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Study Plan for Study Skills, Test Taking for the NCLEX® Using Med-Surg (Lewis 10th ed.) designed for Westmoreland County Community College

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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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Study Plan for Study Skills, Test Taking for the NCLEX® Using Med-Surg (Lewis 10th ed.) designed for Westmoreland County Community College

Concepts Covered:

Study Plan Lessons

Communicable Diseases

Disasters & Bioterrorism

Environmental Health

Technology & Informatics

Health Promotion & Disease Prevention

Head to Toe Nursing Assessment (Physical Exam)

Enteral & Parenteral Nutrition (Diet, TPN)

Specialty Diets (Nutrition)

Blood Glucose Monitoring

Intake and Output (I&O)

Pain and Nonpharmacological Comfort Measures

Bowel Elimination

Urinary Elimination

Complications of Immobility

Patient Positioning

Defense Mechanisms

Overview of Developmental Theories

Therapeutic Communication

Overview of the Nursing Process

Maslow’s Hierarchy of Needs in Nursing

Isolation Precaution Types (PPE)

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Process of Labor

Fetal Circulation

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Newborn of HIV+ Mother

Hyperbilirubinemia (Jaundice)

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Leopold Maneuvers

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Infections in Pregnancy

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

Gestational HTN (Hypertension)

Hydatidiform Mole (Molar pregnancy)

Ectopic Pregnancy

Disseminated Intravascular Coagulation (DIC)

Gestational Diabetes (GDM)

Nutrition in Pregnancy

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Fundal Height Assessment for Nurses

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Gestation & Nägele’s Rule: Estimating Due Dates

Family Planning & Contraception

Menstrual Cycle

Normal Sinus Rhythm

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Sinus Bradycardia

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Atrial Fibrillation (A Fib)

Premature Ventricular Contraction (PVC)

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Nursing Care and Pathophysiology of Myocardial Infarction (MI)

Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)

Nursing Care and Pathophysiology for Heart Failure (CHF)

Nursing Care and Pathophysiology of Angina

Nursing Care and Pathophysiology of Hypertension (HTN)

Nursing Care and Pathophysiology for Cardiomyopathy

Nursing Care and Pathophysiology for Thrombophlebitis (clot)

Nursing Care and Pathophysiology for Hypovolemic Shock

Nursing Care and Pathophysiology for Cardiogenic Shock

Nursing Care and Pathophysiology for Distributive Shock

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Nursing Care and Pathophysiology for Menopause

Nursing Care and Pathophysiology for Endometriosis

Nursing Care and Pathophysiology for Pelvic Inflammatory Disease (PID)

Dialysis & Other Renal Points

Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)

Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)

Nursing Care and Pathophysiology of Glomerulonephritis

Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)

Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)

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Nursing Care and Pathophysiology for Cholecystitis

Nursing Care and Pathophysiology for Crohn’s Disease

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Nursing Care and Pathophysiology for Appendicitis

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Nursing Care and Pathophysiology for Pancreatitis

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Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)

Diabetes Management

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Nursing Care and Pathophysiology for Hypothyroidism

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

Nursing Care and Pathophysiology for Diabetes Insipidus (DI)

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Nursing Care and Pathophysiology for Anaphylaxis

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

Oncology Important Points

Blood Transfusions (Administration)

Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)

Macular Degeneration

Integumentary (Skin) Important Points

Nursing Care and Pathophysiology of Osteoarthritis (OA)

Nursing Care and Pathophysiology of Osteoporosis

Pressure Ulcers/Pressure injuries (Braden scale)

Nursing Care and Pathophysiology for Herpes Zoster – Shingles

Nursing Care and Pathophysiology for Meningitis

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Seizure Therapeutic Management

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Stroke Nursing Care (CVA)

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Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)

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Base Excess & Deficit

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Metabolic Acidosis (interpretation and nursing diagnosis)

Respiratory Alkalosis

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ABG (Arterial Blood Gas) Interpretation-The Basics

ABGs Nursing Normal Lab Values

Chest Tube Management

Nursing Care and Pathophysiology of Pneumonia

Artificial Airways

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Nursing Care and Pathophysiology for Influenza (Flu)

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Proton Pump Inhibitors

Vancomycin (Vancocin) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Metronidazole (Flagyl) Nursing Considerations

Anti-Infective – Penicillins and Cephalosporins

Parasympatholytics (Anticholinergics) Nursing Considerations

Nitro Compounds

Hydralazine (Apresoline) Nursing Considerations

Magnesium Sulfate

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

Corticosteroids

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Parasympathomimetics (Cholinergics) Nursing Considerations

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

Autonomic Nervous System (ANS)

Atypical Antipsychotics

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Dimensional Analysis Nursing (Dosage Calculations/Med Math)

The SOCK Method – K

The SOCK Method – C

The SOCK Method – O

The SOCK Method – S

The SOCK Method – Overview

6 Rights of Medication Administration

Essential NCLEX Meds by Class

12 Points to Answering Pharmacology Questions

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

54 Common Medication Prefixes and Suffixes