Exam 2 Pharmacology

Question 1

Furosemide MOA

Answer 1

given to help treat fluid retention (edema) and swelling

Question 2

Furosemide given for

Answer 2

congestive heart failure, liver disease, kidney disease, or other medical conditions.

Question 3

Furosemide expected outcomes

Answer 3

decreased edema, improved breathing, and relief from symptoms associated with fluid overload

Question 4

Furosemide adverse effects

Answer 4

tinnitus
blurred vision
hematuria
confusion
constipation
diarrhea

Question 5

Furosemide contraindications

Answer 5

low BP
DEHYDRATION
Addison’s
diabetes

Question 6

Furosemide type of

Answer 6

loop diuretic

Question 7

Furosemide should be gven with

Answer 7

K

Question 8

Heparin is what type

Answer 8

anticoagulant

Question 9

Heparin MOA

Answer 9

makes blood

Question 10

Heparin monitor for

Answer 10

PTT 60-100
INR 2-3

Question 11

Heparin onset

Answer 11

fast onset

Question 12

Heparin needed for

Answer 12

deep vein thrombosis (DVT) and pulmonary embolism (PE) as well as atrial fibrillation (AF).

Question 13

Heparin expected outcomes

Answer 13

Prevention or resolution of blood clots

Question 14

Heparin adverse effects

Answer 14

easy bruising and bleeding
hemoptysis
vomiting
dizziness
HA
NOSE BLEEDS
THROMBOCYTOPENIA
AND swelling

Question 15

lisinopril type of drug

Answer 15

ACE

Question 16

lisinopril MOA

Answer 16

block the production of a hormone called angiotensin II. This is a hormone that typically increases blood pressure
- treats high blood pressure, heart failure

Question 17

lisinopril expected outcomes

Answer 17

lowers your blood pressure and makes it easier for your heart to pump blood around your body. This can improve the symptoms of heart failure. In diabetic kidney disease, it helps to protect your kidneys and slows down the disease.

Question 18

lisinopril adverse reactions

Answer 18

dry cough gets worse
dizzy
orthostatic hypotension
HA
vomiting
diarrhea
blurred vision

Question 19

lisinopril monitor

Answer 19

monitor BP
water retention and SOB
EKG

Question 20

MEROPENEM type

Answer 20

intravenous carbapenem antibiotic

Question 21

MEROPENEM MOA

Answer 21

inhibition of cell wall synthesis.

Question 22

MEROPENEM expected outcomes

Answer 22

fight the infection and

Question 23

MEROPENEM nursing actions

Answer 23

extravasation.
Observe for signs of renal, hepatic, or haematological dysfunction.
Observe for skin rashes.
Measure urine output.
Feb 7, 2020

Question 24

MEROPENEM adverse reactions

Answer 24

increase liver enzymes
thrombocytosis

Question 25

Metoprolol should not be given if

Answer 25

HR is less than 60

Question 26

Metoprolol type

Answer 26

beta blocker

Question 27

Metoprolol tx

Answer 27

high BP chronic chest pain survival after heart attack

Question 28

Metoprolol MOA

Answer 28

decreases the workload of the heart by slowing the contractions

Question 29

Metoprolol expected outcomes

Answer 29

lower blood pressure to a healthy level

Question 30

Metoprolol adverse effects

Answer 30

tired dizzy chest pain alow irregular heartbeat numbness

Question 31

Metoprolol nursing considerations

Answer 31

increase risk of hypoglycemia vital signs and ECG every 5 – 15 minutes during and for several hours after parenteral administration

Question 32

Thiamine type

Answer 32

B1 vitamin

Question 33

Thiamine tx

Answer 33

dietary supplement in patients with GI disease, alcoholism or cirrhosis - treats beriberi - thiamine deficiency - prevents Wernicke's encephalopathy - given to alcoholics

Question 34

Thiamine MOA

Answer 34

carbohydrate metabolism

Question 35

Thiamine expected outocomes

Answer 35

strengthen the immune system and improve the body's ability to withstand stressful conditions

Question 36

Thiamine adverse effects

Answer 36

with large doses or IV administration - restlessness, weakness, respiratory distress - vascular collapse, GI bleed, hypotension

Question 37

Thiamine nursing considerations

Answer 37

not for pregnant or plan to become pregnant - nutrition - caution with diagnosed with Wernicke's encephalopathy

Question 38

Thiamine rich foods

Answer 38

whole grain cereal meat frech veggies

Question 39

Nicardipine type

Answer 39

Calcium channel blockers

Question 40

Nicardipine tx

Question 41

Nicardipine MOA

Answer 41

lowers blood pressure by relaxing the blood vessels so the heart does not have to pump as hard. It controls chest pain by increasing the supply of blood and oxygen to the heart.

Question 42

Nicardipine expected outcomes

Answer 42

high blood pressure and to control angina (chest pain)

Question 43

Nicardipine adverse effects

Answer 43

HF dizzy HA blurry chest pain fatigue wheeze lower back pain cold feet and hands

Question 44

Nicardipine nursing considerations

Answer 44

Monitor BP and pulse, ECG, I&O, WT PERIPHERAL EDEMA, CRACKLES, DYSPNEA, WT GAIN, JVD

Question 45

Dobutamine class

Answer 45

inotropic agents

Question 46

Dobutamine MOA

Answer 46

myocardium through binding and activating the beta-1 receptors selectively. - VASODILATOR

Question 47

Dobutamine tx

Answer 47

coronary revascularization, mechanical circulatory support, or heart transplant - acute tx of congestive heart failure

Question 48

Dobutamine expected outcomes

Answer 48

Increase in cardiac output. Improved hemodynamic parameters. Increased urine output

Question 49

Dobutamine adverse effects

Answer 49

nausea, headaches, chest pain, palpitations, and shortness of breath.

Question 50

Dobutamine nursing considerations

Answer 50

Observe IV site closely and avoid extravasation. Dobutamine can cause inflammatory response and tissue ischaemia. Monitor for adverse reactions. Continuous blood pressure monitoring. Continuous cardiorespiratory monitoring. Document vital signs hourly and PRN. Monitor fluid balance.