Answer:
-(quinidine) take w/ meals DO NOT
crush/chew
-(procainamide) admin evenly spaced intervals around the clock DO NOT
crush/chew
-(amiodarone) inform s/s lung injury
-(amiodarone) warn pt s/s HF & liver injury
QUESTION
quinidine: baseline data to obtain?
,Answer:
ECG & lab evaluation of liver fxn & BP
QUESTION
lidocaine use?
Answer:
acute management of ventricular dysrhythmias
QUESTION
amiodarone use?
Answer:
-a fib
-ventricular fibrilation
-unstable ventricular tachycrdia pts. not responded to safer drugs
QUESTION
propranolol black box warning?
Answer:
Avoid abrupt withdrawal
QUESTION
propranolol priority teaching points?
Answer:
QUESTION
What are HMG-CoA reductase Inhibitor (statins) used for?
Answer:
, -hypercholes- terolemia (elevated LDL)
-reduce risk of CV events
QUESTION
when are statins most effective?
Answer:
in the evening
QUESTION
statins adverse effects?
Answer:
-headache
-rash
-memory loss
-GI disturbances
-hepatotoxicity(rare)
-myopathy(rare)
QUESTION
Statin nursing considerations?
Answer:
-monitor for liver damage and myopathy
-mon. cholesterol levels
-caution in pts. w/ nonalcoholic fatty liver disease & those consuming alc to excess
& taking fibrates/ezetimibe
QUESTION
statin pt. edu?
Answer:
-take w/ evening meal(lovastatin)
, -inform risk of myopathy (notify if unexplained muscle pain/tenderness
-warn pregnant pts. about fetal harm
Answer:
pts. w/ hepatic impairment (bioavailability is increased)
QUESTION
What is hyperlipidemia?
Answer:
high levels of lipids in the blood (high cholesterol)
QUESTION
common drug used for lowering LDL cholesterol?
Answer:
statins
QUESTION
colesevelam (welchol) patient teaching?
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