Pharmacology Hesi 2024
Digoxin (Lanoxin) - positive inotrope (increases force of contraction);
negative
chronotrope (decreases heart rate). How do you assess for this? correct
answers
Always take apical pulse for one full
minute
Client with a long hx of daily digoxin and fourosemide (Lasix) use; creates a
hightoxicity
dig risk forbecause correct answers Lasix can cause hypokalemia, which
can lead to
dig
toxicity
What can happen when Digoxin is taken with Dronedarone (Multaq), which
is another
anti-dysrhythmic drug)? correct answers Digoxin can increase in the blood
level and
further increase the
effects
What is the normal digoxin level? correct answers 0.5-
2 ng/mL
Normal serum potassium level is correct answers 3.5-
5.0 mEq/L
Low potassium or magnesium levels may increase risk for correct
answers Digoxin
toxici
ty
What are the signs and symptoms for digoxin toxcitiy? correct answers
anorexia,
bradycardia, headache, dizziness, confusion, nausea, and visual
disturbances
blurred, yellow,such as
or halo
vision.
When should you hold off on giving digoxin drug therapy? correct
answers
pulse if apical
is less than
60
What effects do Calcium channel blockers (-dipine; amlodipine (Norvasc),
nifedipine
(Procardia) cause correct answers produce vasodialation and reflex
tachycardia
(lowers BP but increases
HR)
Verapamil and diltiazam produce correct answers
vasodialation and (lowers BP and Lowers heart
cardiosuppresssion
rate)
Beta blockers have the drug ending correct answers -OLOL such as
atenolol,
propanolol, esmolol,
ect.)
Beta 1 blocks receptors in the correct
answers heart
Beta 2 blocks receptors in the correct answers
lungs
, Beta blockers can be non selective so be aware of any correct answers
respiratory
conditions such as asthma, emphysema
COPD, ect.
A nurse should always check and before giving a beta blocker
correct
answers AP and
BP
do not give if HR is
below stop
never 60
abruptly
Why do you never stop taking a Beta BLocker abruptly correct answers
Must taper
because angina or MI can
orccur
When would a nurse hold HTN medication Labetalol? correct answers A
patient
low with a
pulse
rate.
Side effect of Labetalol (beta blocker) is correct answers weight gain /
fluid retention
montioring weight is one of the best indicators of
loss/gain
1kg is equivalent to
1,000 mL
It is important to assess when taking a beta blocker such as Labetalol
correct
answers
pulmonary
is it OK to give nitroglycerin to a patient who is hypertensive? correct
answers Yes
If an ICU patient on a nirto drip becomes hypotensive what immediate action
shouldtake?
nurse the correct answers titrate (decrease the rate) of the
nitro drip.
This drug is used for a rapid diuresis in emergencies to decrease
pulmonary edema
correct answers Furosemide (Lasix) a loop
diuretic
Furosemide (Lasix) can cause correct answers
hypokalemia
When taking furosemide (Lasix) a nurse should assess for what signs of
hypokalemia?
correct answers muscle cramps and muscle
weakness
Hypotensio
n
F/E
abnormalities
dehydratio
n
Side effects with aminoglycosides (-mycin drugs) correct answers
dizziness
head
ache
tinnitu
s
N/
V/D
low
potassium
hyperglycem
ia
ototoxici
ty
Digoxin (Lanoxin) - positive inotrope (increases force of contraction);
negative
chronotrope (decreases heart rate). How do you assess for this? correct
answers
Always take apical pulse for one full
minute
Client with a long hx of daily digoxin and fourosemide (Lasix) use; creates a
hightoxicity
dig risk forbecause correct answers Lasix can cause hypokalemia, which
can lead to
dig
toxicity
What can happen when Digoxin is taken with Dronedarone (Multaq), which
is another
anti-dysrhythmic drug)? correct answers Digoxin can increase in the blood
level and
further increase the
effects
What is the normal digoxin level? correct answers 0.5-
2 ng/mL
Normal serum potassium level is correct answers 3.5-
5.0 mEq/L
Low potassium or magnesium levels may increase risk for correct
answers Digoxin
toxici
ty
What are the signs and symptoms for digoxin toxcitiy? correct answers
anorexia,
bradycardia, headache, dizziness, confusion, nausea, and visual
disturbances
blurred, yellow,such as
or halo
vision.
When should you hold off on giving digoxin drug therapy? correct
answers
pulse if apical
is less than
60
What effects do Calcium channel blockers (-dipine; amlodipine (Norvasc),
nifedipine
(Procardia) cause correct answers produce vasodialation and reflex
tachycardia
(lowers BP but increases
HR)
Verapamil and diltiazam produce correct answers
vasodialation and (lowers BP and Lowers heart
cardiosuppresssion
rate)
Beta blockers have the drug ending correct answers -OLOL such as
atenolol,
propanolol, esmolol,
ect.)
Beta 1 blocks receptors in the correct
answers heart
Beta 2 blocks receptors in the correct answers
lungs
, Beta blockers can be non selective so be aware of any correct answers
respiratory
conditions such as asthma, emphysema
COPD, ect.
A nurse should always check and before giving a beta blocker
correct
answers AP and
BP
do not give if HR is
below stop
never 60
abruptly
Why do you never stop taking a Beta BLocker abruptly correct answers
Must taper
because angina or MI can
orccur
When would a nurse hold HTN medication Labetalol? correct answers A
patient
low with a
pulse
rate.
Side effect of Labetalol (beta blocker) is correct answers weight gain /
fluid retention
montioring weight is one of the best indicators of
loss/gain
1kg is equivalent to
1,000 mL
It is important to assess when taking a beta blocker such as Labetalol
correct
answers
pulmonary
is it OK to give nitroglycerin to a patient who is hypertensive? correct
answers Yes
If an ICU patient on a nirto drip becomes hypotensive what immediate action
shouldtake?
nurse the correct answers titrate (decrease the rate) of the
nitro drip.
This drug is used for a rapid diuresis in emergencies to decrease
pulmonary edema
correct answers Furosemide (Lasix) a loop
diuretic
Furosemide (Lasix) can cause correct answers
hypokalemia
When taking furosemide (Lasix) a nurse should assess for what signs of
hypokalemia?
correct answers muscle cramps and muscle
weakness
Hypotensio
n
F/E
abnormalities
dehydratio
n
Side effects with aminoglycosides (-mycin drugs) correct answers
dizziness
head
ache
tinnitu
s
N/
V/D
low
potassium
hyperglycem
ia
ototoxici
ty
