COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |
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Dijoxin - ANSWER Uses & pt education
*Cardiac glycoside
*Slows the heart down
*Increases cardiac contractility
*Allows the ventricles fill
* check pulse and hold medication if pulse is below 60. Teach pt how to take their own
pulse and return demonstrate
*Normal dijoxin levels - 0.8-2.0
If a Patient on hydrochlorothiazide / hydrodiuril has a potassium level of 2.5 ,what
should the nurse do? - ANSWER * Give then something high in potassium , hold
potassium, give them orange juice , banana, get a doctors
* Normal potassium - 3.5-5.
* Thiazide diuretic
If a patient levels is below 60
If a patient on Lisinopril asks what it is for ? - ANSWER * vasodilator diuretic, Ace
inhibitor used for hypertension , causes vasodilator blocks angiotensin , blocks
aldersterone ,causes diuresis pulling the liquid off, supports circulation reduces cardiac
workload.
*for high blood pressure
Taking ________ with channel blockers causes medication toxicity and dysrhythmia? -
ANSWER * grapefruit juice
(Statins - cholesterol medications also interact with grapefruit juice)
Nitroglycerin - ANSWER * Given mainly sublingual , patch ,IV, ointment , inter nasal.
* Chest pain
* Administration - 5 minutes apart , can be given up to 3 tines . call 911 if pain doesn't
subside after first usage.
* half-life of a medication cannot be rushed , if given less than 5 minutes apart it could
cause profound hypotension
, *vasodialator
What do calcium channel blockers do? Why is a patient on nifedipine? - ANSWER *
Vasodilation and decrease heart rate
* helps angina subside
* Opens coronary arteries that feed heart
When to hold Metoprolol ? - ANSWER beta blocker
* Hold if Blood pressure is less than 90/60 and pulse less than 60 , unless the pt is an
athlete who heart rate is in the 40's
Prazosin - ANSWER * alpha 1 blocker
* Have a very marked vasodilator effect
Pt education
* change position slowly to prevent falls (orthostatic hypotension)
When to administer Furosemide as a nurse? - ANSWER * Morning and before 2pm.
Takes about 4 hours to get out of the system.
potassium supplements - ANSWER High potassium over 5
* Taken with meals cos it's hard on the stomach
* cannot be chewed , crushed
* liquid potassium taken with at least 4oz of juice
antidote for heparin - ANSWER *protamine sulfate
*Normal PTT levels 60-70
*Give protamine if PTT is 180
Educate pt on lasix , furosemide, leukocyte diuretic - ANSWER * weigh the pt daily and
weight gain or loss of 2.2 pound less /more should be reported to doctor.
*1 liter of fluid is 2.2 pounds.
A pt on warfarin asking for an antibiotic for pneumonia ? - ANSWER *Antibiotic will alter
Coumadin effect
*Pt would be in frequent INR check and the doctor might need to adjust the dosage of
Coumadin
Major side effects of ACE inhibitors on the bradykinin in the lungs? - ANSWER Dry
harsh persistent cough usually longer than 3 months.