Heart meds

Question 1

What is adenosine used for

Answer 1

to change SVT into normal sinus

Question 2

What are the SE of adenosine

Answer 2

bronchospasms
prolonged asystole
flushing and nausea

Question 3

Nursing care of adenosine

Answer 3

flush IV after giving
IV push rapid

Question 4

What is amiodarone class 3 used for

Answer 4

V-fib and unstable V-tach

Question 5

SE of amiodarone

Answer 5

hypotension, bradycardia, cardiogenic shock and pulmonary issues
liver, pulmonary and heart toxicity
thyroid issues`

Question 6

Nursing care of amiodarone

Answer 6

DO NOT GIVE WITH HEPARIN
can be PO
assess for respiratory complications

EDU: do not take with grapefruit

Question 7

What is atropine used for

Answer 7

symptomatic bradycardia

Question 8

SE of atropine

Answer 8

when used correctly has no SE

Question 9

Nursing care of atropine

Answer 9

assess for dry mouth, blurred vison, photophobia, urine retention and constipation

Question 10

What are (verapamil and diltiazem) calcium channel blockers used for

Answer 10

A-bib, A-flutter and SVT

Question 11

SE of verapamil and diltiazem

Answer 11

orthostatic hypotension
peripheral edema
constipation
cardiac toxicity
suppression of cardiac function
dysrhythmias

Question 12

Verapamil not for

Answer 12

low bp
heart block
dig toxicity
severe HF

Question 13

Do not use verapamil

Answer 13

while consuming grapefruit cause of increase toxicity
beta blockers
digoxin

Question 14

What are alpha adrenergic blockers used for
prazosin, doxazosin, terazosin

Answer 14

primary HTN
Used BPH

Question 15

SE of prazosin, doxazosin and terazosin

Answer 15

can cause hypotension at first dose

Question 16

Nursing care of prazosin, doxazosin and terazosin

Answer 16

give the lowest dose
give at night
asses BP for 2-6 hours
anti- HTN can cause hypo BP
EDU: to avoid things that use brain power and to change pos slowly
can take with food
safety precautions

Question 17

What are centrally acting alpha 2 agonist used for
clonidine

Answer 17

primary HTN

Question 18

What are the SE of clonidine

Answer 18

Sedation
Drowsiness
Dry mouth
Rebound HTN is abrupt D/C of meds

Question 19

What are the uses of Heparin, (low molecular) enoxaparin and anticoagulants

Answer 19

stroke, Pulmonary embolisms, massive DVT
dialysis and open heart surgery

Low molecular to prevent DVT in post op, treat and prevent DVT and PE and prevent complications in angina, ST MI and non -Q wave MI

Question 20

What are the SE of heparin

Answer 20

Heparin induced thrombocytopenia
Toxicity
Epidural or spinal hematoma
Hemorrhage

Question 21

Nursing care for heparin

Answer 21

Assess platelets levels
Stop if platelets are less than normal
Assess VS for bleeding and assess for bleeding loss
Monitor aPTT for 1.5 to 2 times the baseline
Stop heparin if bleeding happens
Assess for neuro changes

Question 22

What are ACE inhibitors used for