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Source: Lilley, L. L., Collins, S. R., & Snyder, J. S. (2019). Pharmacology and the nursing process (9th ed.). Mosby. Subject: NR 293 Pharmacology for Nursing Practice Chapter 22: The antihypertensive class of drugs is an important one as you will find that many patients of all ages take them. Specific classes of drugs are adrenergic, angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers, calcium channel blockers, diuretics, and vasodilators. Each class has specific mechanisms of actions with side effects related to these. Chapter 23: Antianginal drugs are used to increase oxygen delivery to the heart. The heart is a very aerobic muscle and when it does not receive enough oxygen, pain (angina) occurs (Lilley et al., 2019). You will learn about nitrates or nitrites, beta-blocker (once again understanding the sympathetic nervous system is so important), and calcium channel blockers. ***Notice that there are different uses of some of the same drugs you have seen and will see again. Chapter 24: Heart failure is also a common clinical syndrome in which the heart is unable to pump blood in sufficient amounts from the ventricles to meet the body’s metabolic needs or is able to do so only at elevated filling pressures (Lilley et al., 2019). A review of the pathophysiology of the heart will help you understand the syndrome and why the drugs used for heart failure have their effect. Make sure you know the terms inotropic, chronotropic, and dromotropic. Chapter 25: This chapter revolves around drugs that help with disturbances or abnormalities of the normal pattern of the heartbeat or pulse which is termed dysrhythmia (Lilley et al, 2019). There are three types of dysrhythmias, supraventricular, ventricular, and dysrhythmias which occur outside of the conduction system. The drugs to treat these dysrhythmias are classified into four (4) groups and the miscellaneous class, which is sometimes known as the fifth class (Lilley et al., 2019). Chapter 26: This chapter is about drugs that affect the coagulation system. Coagulation modifiers work to prevent/promote clot formation, lyse a preformed clot, and or/reverse the action of anticoagulants (Lilley et al., 2019). Chapter 27: Antilipemics is also a class of drugs that many people take due to elevated cholesterol or triglycerides (Lilley et al., 2019). As blood cholesterol increases, the chances of chronic heart disease and possible death or disability increase. Chapter 54: There are four types of anemia that you should know. These anemias are treated with drugs such as iron, folic acid, erythropoiesis-stimulating agents, and vitamin B12 (Lilley et al., 2019). Question: Write short summary and reflection on what you have learned about the concepts of Clotting and Perfusion including information on nursing interventions and patient education and 1 or 2 questions related to concepts that are still unclear.

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