1. Chapter 22: Drugs for Heart Failure
DISCUSSION POINTS
Chapter 22: Drugs for Heart Failure
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr.
Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

2. Diseases Associated with Heart Failure - mitral stenosis
- myocardial infarction
- chronic hypertension
- coronary artery disease
- diabetes mellitus
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr.
Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

3. Cardiac Output - preload - afterload
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr.
Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

4. Three Fundamental Characteristics of Heart Function
- It contracts with a specific force or strength (contractibility)
- It beats at a certain rate (beats per minute)
- It conducts electrical impulses at a particular speed
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr.
Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

5. Medications for Heart Failure - Cardiac glycosides
- Angiotensin-converting enzyme (ACE) inhibitors
- Vasodilators
- Diuretics
- Phosphodiesterase inhibitors
(continued)
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr.
Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

6. Medications for Heart Failure - Beta-adrenergic blockers
- Human beta natriuretic peptide
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr.
Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

7. The rationale for taking the client’s apical rate for 60 seconds prior to administering digoxin (Lanoxin)
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr.
Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

8. The signs and symptoms of digitalis toxicity
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr.
Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

9. The effect of hypokalemia or hyperkalemia on heart function
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr.
Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

10. Isosorbide Dinitrate (Isordil) - side effects - treatment measures
- pharmacologic and non-pharmacologic
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr.
Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

11. The rationale for measuring the client’s intake and output when the client is taking medications to treat heart failure
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr.
Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.