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Hydralazine (Apresoline) Nursing Considerations

Hydralazine (Apresoline) Nursing Considerations

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Outline

Generic Name

hydralazine

Trade Name

Apresoline

Indication

hypertension

Action

arterial vasodilation by unclarified mechanism

Therapeutic Class

anti-hypertensive

Pharmacologic Class

vasodilator

Nursing Considerations

• may cause tachycardia, sodium retention, arrhythmias, angina
• use caution with MAOIs
• monitor blood pressure
• instruct patient on how to take blood pressure

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Transcript

Hey guys, let’s talk about hydralazine also known as a pre. This is an oral medication, as you can see here with this packaging, but it also comes in other forms like IV. Okay. Remember when we about the therapeutic class, we’re talking about how the drug works in the body while the pharmacologic class is the chemical effect of the drug. So hydralazine is an anti hypertensive while it’s pharmacologic class is a vasodilator. So the action of hydralazine is it promote arterial, vasodilation, following smooth muscle relaxation, which is why we use it for the treatment of hypertension. So be aware that there are some side effects that come along with hydralazine. These can include angina, tachycardia and even arrhythmias.

So let’s take a look at a few nursing considerations for hydralazine. Of course, you will want to monitor your patients blood pressure while on therapy, to be sure the treatment and dose are appropriate and are in fact working for your patients, know that hydralazine may cause some sodium retention in your patient use caution in patients who are also on mais and finally teach your patient how to take their own blood pressure, even if it’s at the local pharmacy or with an at home monitor. So here’s an interesting thing about hydralazine. So in combination with ISOR, I nitrates this combination is used for the treatment of CHF and was actually the first drug combination that was approved on the basis of race, as it has shown to be super successful in black patients. That’s it for hydralazine or pres now go out and be your best self today and as always happy nursing.

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Concepts Covered:

Study Plan Lessons

12 Points to Answering Pharmacology Questions

Care of the Pediatric Patient

Menstrual Cycle

54 Common Medication Prefixes and Suffixes

Addisons Disease

Advance Directives

Family Planning & Contraception

Vitals (VS) and Assessment

Nursing Care and Pathophysiology for Cushings Syndrome

Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)

Nursing Care and Pathophysiology for Diabetes Insipidus (DI)

Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)

Essential NCLEX Meds by Class

Growth & Development – Infants

6 Rights of Medication Administration

Growth & Development – Toddlers

Thrombocytopenia

Blood Transfusions (Administration)

Growth & Development – Preschoolers

Nursing Care and Pathophysiology for Hyperthyroidism

Preload and Afterload

Growth & Development – School Age- Adolescent

Nursing Care and Pathophysiology for Hypothyroidism

Legal Considerations

Performing Cardiac (Heart) Monitoring

The SOCK Method – Overview

The SOCK Method – S

The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

Basics of Calculations

Brief CPR (Cardiopulmonary Resuscitation) Overview

Gestation & Nägele’s Rule: Estimating Due Dates

Nursing Care and Pathophysiology of Angina

Nursing Care and Pathophysiology of Diabetes Mellitus (DM)

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Fire and Electrical Safety

Generalized Anxiety Disorder

Gravidity and Parity (G&Ps, GTPAL)

Diabetes Management

Nursing Care and Pathophysiology of Myocardial Infarction (MI)

Oral Medications

Pediculosis Capitis

Post-Traumatic Stress Disorder (PTSD)

Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)

Fundal Height Assessment for Nurses

Injectable Medications

Oncology Important Points

Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)

Fall and Injury Prevention

Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)

IV Infusions (Solutions)

Maternal Risk Factors

Complex Calculations (Dosage Calculations/Med Math)

Mood Disorders (Bipolar)

Isolation Precaution Types (PPE)

Paranoid Disorders

Personality Disorders

Cognitive Impairment Disorders

Eating Disorders (Anorexia Nervosa, Bulimia Nervosa)

Alcohol Withdrawal (Addiction)

Suicidal Behavior

Normal Sinus Rhythm

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Sickle Cell Anemia

Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)

Discomforts of Pregnancy

Nursing Care and Pathophysiology for Heart Failure (CHF)

Sinus Bradycardia

Nursing Care and Pathophysiology for Anaphylaxis

Antepartum Testing

Sinus Tachycardia

Nutrition in Pregnancy

Atrial Fibrillation (A Fib)

Premature Ventricular Contraction (PVC)

Ventricular Tachycardia (V-tach)

Ventricular Fibrillation (V Fib)

Maslow’s Hierarchy of Needs in Nursing

Benzodiazepines

Nursing Care and Pathophysiology of Hypertension (HTN)

Chorioamnionitis

Nursing Care and Pathophysiology for Cardiomyopathy

Gestational Diabetes (GDM)

Disseminated Intravascular Coagulation (DIC)

Ectopic Pregnancy

Nursing Care and Pathophysiology for Thrombophlebitis (clot)

Hydatidiform Mole (Molar pregnancy)

Gestational HTN (Hypertension)

Infections in Pregnancy

Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate

Overview of the Nursing Process

Fetal Development

Nursing Care and Pathophysiology for Hypovolemic Shock

Nursing Care and Pathophysiology for Cardiogenic Shock

Fetal Environment

Nursing Care and Pathophysiology for Distributive Shock

Fetal Circulation

Process of Labor

Pediatric Gastrointestinal Dysfunction – Diarrhea

Mechanisms of Labor

Therapeutic Communication

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Patient Positioning

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Placenta Previa

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Urinary Elimination

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Overview of Developmental Theories

Postpartum Physiological Maternal Changes

Bronchiolitis and Respiratory Syncytial Virus (RSV)

Postpartum Discomforts

Cystic Fibrosis (CF)

Congenital Heart Defects (CHD)

Intake and Output (I&O)

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Blood Glucose Monitoring

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Specialty Diets (Nutrition)

Enteral & Parenteral Nutrition (Diet, TPN)

Histamine 1 Receptor Blockers

Initial Care of the Newborn (APGAR)

Nephrotic Syndrome

Newborn Physical Exam

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Histamine 2 Receptor Blockers

Newborn Reflexes

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Renin Angiotensin Aldosterone System

Head to Toe Nursing Assessment (Physical Exam)

Meconium Aspiration

Transient Tachypnea of Newborn

Hyperbilirubinemia (Jaundice)

Spina Bifida – Neural Tube Defect (NTD)

ACE (angiotensin-converting enzyme) Inhibitors

Autism Spectrum Disorders

Attention Deficit Hyperactivity Disorder (ADHD)

Newborn of HIV+ Mother

Angiotensin Receptor Blockers

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Cardiac Glycosides

Metronidazole (Flagyl) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Vancomycin (Vancocin) Nursing Considerations

Anti-Infective – Penicillins and Cephalosporins

Atypical Antipsychotics

Rubeola – Measles

Varicella – Chickenpox

Pertussis – Whooping Cough

Autonomic Nervous System (ANS)

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

Parasympathomimetics (Cholinergics) Nursing Considerations

Parasympatholytics (Anticholinergics) Nursing Considerations

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

HMG-CoA Reductase Inhibitors (Statins)

Magnesium Sulfate

Corticosteroids

Hydralazine (Apresoline) Nursing Considerations

Nitro Compounds

Dissociative Disorders

Proton Pump Inhibitors

Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)