Arrhythmias, CHF, Angina: Nursing Considerations

Question 1

• Monitor apical heart rate/rhythm
• Close monitoring of ECG
• Evaluate for hypotension and
  bradycardia.

Answer 1

Cardiac Arrhythmia

Question 2

• Assess potassium - normal potassium level 3.5 – 5.0
• Assess serum digoxin drug level, s/s digoxin toxicity
• Apical Heart Rate for full 60 seconds prior to administration. Hold drug if less than 60 beats per minute.
• Teach-s/s toxicity, how to check heart rate and to contact provider if less than 60.
  o Assess for drug interactions.

Answer 2

Cardiac Glycosides (digoxin)

Question 3

• Assess chest pain before/after meds, for potential contraindications, BP after each dose,
• Notify provider if you administer in a clinical setting.
• Teach-never swallow only SL, sit down when they take it, call 911 after 1 dose, protect from light, serious interaction with erectile dysfunction meds (hypotension)
• Hold if patient has taken erectile dysfunction meds- within last 24 hours.

Answer 3

Nitrates