Cardiac medications

Question 1

what are the goals when giving cardiac medications to our clients

Answer 1

obtaining a balance between workload of the heart, BP, HR, and fluid balance.

Question 2

what is the generic name of the loop diuretic

Answer 2

Furosemide

Question 3

How does a loop diuretic work?

Answer 3

works at the loop of Henle to decrease the reabsorption of sodium and chloride; therefore, creating large amounts of solute-rich urine.

Question 4

loop diuretics are the main treatment for…

Answer 4

hypertension

Question 5

the overexpression side effects of loop diuretics are…

Answer 5

electrolyte imbalance (hyponatremia+hypokalemia), arrhythmias, hypotension and associated symptoms

Question 6

why can loop diuretics cause arrhythmias

Answer 6

because of the imbalance with potassium

Question 7

what are the outcomes of taking loop diuretics? (3)

Answer 7

good BP, decreased edema, increased output

Question 8

why do you want to give Furosemide in the AM

Answer 8

because it causes voiding, dont want to be up all night to go to the bathroom- fall risk

Question 9

what reading of blood pressure would make you stop and think before giving the loop diuretic

Answer 9

100/60

Question 10

this medication allows calcium to enter the myocardial cells which increases contractility and increases cardiac output, and decreases the heart rate= stronger slower beat

Answer 10

Digoxin

Question 11

what is the therapeutic window for Digoxin

Answer 11

0.8-2.0 ng/ml

Question 12

what are the indications of cardiac glycosides(digoxin)

Answer 12

to manage the heart rate, manage heart rhythm with arrhythmias, also used to manage congestive heart failure

Question 13

overexpression side effect of digoxin

Answer 13

bradycardia- fatigue

Question 14

3 nursing considerations for cardiac glycosides

Answer 14

HR- below 60 stop and think.
signs of digitoxicity
teach signs of digitoxicity

Question 15

signs and symptoms of digitoxicity

Answer 15

halo around lights, blurred vision, bradycardia

Question 16

generic name of beta blockers

Answer 16

Metropolol

Question 17

how do beta blockers work

Answer 17

block receptors that would normally accept epinephrine and norepinephrine, decreasing HR and BP.

Question 18

3 indications of beta blockers (reason to give)

Answer 18

manage heart rate, hypertension, given post MI

Question 19

what are the overexpression side effects of Metoprolol

Answer 19

bradycardia and hypotension

Question 20

nursing considerations of beta blockers

Answer 20

check BP and HR before giving (what is the baseline for this patient)

Question 21

this medication interferes with platelet aggregation to decrease the potential for clots

Answer 21

antiplatelet- Aspirin

Question 22

what is the overexpression side effect of antiplatelets

Answer 22

bleeding

Question 23

what is the indication to take an antiplatelet

Answer 23

having cardiac risk factors

Question 24

what should nurses consider when administering Aspirin

Answer 24

talking with the client to see if any risk factors are modifiable