DRUGS level 1 exam 4 SCF Nur Questions and answers

What is the primary use of digoxin? - increase contractility strength of myocardial contraction Primary use of OLOL? - Management of high BP trt of heart failure/angina (chest pain) Cardiac Glycosides What is the prototype drug? - digoxin (Lanoxin) What is the mechanism of action for digoxin ? - to cause more forceful heartbeat slower heart rate What are adverse effects of digoxin?. - dysrhythmias neutropenia (abnormally low count of a type of white blood cell (neutrophils)_) digitalis toxicity(take to much of a drug at one time) smoking deterrent (nicotine transdermal) - action/uses - used to manage nicotine withdrawl smoking deterrent/ therapeutic effects? - lessen symptoms of nicotine withdrawal Examples: irritability, insomnia, somnolence, headache, ad increased appetite Interactions of nicotine patch ? - patients with cardiovascular disease diabetes hyperthyroidism continued smoking peptic ulcer diseaseNursing implications for nicotine patch ? - ALWAYS make sure previous patch is removed before applying new patch Prototype drug for Benzo? - diazepam (Valium) What is the machismo of action for a valium /benzo? - anticonvulsant anti-anxiety skeletal muscle relation properties *tolerance develop after 4 weeks Purpose of the valium ? - short term seizure control management of anxiety SHOULD USE THESE FOR A SHORT TIME HIGHLY ADDICTIVE What do you use to trt overdose of benzo? - flumazenil (Romazicon) What is the prototype drug for OLOL ? - Metoprolol Tartrate OLOL- mechanism of action ? - reduces heart rate/cardiac output lowers BP slows sinus rate decreases myocardial automaticity Nursing Implications OLOL - Take apical pulse and BP BEFORE administering drug report significant changes to providers prior to administration Monitor I&O daily weight auscultate daily for ralesCardiac Glycosides - increases force of contraction of heart decreases heart rate DIGOXIN improve cardiac output