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Pharm Kahoot Exam 4
Terms in this set (59)
Which side effect can be seen when taking and ACE inhibitor?
What medication would be given IV in an emergency for BP of 200/100 mm Hg?
What class of medication binds with angiotensin II receptors to block vasoconstriction and release aldosterone?
Which finding would warrant notifying the physician before administering digoxin?
Heart rate of 50 bpm
Which medication can be used to treat life threatening ventricular arrhythmias?
Which medication blocks ACE from converting angiotensin I to angiotensin II?
The nurse knows digoxin will have which therapeutic effect?
Increase the force of cardiac contraction
What med would be given in step 2 for a pt. with HTN according to "stepped care management"?
How quickly should chest pain resolve after taking a nitroglycerin sublingual tablet?
Less than 5 minutes
What are common side effects of nitroglycerin?
Headaches, hypotension, and dizziness
What expected outcome should be seen when taking a HMG-CoA inhibitor?
Decrease LDLs and total cholesterol
What should the patient avoid while taking a calcium channel blocker?
What medication should be used for chronic angina?
What medicine would be given for triglyceride breakdown?
What are indications for using an antiplatelet medication?
Maintaining the patency of a graft
Tx of PAD
Prevent emboli after valve replacement
Patients taking a "statin" should be monitored for?
S/S of rhabdomyolysis
Which medication could be given with migraine headaches or SVT?
The patient has been diagnosed with pernicious anemia. Which medication might be prescribed?
hydroxocobalamin or cyanocobalamin
When is the best time for a patient to take simvastatin?
In the evening
What are adverse effects of urokinase?
Hypotension, bleeding, and cardiac dysrhythmias
What medication would be prescribed for a patient with chronic renal failure?
What foods have the best sources of iron?
Spinach and broccoli
What will be prescribed for a child with iron deficiency anemia and poor diet?
Proper nutrition and iron replacement
What is an indication for prescribing milrinone?
What education should be given to a patient taking cholestyramine?
Take other meds 1 hr before this med and mix powder well with fluid
What education should be provided to a patient taking an iron supplement?
Stool may turn dark or green in color
A patient taking warfarin should be educated about?
Notifying a provider before taking other meds
What is an indication for prescribing losartan?
HTN with diabetic nephropathy
What lab result would warrant the use of digoxin immune fab?
Digoxin level > 10 and K level >5
The nurse has given digoxin IV. Effect should be seen within what period of time?
What class of medication might be used for a pregnant women with HTN if the benefit outweigh the risk?
Ca channel blockers
Why are Ca channel blockers given for both HTN and post- MI?
They decrease BP, cardiac workload, and myocardial O2 consumption
What is the MOA of class III antiarrhythmic?
Block K channels, slow the movement of K in phase 3 of the action potential
Contraindications for prescribing a class II antiarrhythmic such as propranolol would be?
Sinus bradycardia, asthma, pregnancy
What is an important D2D interaction with class IV antiarrhythmic medication?
Cardiac depression with beta blocker
When giving an iron medication via IM, why is the Z track method used?
To reduce the risk of subq staining and irritation
The nurse is administering antihypertensive drugs to older adult patients. The nurse knows that which adverse effect is of most concern for these patients?
When giving antihypertensive drugs, the nurse will consider giving the first does at bedtime for which class of drugs?
A 46 Y/O man started antihypertensive drug therapy 3 months earlier and is in the office for a follow-up visit. While the nurse is taking his blood pressure, he informs the nurse that he has had some problems with sexual intercourse. Which is the most appropriate response by the nurse?
The physician can work with you on changing the dose or drugs
When a patient is being taught about the potential adverse effects of an ACE inhibitor which of these effects should the nurse mention as possibly occurring when this drug is taken to treat hypertension?
Fatigue, Dry nonproductive cough, Dizziness
A patient has a new prescription for an ACE inhibitor, during a review of the patient's list of current medications, which would cause concern for a possible interaction with this new prescription?
A potassium supplement taken daily and an NSAID take as needed for headaches
The nurse is assessing a patient who will be starting antihypertensive therapy with an ACE inhibitor. Which conditions if present in a patient, would be a reason for cautious use
A patient has a new prescription for transdermal nitroglycerin patches. The nurse teaches the patient that these patches are most appropriately used for which reason
To prevent the occurrence of angina
A nurse with adequate knowledge about the administration of IV nitroglycerin will recognize that which statement is correct
IV nitroglycerin must be protected from exposure to light through use of special tubing
Education for Diltiazem
-Food and antacids alter the absorption of this oral drug
-When the long-acting forms are taken, the drug cannot be crushed
-This drug may cause BP to drop, so be careful when getting up
While assessing a patient with angina who is to start beta blocker therapy, the nurse is aware that the presence of which condition may be problem if these drugs are used
Diabetes mellitus and asthma
A 68 Y/O male patient has been taking isosorbide dinitrate for 2 years for angina. He recently has been experiencing erectile dysfunction and wants a prescription for sildenafil. Which response would the nurse most likely hear from the prescriber
Taking the 2 drugs together can result in severe hypotension
When teaching the patient about the signs and symptoms of cardiac glycoside toxicity, the nurse should alert the patient to watch for which of these
Dizziness, visual changes, headaches, GI issues, yellow halos
During assessment of a patient who is receiving digoxin, the nurse monitors for findings that would indicate an increased possibility of toxicity
A patient has a new prescription for metoprolol. The nurse will monitor for which expected effects
Delayed AV node conduction, Reduced heart rate, Decreased myocardial automaticity
In assessing a patient who has been takin amiodarone for 6 months, the nurse monitors for which potential adverse effects
The nurse is monitoring a patient who is receiving anti-thrombolytic therapy in the emergency department because of a possible MI. Which adverse effect would be of the greatest concern at this time
Irregular heart rhythm
A patient is receiving instructions regarding warfarin therapy and asks the nurse about what medications she can take for headaches. The nurse will tell her to avoid which type of medications
Aspirin, NSAIDs, the Herbal product Ginko
A patient needed a double dose of heparin during surgery and is bleeding through the incision site. While the surgeons are working to stop the bleeding at the incision site, the nurse will prepare to take what action
Give IV protamine sulfate as an antidote
A patient is starting warfarin therapy as part of treatment of atrial fibrillation. The nurse will follow which recommendations
Administer the oral dose at the same time every day, Assess carefully for excessive bruising or unusual bleeding, Monitor lab results for INR of 2.0-3.0
A nurse administering niacin would implement which action to help reduce adverse effects
Administer a small dose of NSAID 30 minutes before
Which point will the nurse emphasize to a patient who is taking an anti-lipid medication in the statin class
It is important to report muscle pain immediately
A patient is currently takin a statin. The nurse considers that the patient may have a higher risk for developing rhabdomyolysis when also takin which product
A fibric acid derivative (Fibrates)
A patient has been taking simvastatin for 6 months. Today he received a call that he needs to come to the office for laboratory check. The nurse expects which lab studies to be ordered at this time
Total Cholesterol, Triglycerides, Complete Blood Count, HDL and LDL levels
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