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Duplicate of Pharm Exam 6 Flashcards | StudBud
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Duplicate of Pharm Exam 6
Duplicate of Pharm Exam 6
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1
Signs/Symptoms of right-sided heart failure (less common) (SATA)
Liver engorgement, JVD, weight gain
Blood backs to veins, peripheral edema
Blood backs up into lungs - Cough, SOB, Dyspnea
Blood accumulates in left ventricle-thickens and enlarges = hypertrophy
2
When should you assess vitals in blood administration process? (SATA)
15 minutes after administration has started
Before administration
Every 30 minutes until completion and one hour post completion
24 h after completion
3
Provider should be notified when a patient is taking Digoxin and... (SATA)
Has potassium level is <3.5
Apical pulse is <100 per minute
Apical pulse is <60 per minute
Has potassium level is <5.5
4
Expected effects of Dopamine (SATA)
Increased urination
Decreased urination
Increased cardiac output
Decreased cardiac output
5
Nitroglycerin is taken sublingually every 3 minutes for 5 times
False
True
6
Metoprolol uses (SATA)
Leg cramps
Hypertension
Angina
A fib
7
Digoxin is used for (SATA)
Septic shock
Atrial fibrillation
Hypertension
Heart failure
8
Signs of digitalis toxicity (SATA)
Nausea/Vomiting/Diarhhea
Thirst
Weight loss(Anorexia)
Photophobia
9
Furosemide adverse/side effects (SATA)
Dehydration, dysrhytmias and ototoxicity
Decreased K+
Decreased urination
Dizziness, hypotension, orthostatic hypotension, syncope
10
Vasodilation due to overstimulation of the parasympathetic NS or under stimulation of the sympathetic NS
Hypovolemic shock
Septic shock
Neurogenic shock
Cardiogenic shock
11
Adverse/Side effects of Spironolactone (SATA)
Drowsiness, & metabolic acidosis
Electrolyte imbalance (hyperkalemia) and dysrhythmias
Deepened voice, impotence, gynecomastia, hirsutism
Decreased urine output
12
Digoxin interactions (SATA)
Gingko Biloba, Garlic, Feverfew
Black cohosh, evening primrose oil
Thiazide diuretics
Ginseng, Ma huang, Ephedra
13
General interventions in treatment of all types of shock (SATA)
Connect to a cardiac monitor, and apply a pulse oximeter
Monitor level of consciousness, psychological support, keep patient warm
Identify underlying cause, then start more specific treatment
Administer oxygen at 15 L/min via a nonrebreather mask
14
Captopril adverse/side effects (SATA)
Cough (Can increase cough reflex)
Chest pain or pressure, palpitations, hyperkalemia
Rapid weightloss
Flushing, rash, numbness, tingling, burning in hands and feet
15
Patient education when taking Colesevelam (SATA)
Monitor nutrition status(increase fiber in diet)
Provide negative results of pregnancy tests to pick up prescriptions
Use contraceptives and notify provider of pregnancy
Take a mild laxative as needed
16
Metoprolol hydrochlorothiazide is...
Generic name for Metoprolol
Combination beta blocker and diuretic
Another name for a beta blocker
Metoprolol for COPD and asthma patients
17
Lisinopril uses (SATA)
Improved outcomes when given within 24 h of MI
Heart failure
Arrhytmias
Antihypertensive
18
Blood administration prep (SATA)
Prime blood tubing with 0.9% sodium chloride (normal saline)
Assess vitals before administration
Assess BUN and AST/ALT results
Measure patients blood glucose prior to administration
19
Contraindications for Propranolol (SATA)
Heart failure
COPD and Asthma
Bipolar disorder
Chronic Alcohol use
20
Colesevelam uses
Lower LDL cholesterol
Arrhytmias
Hypertension
Anxiety
21
Captopril patient education (SATA)
Avoid strenous exercise
Take one hour before meals
Maintain consistent fluid intake
Avoid NSAIDs
22
Extravasation of Dopamine should be treated with...
Digibind
Propanolol
Phentolamine
Naloxone
23
What should be monitored with Nitroglycerin use? (SATA)
Chest pain
Heart rate
Blood pressure(hypotension)
Hypovolemic shock
24
How long should you remain with the patient after blood administration to assess for hemolytic reactions?
30 minutes
10 minutes
15 minutes
5 minutes
25
Hold Atenolol if... (SATA)
Patient is fatigued
HR< 60
RR 16
Patient is hypotensive
26
Early sign of Rhabdomyolysis
Chest pain
Muscle weakness and pain
Hypotension and tachycardia
Bronchospasm
27
Therapeutic window for Digoxin
2-4.8 NG/ML
1.6-3.2 NG/ML
0.8-2 NG/ML
4.8-8 NG/ML
28
Furosemide uses (SATA)
Hypertension
Dysrhytmias
CHF
Edema
29
Signs/Symptoms of left-sided heart failure (SATA)
Blood backs up into lungs - Cough, SOB, Dyspnea
Blood accumulates in left ventricle-thickens and enlarges = hypertrophy
Blood backs to veins, peripheral edema
Liver engorgement, JVD, weight gain
30
Failure of the heart to pump sufficient blood to tissues - left heart failure, MI, dysrhythmias, PE
Hypovolemic shock
Cardiogenic shock
Neurogenic shock
Septic shock
31
Patient education for Atorvastatin (SATA)
Avoid grapefruit juice
Avoid exercise
Avoid alcohol
Drink <1000 ml fluids a day
32
Potassium administration education (SATA)
Treat potassium overload with High result kayexalate
Safe to use with potassium-sparing diuretics
Monitor for cardiac abnormalities
PO take with meals to avoid irritating GI tract / IV diluted, no push
33
Multiple organ dysfunction as a result of pathogenic organisms in the blood
Cardiogenic shock
Septic shock
Neurogenic shock
Hypovolemic shock
34
When a possible digoxin toxicity is suspected, the nurse should first....
Give digoxin as ordered to avoid shock
Assess vitals(blood pressure, heart rate)
Contact the provider to order reversal agent
Ask patients family about suspicious use of Digoxin
35
Loss of blood volume - Hemorhhage, burns, excessive diuresis, or severe vomiting or diarrhea
Cardiogenic shock
Septic shock
Neurogenic shock
Hypovolemic shock
36
Spironolactone patient education (SATA)
Report cramps, diarrhea, thirst, altered menstruation, or deepened voice
Avoid salt substitutes, monitor BP, keep a log of BP and weights
Urine may turn a bluish color
Avoid activities that require alertness
37
Patient education for Furosemide (SATA)
Avoid Garlic and Feverfew
Monitor INO and fluid levels
Eat high potassium foods(eat according to dietary plan)
Rise slowly and carefully
38
Atenolol uses
Bradycardia
Hypertension
Cardiac abnormalities
MI
39
Treatment for Hypermagnesemia
Magnesium supplements
Calcium supplements or vitamin D
Dietary sodium restriction
Hypotonic fluid, calcium gluconate
40
Atorvastatin uses
MI
Lowering LDL-cholesterol levels
Hypertension
Arrhytmias
41
Signs and symptoms for Hypermagnesemia (SATA)
Nausea, vomiting, headache
Neuro impairment and loss of deep tension reflexes
Bradycardia and alertness
Hypotension and flushing
42
Lisinopril administration considerations (SATA)
Assess BP prior to administration
Safety established for 6 years and older
Avoid grapefruit juice
Administer PO
43
Furosemide can be given if patient's Potassium level is 3.5, but not if it is 5.0
True
False
44
Nifedipine adverse/side effects (SATA)
Edema
constipation, headaches, dizziness
Hypotension, bradycardia, heart failure
Increases Digoxin levels
45
Sustained oral Nitroglycerin patient education (SATA)
Do not discontinue without contacting the provider
Take on empty stomach with 8 oz of water
Slow onset, do not crush or chew
For acute attacks
46
Patient education when taking Verapamil (SATA)
No grapefruit juice of caffeine
Increase fiber intake to prevent constipation
Contact provider if adverse side effects occur
Take with orange juice
47
Sublingual Nitroglycerin is used for...
Intermediate dosing
Acute attacks
Long term prevention
Prophylaxis
48
Hemolytic reactions can occur up to...
48 hours after administration
72 hours after administration
12 hours after administration
24 hours after administration
49
A high dose of Dopamine is used for...
Increasing blood flow to kidneys, urine output
Promoting gastric motility in absence of peristalsis
Lowering blood calcium levels
Increasing cardiac output, blood pressure
50
Propranolol uses (SATA)
Anxiety, slows heart rate
Hypertension and arrythmias
Migraines
Weight loss
51
Adverse/side effects of Lisinopril (SATA)
Cough
Headache and dizziness
Hyperkalemia
Angioedema(Swelling of the nose and/or face)
52
Most prevalent Nitroglycerin side effect
Hypotension
Rash
Severe headache
Flushing of face
53
After a hemolytic reaction has happened, the nurse should... (SATA)
Not administer any more blood for 24 h
Stop the infusion
Send back the blood for testing
Administer the right type of blood 4 h within a hemolytic reaction
54
Transdermal Nitroglycerin is used for...
Acute attacks
Intermediate dosing
Bariatric patients
Prophylaxis
55
Signs and symptoms for fluid volume excess (SATA)
Confusion
Jugular vein distension and pitting edema
Crackles
Dehydration
56
Labs for Lisinopril (SATA)
BUN
Serum bilirubin
Metabolic panel
AST, ALT
57
Which of the following patients is risk for fluid volume deficit?
Patients with heart and renal failure
Febrile patients who are vomiting and have diarhhea
Burn patients, patients that experience shock or hemorhhaging
Patient who was NPO overnight before surgery
58
Verapamil uses (SATA)
Anxiety
Hypotension
Heart rhythm
Angina
59
Signs/Symptoms of hemolytic reactions (SATA)
Fever, chills and low blood pressure
Red brown urine and renal failure
Occult blood in stool
Low back pain and flank pain
60
Colesevelam administration education (SATA)
Take with vitamin D supplements
Take with a glass of water and food
Taken orally in tablet form
Do not take it within 4 hours of taking other medications
61
Spironolactone uses (SATA)
CHF
Hypoglycemia
Edema
Hypertension
62
With septic shock, low temperature presents early and then develops into fever
True
False
63
A low dose of Dopamine is used for...
Lowering blood calcium levels
Increasing cardiac output, blood pressure
Promoting gastric motility in absence of peristalsis
Increasing blood flow to kidneys, urine output
64
Reversal agent for Digoxin
Digibind(Fab Antibody fragments)
Ammonium chloride
Naloxone(Narcan)
Mucomyst(Acetylcysteine)
65
Patient education for transdermal Nitroglycerin application (SATA)
Wear gloves when applying paste or ointment
Fold patch when removing and throw away in an open receptacle
Patient should be free of medication 10-12 h a day
Use on a hairless, clean are on skin
66
Captopril uses (SATA)
Edema
Increases urine output
Hypertension
Increases outcomes after MI
67
Acute allergic reaction. Severe reaction to an allergen such as penicillin, nuts, shellfish, or animal proteins
Hypovolemic shock
Anaphylactic shock
Neurogenic shock
Cardiogenic shock
68
Verapamil PO immediate-release can be crushed and chewed
True
False
69
Nifedipine uses (SATA)
Hypertension
Edema
Hypotension
Angina
70
Atorvastatin adverse/side effects (SATA)
GI complaints, and heartburn
Muscle or joint pain, muscle weakness
Severe myopathy and rhabdomyolysis
Headache, fatigue
71
Hold Propranolol if... (SATA)
Hypertensive
HR <60
Patient experiences anxiety
Hypotensive
72
Metabolic alkalosis causes (SATA)
High altitude
Prolonged constipation, severe vomiting
Excess sodium bicarbonate
Diuretics that cause potassium depletion
