HESI Pharmacology- Fortis
How do you assess for Digoxin correct answers Always take AP for a
full minute
A 62 year old Male comes to the ER with a long hx of daily
digoxin and
furosemide(lasix), What is most likely the SE he is experiencing? correct
answersbecause
toxicity Dig this Dx causes hypokalemia to occur when taken for a
long time.
What range would digoxin level be considered normal? correct answers
0.5- 2ng/ml
What is a normal serum K+ level? correct answers 3.5 to
5.0 mEq/L
What is the positive inotrope for Digoxin? correct answers
increases
contractio force of
n
What is the negative chronotope for Digoxin? correct answers
decreases HR
Digoxin toxicity may be increased by what lab levels? correct answers
low K+ or Mg
level
s
When do you hold Digoxin? correct answers if AP is less
than 60
What Mx do you take orange juice w/? correct
answers Iron
What vitamin deficiency causes night blindness? correct answers
Vitamin A
What are the S/S of dig toxicity? correct answers Anorexia, Bradycardia,
Dizziness, Confusion, Nausea, and Visual
Headache,
Disturbances
What is the beta blocker Labetalol used for? correct answers HTN
(hypertension)
When taking labetalol, when do you stop giving the Dx and notify the
prescriber?
correct answers When the Pulse rate
becomes low
What is a SE of labetalol and what those this mean? correct answers
Weight gain,
Fluid
retention
Nitroglycerin transdermal patch is to treat? correct answers Angina
(chest pain)
How do use nitroglycerin transdermal patch, patient teaching? correct
answers
patch remove
at night to allow 8 hours w/o
patch
, What will happen if you use nitroglycerin transdermal patch for 24
hours? correct
answers Intolerance to the Dx can
occur
Why wear gloves when applying nitroglycerin paste or patch? correct
answers severe
vasodilation, decrease BP, intense HA, can
occur
What can be given along w/ nitroglycerin patch for angina if VS ok,
and how to correct answers SL (sublingual)
administer?
nitro, PRN
What can be given for HA? correct answers
acetaminophen
When is it okay to leave the Nitro patch on a pt and administer SL
nitro? correct
answers When VS are
normal
A Pt in CCU is receiving nitro drip, the pt becomes hypotensive, what is the
nursescorrect
step? next answers Decrease rate of
nitro drip
What are the common SE of channel blockers? correct answers
Dizziness, Hypotension,
flusching, Facial
edema
and
constipation
What do dipine's, channel blockers like amlodipine, affect? correct
answers
only, Vessels
causes
vasodilation
What do channel blockers Verapamil and diltiazem affect? correct answers
the Heart
What do you monitor when taking Channel blockers? correct
answers
decreaseBP, and
HR
What should you avoid when taking channel blockers? correct answers
grapefruit juice
What is Aliskiren for? correct answers It is a direct renin
inhibitor for HTN
What are two contraindications for taking Aliskiren? correct answers
pregnancy,
High fat and
meals
What Dx or vitamin should you not take with Aliskiren and why? correct
answers
that Dx K+ and vitamin K, because the Dx increases K+ can cause
increase
hyperkalemia,
and other drugs w/ the same effect can make it
worse.
What is Furosemide(Lasix) and what is it used for? correct answers It is a
rapid-acting
loop-diuretic, used for rapid diuresis in emergencies after a
pulmonary edema
What are the SE of Lasix? correct answers Dizziness, HA, tinnitus, N/V/D,
decrease
K+. in
hyperglycemia, F/E abnormalities, Dehydration,
Hypotension
How do you assess for Digoxin correct answers Always take AP for a
full minute
A 62 year old Male comes to the ER with a long hx of daily
digoxin and
furosemide(lasix), What is most likely the SE he is experiencing? correct
answersbecause
toxicity Dig this Dx causes hypokalemia to occur when taken for a
long time.
What range would digoxin level be considered normal? correct answers
0.5- 2ng/ml
What is a normal serum K+ level? correct answers 3.5 to
5.0 mEq/L
What is the positive inotrope for Digoxin? correct answers
increases
contractio force of
n
What is the negative chronotope for Digoxin? correct answers
decreases HR
Digoxin toxicity may be increased by what lab levels? correct answers
low K+ or Mg
level
s
When do you hold Digoxin? correct answers if AP is less
than 60
What Mx do you take orange juice w/? correct
answers Iron
What vitamin deficiency causes night blindness? correct answers
Vitamin A
What are the S/S of dig toxicity? correct answers Anorexia, Bradycardia,
Dizziness, Confusion, Nausea, and Visual
Headache,
Disturbances
What is the beta blocker Labetalol used for? correct answers HTN
(hypertension)
When taking labetalol, when do you stop giving the Dx and notify the
prescriber?
correct answers When the Pulse rate
becomes low
What is a SE of labetalol and what those this mean? correct answers
Weight gain,
Fluid
retention
Nitroglycerin transdermal patch is to treat? correct answers Angina
(chest pain)
How do use nitroglycerin transdermal patch, patient teaching? correct
answers
patch remove
at night to allow 8 hours w/o
patch
, What will happen if you use nitroglycerin transdermal patch for 24
hours? correct
answers Intolerance to the Dx can
occur
Why wear gloves when applying nitroglycerin paste or patch? correct
answers severe
vasodilation, decrease BP, intense HA, can
occur
What can be given along w/ nitroglycerin patch for angina if VS ok,
and how to correct answers SL (sublingual)
administer?
nitro, PRN
What can be given for HA? correct answers
acetaminophen
When is it okay to leave the Nitro patch on a pt and administer SL
nitro? correct
answers When VS are
normal
A Pt in CCU is receiving nitro drip, the pt becomes hypotensive, what is the
nursescorrect
step? next answers Decrease rate of
nitro drip
What are the common SE of channel blockers? correct answers
Dizziness, Hypotension,
flusching, Facial
edema
and
constipation
What do dipine's, channel blockers like amlodipine, affect? correct
answers
only, Vessels
causes
vasodilation
What do channel blockers Verapamil and diltiazem affect? correct answers
the Heart
What do you monitor when taking Channel blockers? correct
answers
decreaseBP, and
HR
What should you avoid when taking channel blockers? correct answers
grapefruit juice
What is Aliskiren for? correct answers It is a direct renin
inhibitor for HTN
What are two contraindications for taking Aliskiren? correct answers
pregnancy,
High fat and
meals
What Dx or vitamin should you not take with Aliskiren and why? correct
answers
that Dx K+ and vitamin K, because the Dx increases K+ can cause
increase
hyperkalemia,
and other drugs w/ the same effect can make it
worse.
What is Furosemide(Lasix) and what is it used for? correct answers It is a
rapid-acting
loop-diuretic, used for rapid diuresis in emergencies after a
pulmonary edema
What are the SE of Lasix? correct answers Dizziness, HA, tinnitus, N/V/D,
decrease
K+. in
hyperglycemia, F/E abnormalities, Dehydration,
Hypotension
