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Flashcards in cardiac medications Deck (56)
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1

s/s of dig toxicity

nausea, vommiting, anorexia, bradycardia, visual disturbances, cardiac dysrythmias, yellow and green halos

2

pt on digoxin should do what?

take pulse daily, do not take if HR less than 60

3

normal serum dig

0.8-2.0

4

monitor potassium for (when taking dig)

hypokalemia
can lead to toxicity

5

do not give dig with ??

antacids, makes drug ineffective

6

antidote for dig toxicity

digoxin immuno fab

7

hypokalemia and dig

hypokalemia increases effects of drugs and can lead to toxicity

8

first time someone takes nitro what should you do?

have them laying when they take it then test for orthostatic hypotension

9

do not apply nitro patches or ointment where?

near pacemaker or ICD

10

withdrawal symptoms of ca channel blockers and beta blockers

reflex tachycardia
pain

11

common se of nitroglycerin

HA pt can take tylenol for HA

12

what do beta blockers do?

decrease HR and myocardial contractility

13

calcium channel blockers action

relax coronary artery spasm, relaxes coronary artery spasms, and relaxes peripheral arteries, decreases contractility in turn decreases oxygen demands
decrease afterload, decrease peripheral resistance, reduces workload of the heart

14

Nitro SL tablets may have

stinging or biting feel

15

sodium channel blockers

decreases sodium influx into cardiac cellls, which decreases the likelyhood of ectopic foci

16

when administering antidysrythmics what should be done?

IV push or bolus, monitor for hypotension, compare baseline ecg to ecg after drugs are administered

17

adverse effects of antidysrhythmics

dizziness, fainting, nausea, vomiting

18

tell patient on antidysrhythmics to avoid

alcohol, caffeine, tobacco

19

what lab results to monitor with beta blockers?

BUN creatnine GFR AST LDH

20

what can beta blockers cause in a trauma situation?

hypoglycemia

21

side effects/ adverse effects of beta blockers

dizziness, slow hr, changes in bp, palpitations, orthostatic hypotension, confusion, GI upset, constipation

22

monitor what with alpha-adrenergic receptor blockers?

urine output, less than 600 daily than contraindicated with renal damage
sudden marked decreased in bp and increased hr
daily wts, can lead to edema

23

how long does it take for AA receptor blockers to work?

up to 4 weeks

24

side effects of AA blockers

dizziness, lightheadness, drowsiness, impotence, edema (fluid retention is an issue),

25

African americans should take

AA blockers and Ca channel blockers, beta blockers are not typically effective

26

asian patients are more susceptible to what?

effects of propanolol

27

side effects of ACE inhibitors

angioedema, cough, dysgeusia, weakness, hyperkalemia, renal impairment

28

nis for ACE inhibitors

BUN, creatnine, urine protein, bruising, petichae, bleeding
Teaching: avoid salt substitutes with K in them
rise slowly cause you can have orthostatic hypotension
how to take and record bp
report any occurrences of bleeding
report dizziness longer than a week
take with out food to increase absorption
food taste may diminish during first month of therapy
Hyperkalemia is possible

29

african americans will not respond to an ace inhibitor unless

it is taken with a diuretic

30

contraindications of warfarin

blood dyscrasia, peptic ulcers, cvas, hemophilia, severe hypertension