Assess AP for a full minute; if its below 60 or above 100 then hold the drug. Correct Answer- What do
you do before administering Digoxin?
Postive &
... [Show More] negative Correct Answer- Digoxin has a _______ inotrope &_________ chronotrope.
Positive inotrope Correct Answer- increases force of contraction
Negative chronotrope Correct Answer- decreases HR
Digoxin toxicity Correct Answer- Lasix can cause hypokalemia, which can lead to what toxicity?
dig toxicity Correct Answer- A client with longterm hx use of digoxin and lasix can create a high risk of
what?
0.5 - 2 ng/mL Correct Answer- What is the normal range for digoxin?
3.5 - 5.0 mEq/L Correct Answer- What is the normal level for potassium?
potassium and magnesium Correct Answer- What 2 electrolyte deficiency would cause a increase risk for
digoxin toxicity?
Anorexia, bradycardia, HA, dizziness, confusion, nausea, and visual disturbances (blurred vision, yellow
vision, and/or halo vision). Correct Answer- What are the S/S of digoxin toxicity?
HTN Correct Answer- Labetalol is a beta blocker used to tx what condition?
Notify the prescriber for the low pulse (bradycardia) and do not give the med. Correct Answer- Patient is
about to be administered Labetalol for HTN. The nurse checks the patient's pulse and it is below 60.
What step does the nurse take next?
Weight gain (fluid retention); Monitor patient's weight daily. 1 kg = 2.2 lb = 1,000 mL fluid gain or loss in
24 hours. Correct Answer- Major SE of labetalol? How do you assess for this?
Chest Pain Correct Answer- Nitroglycerin transdermal patch is for tx of.....
at bedtime to allow 8 hours without patch ( can produce tolerance in 24 hours) Correct Answer- When
do you remove the nitroglycerin patch?
patient may use SL nitro when wearing patch if patient having chest pain. Correct Answer- A patient
who is prescribed the nitroglycerin patch for angina is still continuing to have chest pain. What is a
nursing consideration for this?
B/c it can cause severe vasodilation, decrease in BP, & intense HA. Correct Answer- Why wear gloves
when applying a nitroglycerin patch?
They can take APAP for the HA. Correct Answer- What can a patient take if experiencing a HA while
taking nitroglycerin?
decrease rate of nitro drip Correct Answer- Pt. in CCU/ICU on nitro drip; becomes hypotensive, what
does the nurse do?
Yes b/c nitrates cause hypotension. Correct Answer- is it OK to give nitroglycerin to a patient who is
hypertensive?)
blood vessels; blood vessels & heart Correct Answer- CCB "dipines" affect the ______ only. While CCBs
Verapamil & diltiazem affects the _________ & ________.
vasodilation Correct Answer- CCBs "dipines" causes ?
vasoconstriction Correct Answer- CCBs Verapamil & diltiazem causes?
dizziness, facial flushing, hypotension, edema, constipation Correct Answer- SE of CCBs
Monitor HR, BP. Avoid grapefruit juice. Correct Answer- Nursing considerations CCBs
HTN Correct Answer- Aliskiren (Tekturna) is a direct renin inhibitor that tx for?
1. Don't take if pregnant (Stop drug is become pregnant).
2. Don't take with high fat meal.
3. May increase potassium so don't take with other drugs that increase potassium. Correct AnswerTeaching for Aliskiren (Tekturna)?
pulmonary edema Correct Answer- Lasix is a loop diuretic that used for rapid diuresis in emergencies. It
tx for....
Asses for muscle cramps, and muscle weakness. Correct Answer- Lasix may produce hypokalemia. How
do you assess for this?
Hypokalemia, hypotension, F/E abnormalities, and dehydration, dizziness, HA, tinnitus, N/V/D,
hypokalemia, ototoxicity with aminoglycosides (-mycin). Correct Answer- SE of lasix
1. Avoid taking lasix with aminoglycosides due to potential risk of ototoxicity.
2. Pt may need to be potassium supplements. Correct Answer- Lasix nursing considerations.
Dried fruits, fish, leafy veggies, squash, beans, meats, nuts, bananas, potatoes, dairy products. Correct
Answer- Foods containing potassium....
1. assess overall condition of the veins. Use large vein, like antecubital (AC) vein when administering
potassium.
2. Venous access is important because IV potassium can irritate the vein.
3. Have patient notify nurse immediately if burning at site. IV K+ extravasation can cause necrosis of
tissues.
4. Calculate and set the rate as ordered, know anticipated duration of therapy.
5. Know restrictions imposed by patient's history.
6. Don't give IV push; use at a rate no greater than 10 mEq/hr for peripheral IV and 20 mEq/hr for
central line. Always use infusion pump.
7. Assess IV site every hour.
8. Treatment of hypokalemia adults IV: 10-20 mEq/dose (maximum 40 mEq/dose) to infuse over 2-3 hr
(maximum infusion rate: 40mEq/hr) Correct Answer- IV potassium KCL nursing considerations
Elderly Correct Answer- Antihypertensive effects are more pronounced in the
ACE inhibitors (-pril), aldosterone antagonists (-one), direct renin inhibitor Aliskiren (Tekturna) Correct
Answer- Which antihypertensives will raise potassium?
Osmitrol (Mannitol) Correct Answer- This Osmotic diuretic effectiveness is determined by ↓ ICP. NOT
used for peripheral edema; used to treat pt. with closed head injury; effective response is decreased ICP.
Potassium Sparing Diuretics Correct Answer- Spironolactone (Aldactone), amiloride (Midamor);
triamterene (Dyrenium) are all in what class of drugs?
potassium-sparing diuretic Correct Answer- this class of diuretics can cause ↑K+. Blocks receptors for
aldosterone. Inhibits sodium and water reabsorption. Teach: Take in a.m. (diuretics in the morning if
possible); avoid salt substitutes, ACE inhibitors, ARBs. Often taken with other (thiazide) diuretics to treat
edema, hypertension, heart failure. Can be taken with other meds that lower K+.
atorvastatin (lipitor), rosuvastatin (Crestor), fluvastatin, lovastatin, simvastatin, pravastatin. Correct
Answer- Statin drugs include....
HDL should increase; LDL and total cholesterol decrease. Correct Answer- How do you evaluate
effectiveness of statin drugs?
Check LFTs due to risk of hepatotoxicity risk & CK for any c/o of muscle pain. Correct Answer- What labs
should be routinely checked during Statin therapy? [Show Less]