Rasmussen Pharm finals exam 3 QUESTIONS WITH COMPLETE SOLUTIONS

Dijoxin Correct 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? Correct 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 ? Correct 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? Correct Answer: * grapefruit juice (Statins - cholesterol medications also interact with grapefruit juice) Nitroglycerin Correct 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? Correct Answer: * Vasodilation and decrease heart rate * helps angina subside * Opens coronary arteries that feed heart