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12 Pharmacology for cardiovascular nurses
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Published:December 2021
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Abstract
Pharmacological therapies are the mainstay in the management of primary and secondary prevention of cardiovascular disease. Nurses have an important role in medicines management in collaboration with professional colleagues, particularly physicians and pharmacists. Training nurses in advanced practice skills in relation to medications can improve post-acute event care. Approaches to nursing and allied health professional prescribing are described in three different ways, referred to as ‘independent’, ‘supplementary’, and ‘dependent’ prescribing. Up to half of patients prescribed medication for long-term conditions are not adherent to their prescribed regimen. It is important for nurses to identify the reason for non-adherence before attempting to implement strategies to address it. In cases of intentional non-adherence, it is essential to address patients’ beliefs or concerns, or advocate for the patient to have the treatment plan modified to an approach that fits the patient’s needs. Medications used in cardiovascular care include lipid-lowering agents, anticoagulants, antiplatelets, antiarrhythmics, new drugs to treat diabetes with cardiovascular benefits, drugs used to promote tissue perfusion, drugs that affect the renin–angiotensin–aldosterone system, beta-blockers, calcium channel blockers, and those used in emergencies and cardiogenic shock.
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