PNM300 TEST 2 (WEEKS 5-7) QUESTIONS AND
ANSWERS SOLVED 100% CORRECT.
Drugs of choice for EARLY treatment of HF? Answer - > ACE inhibs
> ARBs
> BBs; ie. bisoprolol, extended-release metoprolol tartrate, carvedilol
> Loop D. ie. furesemide
> Aldosterone inhibs ie. spirinolactone = as HF progresses.
Class I HF Answer - No limitation of physical activity
Class II HF Answer - regular activity results in fatigue, dyspnea or other
symptoms
Class III HF Answer - marked limitation of physical activity
Class IV HF Answer - Symptoms @ rest or w/ no activity at all.
inotropic Answer - drugs that affect contractility
dromotropic Answer - drugs that affect the conduction of electrical impulses
through the heart
chronotropic Answer - drugs that affect the heart rate
, Adverse effects of Inotropic drugs: early signs Answer - -nausea
-vomiting
-anorexia
Adverse effects of inotropic drugs: late signs Answer - -arrhythmias
-AV heart block
-blurry yellow vision
-HYPERkalemia
what drug class is Digoxin (Lanoxin)? Answer - cardiac glycoside
Digoxin antidote Answer - Digoxin immune Fab (Digibind)
T/F: Assess apical + radial pulses for a full minute before giving a BB or Digoxin
for HF? Answer - True.
why should a pt avoid taking high fibre foods (ie. Bran) when taking digoxin?
Answer - b/c fibre ie.bran binds to digoxin; lowers digoxin levels
what should you do if the (adult) pts HR is less than 60 or greater than 100
before being given the HF drug? Answer - hold the dose & notify the
prescriber.
effect of HYPOkalemia w/ digoxin? Answer - increases risk of toxicity
treatment for HYPERkalemia associated w/ digoxin toxicity? Answer - B.I.G.K
ANSWERS SOLVED 100% CORRECT.
Drugs of choice for EARLY treatment of HF? Answer - > ACE inhibs
> ARBs
> BBs; ie. bisoprolol, extended-release metoprolol tartrate, carvedilol
> Loop D. ie. furesemide
> Aldosterone inhibs ie. spirinolactone = as HF progresses.
Class I HF Answer - No limitation of physical activity
Class II HF Answer - regular activity results in fatigue, dyspnea or other
symptoms
Class III HF Answer - marked limitation of physical activity
Class IV HF Answer - Symptoms @ rest or w/ no activity at all.
inotropic Answer - drugs that affect contractility
dromotropic Answer - drugs that affect the conduction of electrical impulses
through the heart
chronotropic Answer - drugs that affect the heart rate
, Adverse effects of Inotropic drugs: early signs Answer - -nausea
-vomiting
-anorexia
Adverse effects of inotropic drugs: late signs Answer - -arrhythmias
-AV heart block
-blurry yellow vision
-HYPERkalemia
what drug class is Digoxin (Lanoxin)? Answer - cardiac glycoside
Digoxin antidote Answer - Digoxin immune Fab (Digibind)
T/F: Assess apical + radial pulses for a full minute before giving a BB or Digoxin
for HF? Answer - True.
why should a pt avoid taking high fibre foods (ie. Bran) when taking digoxin?
Answer - b/c fibre ie.bran binds to digoxin; lowers digoxin levels
what should you do if the (adult) pts HR is less than 60 or greater than 100
before being given the HF drug? Answer - hold the dose & notify the
prescriber.
effect of HYPOkalemia w/ digoxin? Answer - increases risk of toxicity
treatment for HYPERkalemia associated w/ digoxin toxicity? Answer - B.I.G.K
