ATI Pediatric Pharm Detailed Questions and Answers 2023

ATI Pediatric Pharm Detailed Questions and Answers 2023 Digoxin Cardiac Improves myocardial contractility Nursing Considerations: Monitor pulse- infant: withhold medication if pulse < 90 children: without med if pulse < 70 Therapeutic range: 0.8-2 Administration: Give water following admin to prevent tooth deay Do not give extra dose if missed or vomits Digoxin Toxicity S/S: bradycardia, dysrhythmias, N/V, anorexia Therapeutic range: 0.8-2 Captopril/Enalapril Cardiac--ACE Inhibitor reduces afterload (vasodilation) Nursing Considerations: Monitor BP before and after Monitor for hyperkalemia Client Education: Have parents monitor BP frequently Metoprolol / Carvedilol Cardiac--Beta Blocker decreases heart rate and BP promotes vasodilation Nursing Considerations: Monitor BP and pulse prior to admin Adverse Effects: Dizziness, hypotension, headache