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NU2172 Health Promotion Clinical Med Testing

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Furosemide (Lasix)
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Terms in this set (15)
loop diuretic
-action: diuresis

*monitor K+ (POTASSIUM) levels
*assess fluid status (I&O, daily weights)
*look for edema
*check lung sounds, skin turgor, BP, pulse

-adverse effects: dizziness, headache, insomnia, tinnitus, electrolyte imbalance, hypotension, volume depletion

-a patient may be taking this drug for edema related to congestive heart failure, renal insufficiency, and as a first line of defense for hypertension
cardiac glycoside / antiarrhythmic
-action: increases the force of the myocardial contraction, decreases heart rate

*monitor apical heart rate for one full minute (if pulse is below 60, hold and call MD)
*monitor POTASSIUM level (low potassium increases the risk for digoxin toxicity)
*monitor serum digoxin level

-adverse effects: bradycardia, headache, fatigue, yellow or green vision, thrombocytopenia, GI upset

-a patient may be taking this drug to treat congestive heart failure, atrial fibrillation / atrial flutter (irregular heart rhythms)
-this drug decreases heart rate
beta blocker
-action: blocks stimulation of beta adrenergic receptors, decreases cardiac output (along with blood pressure and heart rate)

*monitor BP and HR (hold if systolic BP is below 100mmHg or if HR is below 50 - or according to ordered parameters)
*assess for signs of congestive heart failure (monitor daily weights, I&O, assess lung sounds for crackles)
*monitor for increased BUN and K+ (POTASSIUM) levels

-adverse effects: bradycardia, hypotension, orthostatic blood pressure changes, fatigue, bronchospasm, wheezing, mental status changes

-a patient may be taking this drug for congestive heart failure, hypertension, chest pain, prevention of myocardial infarction
-action: lowers blood sugars by stimulating glucose uptake in skeletal muscle and fat

*monitor blood glucose prior to administering
*use only an insulin syringe to administer
*check dosage in syringe with a second nurse
*assess for signs of hypoglycemia (anxiety, restlessness, cold sweats, confusion, excessive hunger, irritability)
*administer into subcutaneous tissue (abdomen, upper arm, or thigh - rotate sites)

-adverse effects: hypoglycemia, erythema, swelling at injection site

-a patient would be on REGULAR insulin if they have Type I diabetes or Type II diabetes with uncontrolled blood glucose levels (may need insulin temporarily following surgery) ; non diabetic patients may need insulin when taking steroids


-NPH insulin is longer acting than regular insulin
-Regular insulin is shorter acting and has a rapid onset from subcutaneous sites
antipyretic, non-opioid analgesic
-action: inhibits the synthesis of prostaglandins that may serve as mediators of pain and fever, primarily in the central nervous system

*assess alcohol usage before administering
*assess pain (type, location, intensity, and duration)
*fever: assess for presence of associated signs (diaphoresis, tachycardia, and malaise)

-adverse effects: hepatotoxicity / renal insufficiency in high doses

-for a patient without hepatic / renal impairments: DO NOT EXCEED 3000 MG A DAY
-for a patient with hepatic / renal impairments: DO NOT EXCEED 2000 MG A DAY