Chamberlain College of Nursing NR293 Final Review Sheet

Chamberlain College of Nursing NR293 Final Review Sheet Cardiovascular Drugs  Antianginals: Nitroglycerin  3 tablets every 5 minutes x15 minutes  Call 911 after 1st tab  Do not take with ED drugs (sildenafil=Viagra)  Antidysrhythmics: Digoxin Including norm digoxin levels as well as signs and symptoms of Digoxin Toxicity  Therapeutic 0.5-2.0  Toxicity: affects colored vison, halos, low potassium (hypokalemia)  Always check pulse, hold if HR below 60  Antidote: digibind  Antihypertensive: Calcium Channel Blockers, ACE inhibitors, Nonselective Beta Blockers, Beta Blockers (Metoprolol, Atenolol) Including pathophysiology indications  Calcium Channel Blockers  ACE inhibitors  Beta blockers -LOL  Non selective beta blockers: Timolol  Glaucoma  Decreases aqueous humor production, decrease IOP  Hold gentle pressure on the nasolacrimal duct 30-60 seconds after application  overdose can cause systemic effects  Antilipemics: Statins  Cholesterol, lowers LDL  Diet and exercise first  medication  Adverse effects: Rhabdomyolysis = muscle weakness, tea colored urine  Take them in the evening for natural rhythm  No warfarin or grapefruit  Diuretics: o Loop: Furosemide “Furiously getting rid of sodium and water”  Lasik/Bumex  Quick acting  emergency  Lithium toxicity (low sodium)  Hypokalemia (low potassium)  Push slowly  ototoxicity  Give early in the morning