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Cardiovascular Drugs Throughout the Continuum of Care Carol Jacobson RN, MN www.cardionursing.com Heart Arteries Veins Volume Drugs that keep blood from clotting: ASA Plavix Reopro, Integrilin, Aggrastat Coumadin, Heparins Drugs that increase contractility: Dobutamine Dopamine Milrinone Digitalis Drugs that dilate veins (preload reducers): Nitrates (NTG, etc.) ACEI ARBs Aldosterone blockers Neseritide Drugs that reduce blood volume: Diuretics ACEI ARBs Aldosterone blockers Drugs to treat angina: Nitrates (NTG, etc) Beta blockers Ca ++ blockers Drugs that dilate arteries &
Beta blockers, like Metoprolol, can cause depression of myocardial contractility and may precipitate heart failure and cardiogenic shock. If signs or symptoms of heart failure develop, treat the patient according to recommended guidelines. It may be necessary to lower the dose of Metoprolol or to discontinue it.