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Don't give beta blockers to - Correct Answer-asthmatics or diabetics Cardiotonic= - Correct Answer-Dig. Used for heart failure & A-fib. Range: .5-2. anything over is toxic. NTG (Nitroglycerin) - Correct Answer-Sublingual. Tell patient to lay down. 1 tab every 5 min for 15 min. Vasodilate vessels & allows more O2 perfusion. Angina arrhythmia hypertension- - Correct Answer-Calcium Channel Blockers Low Vitamin K= - Correct Answer-bleeding risk Statin concern= - Correct Answer-Liver dysfunction. Used for hyperlipidemia & lower cholesterol Xanthine= - Correct Answer-High risk toxicity Central acting antitussive= - Correct Answer-Risk respiratory depression Relax smooth & increase blood flow to heart= - Correct Answer-Nitroglycerin Lab tests used to assess therapeutic heparin level= - Correct Answer-PTT (partial thromboplastin time) Class drug contraindicated in asthma pt.= - Correct Answer-Beta Blockers
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Don't give beta blockers to - Correct Answer-asthmatics or diabetics Cardiotonic= - Correct Answer-Dig. Used for heart failure & A-fib. Range: .5-2. anything over is toxic. NTG (Nitroglycerin) - Correct Answer-Sublingual. Tell patient to lay down. 1 tab every 5 min for 15 min. Vasodilate vessels & allows more O2 perfusion. Angina arrhythmia hypertension- - Correct Answer-Calcium Channel Blockers Low Vitamin K= - Correct Answer-bleeding risk Statin concern= - Correct Answer-Liver dysfunction. Used for hyperlipidemia & lower cholesterol Xanthine= - Correct Answer-High risk toxicity Central acting antitussive= - Correct Answer-Risk respiratory depression Relax smooth & increase blood flow to heart= - Correct Answer-Nitroglycerin Lab tests used to assess therapeutic heparin level= - Correct Answer-PTT (partial thromboplastin time) Class drug contraindicated in asthma pt.= - Correct Answer-Beta Blockers Drug class block angiotensin I from converting to angiotensin II= - Correct Answer-ACE inhibitor Hypertension with no known cause= - Correct Answer-Primary Hypertension Adrenergic drug are used in treatment of which condition? - Correct Answer-Shock Early sign of Dig toxicity= - Correct Answer-Anorexia; vomiting, diarrhea Late sign of Dig toxicity= - Correct Answer-halos Grape fruit juice is contraindicated in which drug class? - Correct Answer-Calcium Channel Blockers
First-line drug for hypertension= - Correct Answer-diuretics Antagonist used to treat warfarin overdose= - Correct Answer-Vitamin K Protamine sulfate antagonist= - Correct Answer-heparin Hypertension Defined as a blood pressure of - Correct Answer-140/90 or higher Primary Hypertension - Correct Answer-Blood pressure rise with no known cause; has been associated with certain risk factors such as diet and lifestyle Hypertensive Emergency - Correct Answer-Rise in blood pressure to extremely high levels, which can lead to damage of target organs such as kidney, eye, and heart if not lowered Secondary Hypertension - Correct Answer-When a direct cause of the hypertension can be identified Prehypertension - Correct Answer-Rise in blood pressure where the systolic pressure is between 120 and 139mm Hg or the diastolic pressure is between 80 and 89mm Hg -lol - Correct Answer-A beta adrenergic blocking drug -sin - Correct Answer-An alpha adrenergic blocking drug -ine - Correct Answer-A calcium channel blocker -tan - Correct Answer-An angiotensin II receptor antagonist Angiotensin I is converted to angiotensin II, which is a powerful ______________________ - Correct Answer-Vasoconstrictor Furosemide and hydrochlorothiazide are examples of ___________ agents used in the treatment of hypertension - Correct Answer-diuretic Aldosterone promotes the retention of ______________ and water, which contributes to the rise in blood pressure - Correct Answer-sodium Electrolyte imbalance such as ___________________, which is a low blood sodium level, occurs with diuretic usage - Correct Answer-hyponatremia Antianginal drugs relieve chest pain by dilating ______________ arteries and thereby increasing the blood supply to the cardiac musculature - Correct Answer-coronary
Beta-adrenergic blocking drugs are often called B________ by patients - Correct Answer-blockers _____________ is a narrowing or blockage of the drainage channels between the anterior and posterior chambers of the eye - Correct Answer-Glaucoma As a result of using a B-adrenergic blocker, the heart rate becomes ____________ - Correct Answer-slower ___________ is a term applied to any stimulus of the lowest intensity that will give rise to a response in a nerve fiber - Correct Answer-Threshold Beta-adrenergic blocking agents reduce the influence of the _____________ nervous system on the heart and kidney - Correct Answer-sympathetic All anti-arrhythmias drugs may cause new arrhythmias or worsen existing arrhythmias. This phenomenon is called the _________________ effect - Correct Answer- proarrhythmic The cardiac muscle has both _______ and _______ tissues and therefore has the properties of both - Correct Answer-nerve and muscle he anti-arrhythmic drugs are classified according to their effects in the __________________________ - Correct Answer-action potential Arrhythmia - Correct Answer-Disturbance or irregularity in heart rate, rhythm, or both Repolarization - Correct Answer-Movement of positive ions to outside and negative ions to inside of nerve cell Polarization - Correct Answer-Positive ions on outside and negative ions on the inside of cell membrane when they are at rest Depolarization - Correct Answer-Movement of positive ions into nerve cell and negative ions to outside cell A patient with paroxysmal atrial tachycardia is admitted to an urgent care facility. The patient is prescribed disopyramide. What adverse reactions of the drug should the nurse inform the patient about? - Correct Answer-Pg 363 What conditions, if present, necessitate a cautious use of the drug disopyramide? - Correct Answer-Pg 363 When cardiotonics are given by the _________________ method, the site should be inspected for redness and infiltration - Correct Answer-intravenous
_______ ventricular dysfunction results in pulmonary symptoms, which include dyspnea and moist cough - Correct Answer-Left During digoxin therapy if severe ______________ develops, atropine may be given - Correct Answer-bradycardia Patients started on cardiotonic drug therapy are said to be ______________ - Correct Answer-digitalized Amiodarone - Correct Answer-Increases plasma digitalis levels Antacid - Correct Answer-Decreases plasma digitalis levels Thyroid Hormone - Correct Answer-Decreases effectiveness of digoxin Loop diuretic - Correct Answer-Results in electrolyte imbalance Cardiac Hypertrophy - Correct Answer-Enlargement of cardiac vasculature Nocturia - Correct Answer-A need to urinate frequently at night Heart Failure - Correct Answer-Inability of the heart to pump sufficiently to meet tissue demands Cardiotonics - Correct Answer-Agents that bring about an increase in heart contraction A patient is diagnosed with heart failure and requires digoxin therapy. What physical assessment should a nurse carry out in a patient before starting digoxin? - Correct Answer-Pg 362 A patient had rapid digitalization for heart failure. He is required to continue taking digoxin for a prolonged period. What teaching should the nurse implement for patient taking digoxin? - Correct Answer-Pg 362 ______________ is essential for the clotting of blood - Correct Answer-Prothrombin Venous ____________ can develop as the result of venous stasis, injury to the vessel wall, or altered blood coagulation - Correct Answer-thrombus ______________ thrombosis can occur because of atherosclerosis or arrhythmias - Correct Answer-Arterial Drugs that help to eliminate clots are known as _____________________ - Correct Answer-thrombolytics