hey guys nurse Mike here and welcome to simplenursing.com now before we get today's lecture started please remember to access your free quiz and preview our cool Nifty new study guides not here on YouTube click the link right up here at any time during this video all right guys let's begin now that we know what's wrong with the patient what are we going to do about it so always ask yourself what is the main patient outcome goal well in this case we need to increase cardiac output which is going to increase oxygen to the body so we use ABC and D drugs these do two things so please write this down Guys these are the hallmar cardiac drugs you will always show up on the ENC so write these down Guys these guys calm the heart and drop the blood pressure or the heart rate and they all do it in different ways it's kind of like having a big toolbox so we just choose the right tool for the right situations now guys we're going to do a real quick overview but we go for a deeper dive and break this down to more detail in our pharmacology course now our first A is for ACE inhibitors these guys end in PR like Lin these guys drop the blood pressure and take pressure off the heart so guys remember a for ACE inhibitors is a for anti-hypertensives and Lin ends in P so you can say it's like a chill P for the heart less work less pressure ah it's relax so remember beta blockers they block beats in the Heart by slowing it down it's kind of like pumping the brakes on the heart so remember beta blockers block the Beats like pumping the brakes so we slow the heart rate down now C is for calcium channnel blockers remember calcium calms the heart are famous ones here ending in deine like neopine or Zam brand name for cism so guys remember depine helps the blood pressure to decline and Zam like cism is kind of like Zen yoga for the heart it's so calming to the blood vessels and the heart and in result the blood pressure drops so remember C in calcium channel blockers is c for calming in the heart now D for dioxin our cardiac glycoside this guy gives a deep contraction this is also known as increased contractility and it also slows the heart rate known as negative chronotropic Kronos meaning time so negative time less beats per minute so remember the D and dixin is D for deeper contraction or we can say dig join because it digs for that deeper contraction but guys caution the three most common test questions always include number one checking the apical pulse for 60 seconds prior to giving number two checking the potassium levels to see if they're normal between 3.5 and 5.5 that's a huge priority and lastly monitoring for digoxin toxicity guys anything over 2.0 dioxin level is huge and usually vision changes are the first sign of toxicity so again any patient with an apical pulse less than 60 beats per minute or any potassium less than 3.5 or any toxicity level over 2.0 guys don't give the medication hold the medication and report your findings to the primary provider now the last D is for diuretics which help diores the body AKA dehydrate the body and all of this decreases the blood pressure so drugs like feros amide or hydrochlorizide now these both end in eyed so think the body is dry they dehydrate the body and drop the blood pressure now these guys are potassium wasting diuretics meaning they dump potassium from the body and into the potty so guys please be sure to educate your patient to keep that potassium intake High teach those patients to eat green leafy vegetables like spinach and fruits like melons bananas and others now if drugs don't manage the condition then surgery is our last resort lvad click right up here to access your free trial and please consider subscribing to our YouTube channel last but not least a big thanks to our team of experts helping us make these great videos all right guys see you next time