Hydralazine (Apresoline) Nursing Considerations

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Kara Tarr
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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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S25 Week 3 Study Plan (Hematology, Oncology, Skin, MS, Sensory, Mental Health, Pharm)

Concepts Covered:

  • Test Taking Strategies
  • EENT Disorders
  • Prefixes
  • Suffixes
  • Disorders of the Adrenal Gland
  • Integumentary Disorders
  • Bipolar Disorders
  • Disorders of the Posterior Pituitary Gland
  • Hematologic Disorders
  • Immunological Disorders
  • Medication Administration
  • Musculoskeletal Disorders
  • Labor Complications
  • Musculoskeletal Trauma
  • Disorders of the Thyroid & Parathyroid Glands
  • Integumentary Important Points
  • Learning Pharmacology
  • Anxiety Disorders
  • Disorders of Pancreas
  • Trauma-Stress Disorders
  • Oncology Disorders
  • Somatoform Disorders
  • Dosage Calculations
  • Depressive Disorders
  • Personality Disorders
  • Cognitive Disorders
  • Eating Disorders
  • Substance Abuse Disorders
  • Psychological Emergencies
  • Liver & Gallbladder Disorders
  • Upper GI Disorders
  • Urinary System
  • Cardiac Disorders
  • Cardiovascular Disorders
  • Female Reproductive Disorders
  • Neurologic and Cognitive Disorders
  • Shock
  • Respiratory Disorders
  • Nervous System
  • Urinary Disorders
  • Pregnancy Risks
  • Psychotic Disorders

Study Plan Lessons

12 Points to Answering Pharmacology Questions
Glaucoma
Glaucoma
54 Common Medication Prefixes and Suffixes
Addisons Disease
Burn Injuries
Burn Injuries
Cataracts
Cataracts
Nursing Care and Pathophysiology for Cushings Syndrome
Macular Degeneration
Macular Degeneration
Pressure Ulcers/Pressure injuries (Braden scale)
Pressure Ulcers/Pressure injuries (Braden scale)
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
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Osteoarthritis (OA)
6 Rights of Medication Administration
Hearing Loss
Hearing Loss
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology of Osteoporosis
Thrombocytopenia
Blood Transfusions (Administration)
Fractures
Fractures
Nursing Care and Pathophysiology for Hyperthyroidism
Integumentary (Skin) Important Points
Integumentary (Skin) Important Points
Nursing Care and Pathophysiology for Hypothyroidism
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method – O
The SOCK Method – C
The SOCK Method – K
Anxiety
Basics of Calculations
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Generalized Anxiety Disorder
Leukemia
Diabetes Management
Lymphoma
Oral Medications
Post-Traumatic Stress Disorder (PTSD)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Injectable Medications
Oncology Important Points
Somatoform
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
IV Infusions (Solutions)
Complex Calculations (Dosage Calculations/Med Math)
Mood Disorders (Bipolar)
Depression
Paranoid Disorders
Personality Disorders
Cognitive Impairment Disorders
Eating Disorders (Anorexia Nervosa, Bulimia Nervosa)
Alcohol Withdrawal (Addiction)
Grief and Loss
Suicidal Behavior
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care and Pathophysiology for Anaphylaxis
Benzodiazepines
MAOIs
SSRIs
TCAs
Insulin
Histamine 1 Receptor Blockers
Histamine 2 Receptor Blockers
Renin Angiotensin Aldosterone System
ACE (angiotensin-converting enzyme) Inhibitors
Angiotensin Receptor Blockers
Calcium Channel Blockers
Cardiac Glycosides
Metronidazole (Flagyl) Nursing Considerations
Ciprofloxacin (Cipro) Nursing Considerations
Vancomycin (Vancocin) Nursing Considerations
Anti-Infective – Penicillins and Cephalosporins
Atypical Antipsychotics
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)
Epoetin Alfa
HMG-CoA Reductase Inhibitors (Statins)
Magnesium Sulfate
NSAIDs
Corticosteroids
Hydralazine (Apresoline) Nursing Considerations
Nitro Compounds
Vasopressin
Dissociative Disorders
Proton Pump Inhibitors
Schizophrenia
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)