Digoxin (Lanoxin) - positive inotrope (increases force of contraction); negative chronotrope (decreases heart rate). How do you assess for this? - ANS Always take apical pulse for one full minute
Client with a long hx of daily digoxin and fourosemide (Lasix) use; creates a high risk for ...
Digoxin (Lanoxin) - positive inotrope (increases force of contraction); negative chronotrope
(decreases heart rate). How do you assess for this? - ANS Always take apical pulse for
one full minute
Client with a long hx of daily digoxin and fourosemide (Lasix) use; creates a high risk for dig
toxicity because - ANS Lasix can cause hypokalemia, which can lead to dig toxicity
What can happen when Digoxin is taken with Dronedarone (Multaq), which is another
anti-dysrhythmic drug)? - ANS Digoxin can increase in the blood level and further increase
the effects
What is the normal digoxin level? - ANS 0.5-2 ng/mL
Normal serum potassium level is - ANS 3.5-5.0 mEq/L
Low potassium or magnesium levels may increase risk for - ANS Digoxin toxicity
What are the signs and symptoms for digoxin toxcitiy? - ANS anorexia, bradycardia,
headache, dizziness, confusion, nausea, and visual disturbances such as blurred, yellow, or
halo vision.
When should you hold off on giving digoxin drug therapy? - ANS if apical pulse is less than
60
What effects do Calcium channel blockers (-dipine; amlodipine (Norvasc), nifedipine (Procardia)
cause - ANS produce vasodialation and reflex tachycardia
(lowers BP but increases HR)
Verapamil and diltiazam produce - ANS vasodialation and cardiosuppresssion (lowers BP
and Lowers heart rate)
Beta blockers have the drug ending - ANS -OLOL such as atenolol, propanolol, esmolol,
ect.)
Beta 1 blocks receptors in the - ANS heart
, Beta 2 blocks receptors in the - ANS lungs
Beta blockers can be non selective so be aware of any - ANS respiratory conditions such
as asthma, emphysema COPD, ect.
A nurse should always check _____ and _____ before giving a beta blocker - ANS AP and
BP
do not give if HR is below 60
never stop abruptly
Why do you never stop taking a Beta BLocker abruptly - ANS Must taper because angina
or MI can orccur
When would a nurse hold HTN medication Labetalol? - ANS A patient with a low pulse
rate.
Side effect of Labetalol (beta blocker) is - ANS weight gain / fluid retention
montioring weight is one of the best indicators of loss/gain
1kg is equivalent to 1,000 mL
It is important to assess _____ when taking a beta blocker such as Labetalol - ANS
pulmonary
is it OK to give nitroglycerin to a patient who is hypertensive? - ANS Yes
If an ICU patient on a nirto drip becomes hypotensive what immediate action should the nurse
take? - ANS titrate (decrease the rate) of the nitro drip.
This drug is used for a rapid diuresis in emergencies to decrease pulmonary edema - ANS
Furosemide (Lasix) a loop diuretic
Furosemide (Lasix) can cause - ANS hypokalemia
When taking furosemide (Lasix) a nurse should assess for what signs of hypokalemia? - ANS
muscle cramps and muscle weakness
Hypotension
F/E abnormalities
dehydration
Side effects with aminoglycosides (-mycin drugs) - ANS dizziness
head ache
tinnitus
N/V/D
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