Isabella Diaz

Question 1

what is CHF

Answer 1

heart can’t pump to meet the bodies needs causing reduced blood flow and backflow to occur which causes fluid in the lungs and edema

Question 2

s/s of CHF

Answer 2

• weight gain
• fluid retention
• wheezing
• crackling
• jugular vein distention

Question 3

nursing considerations for CHF

Answer 3

• monitor weight esp. in the mornings
• put pt in high folwers to promote lung expansion
• assess SPO2

Question 4

what is pneumonia

Answer 4

a lung infection that causes alveoli to fill with fluid making it hard to breath, causes chest pain, and cough

Question 5

s/s of pneumonia

Answer 5

• chest pain when breathing
• productive cough
• fever and chills

Question 6

nursing interventions for pneumonia

Answer 6

• ensure proper fluid intake
• encourage pt to cough to reduce phlegm in airways
• put pt in high fowlers position to expand lung expansion

Question 7

what is the trade name for digoxin

Answer 7

lanoxin

Question 8

what is the drug class for lanoxin

Answer 8

inotropic antidysrhythmic (makes heart beat more stronger and regular), cardiac glycoside (strengthens hearts hearts contractions allowing for more blood to be pumped to organs)

Question 9

what is the route for lanoxin

Answer 9

• PO
• IV

Question 10

what is the action for lanoxin

Answer 10

digoxin lowers HR and strengthens the hears contractions allowing for more oxygenated blood to reach the organs, does this by increasing the calcium in the body

Slows the heart rate (negative chronotrope)
Strengthens contractions (positive inotrope)

Question 11

what are the indication and uses for lanoxin

Answer 11

• arterial fibrillation
• HF

Question 12

what is the TO for lanoxin

Answer 12

reduces edema, pulse, respirations, and crackles

Question 13

what are the adverse effects for digoxin

Answer 13

• bradycardia
• dizziness
• visual disturbances (blurred vision or yellow vision)
• digoxin toxicity

Question 14

what are some nursing considerations for lanoxin

Answer 14

• ASSESS APICAL PULSE FOR 1 WHOLE MIN if less than 60 BPM dont give medication
• monitor weight for fluid retention
• assess for digoxin toxicity which is green yellow halos or vision loss
• assess for electrolytes especially hypokalemia (potassium), lower levels of potassium could increase toxicity

Question 15

what are some patient teachings for digoxin

Answer 15

• avoid antiacids -> can alter digoxin in the body
• report signs of dioxin toxicity like yellow or green halos, visual disturbances, headache
• take potassium supplements because there could be low electrolytes

Question 16

what is the trade name for furosemide

Answer 16

lasix

Question 17

what is the drug class for lasix’s

Answer 17

loop diuretic (acts on ascending loop of Henle)

Question 18

what is the route lasix

Answer 18

• PO
• IM
• IV

Question 19

what is the action for lasix

Answer 19

stops kidney from re-absorbing sodium, potassium, water, chloride and increase urine production and reduce extra fluid in the lungs dose this on the ascending loop of Henle

Question 20

what is the TO for lasix?

Answer 20

lowers BP, edema in the lungs and extremities

Question 21

what are the use and indications for lasix

Answer 21

• CHF
• hypertension
• pulmonary edema

Question 22

what are the adverse effects of lasix

Answer 22

• electrolyte imbalance
• dehydration
• orthostatic hypotension
• can cause bone marrow depression ( low RBC, WBC, or platelets)

Question 23

list some nursing interventions for lasix

Answer 23

• ## monitor electrolyte like sodium and potassium do CBC and BUN for kidney function and overall health

Question 24

what are some patient teachings for lasix

Answer 24

• take in the morning to avoid nocturia
• keep hydrated
• orthostatic hypotension

Question 25

what is the trade name for xylometazoline

Answer 25

otrivin

Question 26

what is the drug class for otravin

Answer 26

nasal decongestant

Question 27

what is the action for otrivin

Answer 27

causes blood vessels in the nose to constrict reducing swelling and nasal congestion, alpha 1 drug

Question 28

what is the route for otrivin

Answer 28

nasal spray

Question 29

what is the TO for otrivin

Answer 29

no nasal congestion present

Question 30

what is the indication or use for xylometazoline

Answer 30

- stuffy nose

Question 31

what are the adverse effects for otrivin

Answer 31

- cause rebounding effects - temporary burning, stinging, or dryness of the nose

Question 32

list some nursing indications for xylometazoline

Answer 32

- nasal AX - assess the medication effectiveness - assess for systemic absorption (where med can affect the whole body high HR or BP)

Question 33

what are some patient teachings for ortivin

Answer 33

- don't use continuously to avoid rebound affects - rinse dropper with warm water to reduce contamination - going above prescription dose = systemic effects (effects whole body like HIGH HR/ BP)