1
NSG 318 EXAM 3 (COMPLETE EXAM) | ALL
QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | VERIFIED ANSWERS | LATEST EXAM
acute HF - (ANSWER)-heart muscle weakens and enlarges
-loses ability to pump blood adequately
-compensatory mechanisms fail
-lungs/periphery become congested
R sided heart failure - (ANSWER)blood backs up in periphery
-peripheral edema & weight gain
L sided heart failure - (ANSWER)blood backs up into lungs
-pulmonary edema, shortness of breath, dyspnea, cough
cardiomegaly is common with - (ANSWER)heart failure
heart failure nonpharmacologic tx - (ANSWER)-limit salt and saturated fat intake
(limit to 2g/1tsp/day)
-limit/avoid alcohol intake (avoid/1 drink/day)
-stop smoking
-perform mild exercise
-fluid intake (may be dec)
, 2
Digoxin class - (ANSWER)cardiac glycoside
digoxin use - (ANSWER)HF, a-fib (oral/IV admin)
digoxin action - (ANSWER)inhibits Na/K+ ATPase; inc cardiac contractility, CO and
tissue perfusion
digoxin side effects/adverse effects - (ANSWER)hypokalemia, blurred/yellow
vision, green/yellow halos w toxicity
Digoxin contraindications - (ANSWER)V-fib, hypokalemia
caution w/ acute MI, AV block, HTN, older adults
digoxin drug interactions - (ANSWER)-Diuretics and cortisone: inc risk for toxicity
(diuretics may cause hypokalemia)
-Antacids: dec digoxin absorption
digoxin CAM interactions - (ANSWER)-Ginseng: inc digitalis levels
-St. John's wort and psyllium: dec absorption
-Hawthorn: inc effects
-Licorice, aloe, ephedra: inc risk of toxicity
, 3
digoxin interventions - (ANSWER)-assess apical pulse before administering;
DON'T ADMINISTER IF HR <60bpm
-advise client to eat foods high in K+
Antidote for digoxin toxicity - (ANSWER)digoxin immune FAB
digoxin therapeutic serum level - (ANSWER)0.5-1ng/mL
digoxin effects on heart muscle - (ANSWER)-inc. myocardial contractility and CO
-dec. HR and conduction
angina - (ANSWER)acute cardiac pain caused by inadequate blood flow to
myocardium
antianginal drugs - (ANSWER)-nitrates
-beta blockers
-Ca channel blockers
nitroglycerin class - (ANSWER)antianginal (Nitrate)
nitroglycerin uses - (ANSWER)control angina, acute MI and HF
, 4
nitroglycerin action - (ANSWER)dec myocardial demand for O2 consumption
(vasodilator)
Nitroglycerin Contraindications - (ANSWER)inc intracranial pressure; heat and
light dec potency of drug. keep in dark bottle
nitroglycerin routes of administration - (ANSWER)-SL spray: 1-3min onset. space
out over 5mins and call 911 before taking 2nd dose
-Topical cream: wipe off old cream 1st (4-8hr duration)
-Transdermal: leave off for 12hrs to give break
nitroglycerin side effects/adverse effects - (ANSWER)CNS effects, syncope,
tolerance, GI distress, circulatory collapse
nitroglycerin drug interactions - (ANSWER)-alcohol, beta blockers, Ca channel
blockers, antihypertensives, Aspirin, benzos, vasodilators: inc effect
-heparin: dec effect
nitroglycerin CAM interactions - (ANSWER)-Hawthorn: inc. levels
nitroglycerin interventions - (ANSWER)-for SL spray, call 911 if 1st dose doesn't
work
-proper storage of tabs
-administer SL tab if chest pain occurs
NSG 318 EXAM 3 (COMPLETE EXAM) | ALL
QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | VERIFIED ANSWERS | LATEST EXAM
acute HF - (ANSWER)-heart muscle weakens and enlarges
-loses ability to pump blood adequately
-compensatory mechanisms fail
-lungs/periphery become congested
R sided heart failure - (ANSWER)blood backs up in periphery
-peripheral edema & weight gain
L sided heart failure - (ANSWER)blood backs up into lungs
-pulmonary edema, shortness of breath, dyspnea, cough
cardiomegaly is common with - (ANSWER)heart failure
heart failure nonpharmacologic tx - (ANSWER)-limit salt and saturated fat intake
(limit to 2g/1tsp/day)
-limit/avoid alcohol intake (avoid/1 drink/day)
-stop smoking
-perform mild exercise
-fluid intake (may be dec)
, 2
Digoxin class - (ANSWER)cardiac glycoside
digoxin use - (ANSWER)HF, a-fib (oral/IV admin)
digoxin action - (ANSWER)inhibits Na/K+ ATPase; inc cardiac contractility, CO and
tissue perfusion
digoxin side effects/adverse effects - (ANSWER)hypokalemia, blurred/yellow
vision, green/yellow halos w toxicity
Digoxin contraindications - (ANSWER)V-fib, hypokalemia
caution w/ acute MI, AV block, HTN, older adults
digoxin drug interactions - (ANSWER)-Diuretics and cortisone: inc risk for toxicity
(diuretics may cause hypokalemia)
-Antacids: dec digoxin absorption
digoxin CAM interactions - (ANSWER)-Ginseng: inc digitalis levels
-St. John's wort and psyllium: dec absorption
-Hawthorn: inc effects
-Licorice, aloe, ephedra: inc risk of toxicity
, 3
digoxin interventions - (ANSWER)-assess apical pulse before administering;
DON'T ADMINISTER IF HR <60bpm
-advise client to eat foods high in K+
Antidote for digoxin toxicity - (ANSWER)digoxin immune FAB
digoxin therapeutic serum level - (ANSWER)0.5-1ng/mL
digoxin effects on heart muscle - (ANSWER)-inc. myocardial contractility and CO
-dec. HR and conduction
angina - (ANSWER)acute cardiac pain caused by inadequate blood flow to
myocardium
antianginal drugs - (ANSWER)-nitrates
-beta blockers
-Ca channel blockers
nitroglycerin class - (ANSWER)antianginal (Nitrate)
nitroglycerin uses - (ANSWER)control angina, acute MI and HF
, 4
nitroglycerin action - (ANSWER)dec myocardial demand for O2 consumption
(vasodilator)
Nitroglycerin Contraindications - (ANSWER)inc intracranial pressure; heat and
light dec potency of drug. keep in dark bottle
nitroglycerin routes of administration - (ANSWER)-SL spray: 1-3min onset. space
out over 5mins and call 911 before taking 2nd dose
-Topical cream: wipe off old cream 1st (4-8hr duration)
-Transdermal: leave off for 12hrs to give break
nitroglycerin side effects/adverse effects - (ANSWER)CNS effects, syncope,
tolerance, GI distress, circulatory collapse
nitroglycerin drug interactions - (ANSWER)-alcohol, beta blockers, Ca channel
blockers, antihypertensives, Aspirin, benzos, vasodilators: inc effect
-heparin: dec effect
nitroglycerin CAM interactions - (ANSWER)-Hawthorn: inc. levels
nitroglycerin interventions - (ANSWER)-for SL spray, call 911 if 1st dose doesn't
work
-proper storage of tabs
-administer SL tab if chest pain occurs
