NSG 318 Topic 8/9 Drugs Part 1 of NSG Exam 3 Drugs
Questions With Complete Solutions
Besides Heparin, what other drug can uses Protamine Sulfate as
an Antidote? Correct Answer Enoxparin
Cautions for Nitroglycerin? Correct Answer Renal/Hepatic
Disease, Acute MI, Hypovolemia
Head Trauma, Pregnancy, Breastfeeding
Do you need to assess labs for Enoxaparin like Heparin?
Correct Answer No, labs do not increase PT or PTT
How could you tell if Hydrochlorothiazide is effective? Correct
Answer Urination should be increased from their normal levels
(could indicate renal system failing, nonadherence, or
underhydration if not)
How do Beta 1 Blockers work? Correct Answer Blocks Beta
receptors in the Heart causing:
1. Decrease HR
2. Decrease Force of Contraction
3. Decrease Rate of AV Conduction
How does digoxin work? Correct Answer Inhibit sodium
potassium ATPase
- Slows heart but makes each contraction moreeffective
How does Diltiazem work? Correct Answer Inhibits the
transport of calcium ions to the myocardial cells?
,How does furosemide work? Correct Answer Inhibit sodium
and water reabsorption from Loop of Henle and Distal Renal
Tubules
How does Prazosin Hydrochloride work? Correct Answer
Dilates peripheral blood vessels by blocking alpha-adrenergic
receptors
causes workload and BP to decrease
How does Spironolactone differ from other diuretics? Correct
Answer Promotes sodium and water excretion while retaining
potassium
How does Valsartan work? Correct Answer It is a potent
vasodilator that inhibits binding of Angiotensin II
Important teaching regarding Vitamin K foods and Warfarin?
Correct Answer Do not change their Vitamin K intake as their
dosage is based on what they are currently eating
Important thing to do before administering Digoxin? Correct
Answer Get Apical pulse for a full 60 seconds
- It should not be less than 60BPM
Is it okay to take food with Warfarin? Correct Answer Yes,
food may slow it but does not affect the effect
Is Prazosin Hydrochloride highly protein bound? Correct
Answer Yes
, S/S of someone who may have a hemorrhage d/t Heparin
Correct Answer Increase HR and Low Systolic BP
Side Effects for Digoxin Correct Answer CNS effects
GI distress
Blurred or yellow vision
Side effects for Nitroglycerin? Correct Answer Headache,
hypotension, palpitations, dizziness, reflex tachycardia,
nausea/vomiting, postural syncope, diaphoresis, sublingual
burning
What adverse effect are you worried about with Alteplase?
Correct Answer Anaphylactic reaction (although it is rare)
What are adverse effects of Nitroglycerin? Correct Answer
Orthostatic HoTN, Tachycardia, Paradoxical bradycardia
What are adverse effects with Heparin? Correct Answer
Bleeding, Anemia
What are CA channel blockers actions? Correct Answer
Decrease Contractility & Conductivity of the Heart =
Decrease demand for oxygen
What are CAM interactions with Diltiazem? Correct Answer St
John's Wort/Ginseng = decrease effect of diltiazem
Garlic/Hawthorn = Increase HoTN effect
What are contraindications for Atenolol? Correct Answer
Pregnancy and Lactation
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