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