACE inhibitors and pregnancy. WHO Drug Information, 20(2), 71. Retrieved from http://search.proquest.com/docview/215678887/
Heart Disease and Beta-Blocker Therapy. (n.d.). Retrieved December 6, 2018, from https://www.webmd.com/heart-disease/guide/beta-blocker-therapy#
Having Trouble Meeting Your Deadline?
Get your assignment on Reply for this post (Shenay) completed on time. avoid delay and – ORDER NOW
References:
Nursing Standards
Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Clinical Guidelines
Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf
Living Guideline
Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E
Evidence-based practice
BMJ Best Practice
Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/
Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com
Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf
JBI: Evidence summary
Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global
JBI: Best practice information sheet
Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.
Cochrane Database of Systematic Reviews
Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2
Drug Information
Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au
Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm
Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml
Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html
Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/
Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html
Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis
Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia
Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367
NCBI Bookshelf
Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/
Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au
Explanation & Answer
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.