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NUR 311 2022 > Exam 3 -Test > Flashcards

Exam 3 -Test Flashcards

(65 cards)

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1
Q

Risk for people on beta blocker and who are diabetics?

A

Masks hypoglycemia

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2
Q

If someone has primary hypertension, how long will they be on the medication?

A

For life

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3
Q

Someone taking an angiotensin converting (ACE) inhibitor, what electrolyte do you need to monitor?

A

Potassium

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4
Q

Pregnant women should never take:

A

Ace Inhibitors

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5
Q

Can someone take a beta blocker with an AV block?

A

No, can intensify the AV block

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6
Q

An antihypertensive medication, which do you have to monitor that level (thiocyanate levels)

A

Nitropress (vasodilator)

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7
Q

Thiazide diuretic with a beta blocker, what can happen?

A

Additive for hypotensive effects

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8
Q

Captopril (ACE inhibitor) they are just starting it brand new, what is a general nursing education point

A

Change position slowly as they can pass out, orthostatic hypotension.

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9
Q

Vasotec which is an ACE inhibitor, what is the primary (most common) side effect?

A

Dry cough, which can lead to low compliance with that medication

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10
Q

Angiotensin 2 receptor blocker, very rare side effect

A

Angioedema

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11
Q

Person is given both a beta blocker and calcium channel blocker, what do we watch for?

A

Bradycardia

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12
Q

What do you do before you give nitroglycerin ointment?

A

Check their blood pressure

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13
Q

Somebody has been taking nitroglycerin, what is a common side effect

A

Headache and flushing

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14
Q

Beta blockers are contraindicated for people who have allergies?

A

Can inhibit epinephrine

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15
Q

Dihydropyridines can cause? (amylodipine)

A

Reflexive tachycardia

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16
Q

Before you give Digoxin what do you do?

A

Apical pulse for a whole minute

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17
Q

What is a sign of Digoxin toxicity?

A

Yellow halos

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18
Q

Do not give a beta blocker if the pulse is what?

A

If the systolic blood pressure is below 90, or the pulse is under 50

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19
Q

Digoxin improves shortness of breath and pitting edema, why?

A

Positive inotropic action of Digoxin

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20
Q

If you give something that causes a low dose activation of dopamine receptors, what happens?

A

Renal blood pressure dilation, lowers blood pressure (kidneys directly affect blood pressure)

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21
Q

What is a risk of Lasix?

A

Hypokalemia

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22
Q

You give Lisinopril which is an ACE inhibitor and a diuretic to a patient, what are they at risk for?

A

Hyperkalemia

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23
Q

What is the risk if you combine Digoxin and Lasix?

A

Dehydration, arrhythmia

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24
Q

What allergy do you want to monitor for if the patient is getting a thiazide diuretic?

A

Sulfonamide

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25
Lactulose is a laxative, what non-GI thing could you give it for?
High ammonia blood levels
26
For someone taking a large dose of loop diuretics what can it cause?
Ototoxicity
27
Low glomerular filtration pressure will make which medication ineffective?
Should not be giving thiazide
28
Which diuretic do we give to decrease ICP (intracranial pressure)?
Osmotic diuretics
29
A medication causes small stool, what is something you can take to bulk up their stool?
Metamucil, Psyllium
30
Patient is getting a Barium swallow test and we are wanting to clear out the Barium, which laxative should not be given?
Milk of Magnesia
31
Someone is getting fibric acid derivative, what should we expect a decrease in
Can lower triglycerides
32
HMGcoA (Statins) should be taken when?
In the evening (once a day) | because cholesterol-making enzymes are more active at night
33
Statins should not be given with which chronic disease
Hepatitis (can affect the liver)
34
Giving Niacin what happens if you take Aspirin?
It can reduce the flushing that happens with Niacin
35
How often should a normal healthy person be screened for LDL?
Every 5 years
36
High cholesterol is not a contraindication for taking statins. True or False
True
37
Bile acid sequest. which can lower LDL can cause a mal absorption of which vitamins
Fat soluble (A,D,E, and K)
38
Why should a patient contact their doctor if they have muscle tenderness taking their statins
It can cause muscle damage
39
Omega 3 fatty acids reduce what?
Triglycerides
40
What does Zetia do (cholesterol med)?
It blocks intestinal absorption of biliary and dietary cholesterol
41
What is the mechanism of action of heparin?
Prevents clot formation by assisting antithrombin
42
What is the MOA of Coumadin
Interferes with vitamin K clotting factors
43
How many days before sx do you stop Aspirin
7 days
44
Can a person take Warfarin if pregnant?
No
45
Therapeutic INR for warfarin is?
2-3
46
If someone is on Heparin, you draw aPTT level that should be?
1.5-2x the control value
47
Heparin should rotate the sites, where do we give?
Lower abdomen
48
Whole wheat, broccoli, spinach, and cabbage are examples of?
Vitamin K food
49
What is the reversal agent for heparin?
Protamine
50
Risk of a thrombolytic?
Bleeding
51
Beta blocker ends in what?
-olol
52
HMGcoA inhibitors end in what?
-statins
53
ARBs end in what?
-sartan
54
Anticoagulants end in what?
-parin
55
ACE inhibitors end in what?
-pril
56
Major side effects of ACE inhibitor:
Dry Cough
57
Common side effects of nitro:
headache, low BP, flushing
58
Yellow halos around lights, may have OD on:
Digoxin
59
Checking pulse on pt and pulse is below 50 and BP below 90, medication that is contraindicated:
metoprolol and beta blockers
60
Digoxin mechanism of action:
positive inotropic action, helps heart to beat more efficiently
61
Major risk of Lasix (electrolytes):
hypokalemia
62
Allergy to sulfa what medications should you avoid:
thiazide diuretics
63
Nitropress needs to have a specific monitoring of which level:
thiocyanide
64
Rarely causes angioedema:
ARBs
65
Checking pulse on pt and pulse is below 50 and BP below 90, medication that is contraindicated:
metoprolol and beta blockers

NUR 311 2022 (5 decks)

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