CARDIOVASCULAR DRUGS Flashcards

1
Q

ANGIOTENSIN CONVERTING ENZYME INHIBITORS (ACE INHIBITORS)

Med Class

A

ANTIHYPERTENSIVE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

ANGIOTENSIN CONVERTING ENZYME INHIBITORS (ACE INHIBITORS)

Therapeutic Uses

A

HYPERTENSION
HF
MI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ANGIOTENSIN CONVERTING ENZYME INHIBITORS (ACE INHIBITORS)

Drug Names( suffix or prefix)

A

PRIL’
CAPTOPRIL
ENALAPRIL
FOSINOPRIL
LISINOPRIL
RAMIPRIL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

ANGIOTENSIN CONVERTING ENZYME INHIBITORS (ACE INHIBITORS)

Side Effects

A

ACE’
A - ANGIODEMA
C - COUGH
E - ELEVATED K+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ANGIOTENSIN CONVERTING ENZYME INHIBITORS (ACE INHIBITORS)

Nclex Tips / Memory Tricks

A

ACE’
A - ANGIODEMA
C - COUGH
E - ELEVATED K+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

ANGIODEMA

A

RAPID SWELLING FACE / MOUTH - DANGER TO BREATHING / AIRWAY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

ELEVATED K+ DANGEROUS WHY

A

COULD CAUSE DYSRHTYMIAS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

ANGIOTENSIN CONVERTING ENZYME INHIBITORS (ACE INHIBITORS)

Patient Education

A

REPORT SWELLING FACE / MOUTH
ORHTOSTATIC HYPOTENSION - CHANGE POSITIONS SLOWLY
AVOID K+
TAPER OFF / DO NOT STOP ABRUBPTLY (REBOUND HYPERTENSION)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

ANGIOTENSIN CONVERTING ENZYME INHIBITORS (ACE INHIBITORS)

Nursing Admin

A

MONITOR RENAL VALUES - MED CAN WORSEN KIDNEY FAILURE

TERATOGENIC - NOT SAFE DURING PREGNANCY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

ANGIOTENSIN CONVERTING ENZYME INHIBITORS (ACE INHIBITORS)

Relevant Lab Values

A

BUN 7-20
CREATININE 0.6-1.3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

ANGIOTENSIN II RECEPTOR BLOCKERS (ARBS)

Med Class

A

ANTIHYPERTENSIVE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

ANGIOTENSIN II RECEPTOR BLOCKERS (ARBS)

Therpeutic Uses

A

HYPERTENSION
HF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

ANGIOTENSIN II RECEPTOR BLOCKERS (ARBS)

Drug Names( suffix or prefix)

A

SARTAN’

LOSARTAN
OLMESARTAN
VALSARTAN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

ANGIOTENSIN II RECEPTOR BLOCKERS (ARBS)

Side Effects

A

ANGIODEMA
HYPERKALEMIA (DYSRHYTHMIAS)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

ANGIOTENSIN II RECEPTOR BLOCKERS (ARBS)

Nclex Tips / Memory Tricks

A

??

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

ANGIOTENSIN II RECEPTOR BLOCKERS (ARBS)

Patient Education

A

REPORT SWELLING FACE / MOUTH
ORHTOSTATIC HYPOTENSION - CHANGE POSITIONS SLOWLY
AVOID K+
TAPER OFF / DO NOT STOP ABRUBPTLY (REBOUND HYPERTENSION)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

ANGIOTENSIN II RECEPTOR BLOCKERS (ARBS)

Nursing Admin

A

TERATOGENIC - NOT SAFE DURING PREGNANCY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

ANGIOTENSIN II RECEPTOR BLOCKERS (ARBS)

Relevant Lab Values

A

??

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

ALPHA 2 ADRENERGIC AGONISTS

Med Class

A

ANTIHYPERTENSIVE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

ALPHA 2 ADRENERGIC AGONISTS

Therapeutic Uses

A

HYPERTENSION
OPIOID WITHDRAWAL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

ALPHA 2 ADRENERGIC AGONISTS

Drug Names( suffix or prefix)

A

NO SUFFIX

CLONIDINE
METHYLDOPA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

ALPHA 2 ADRENERGIC AGONISTS

Side Effects

A

DRY MOUTH
DROWSINESS
DIZZINESS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

ALPHA 2 ADRENERGIC AGONISTS

Nclex Tips / Memory Tricks

A

3 D’S OF CLONIDINE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

ALPHA 2 ADRENERGIC AGONISTS

Patient Education

A

REPORT SWELLING FACE / MOUTH
ORHTOSTATIC HYPOTENSION - CHANGE POSITIONS SLOWLY
AVOID K+
TAPER OFF / DO NOT STOP ABRUBPTLY (REBOUND HYPERTENSION)

HELP WITH DRY MOUTH - CHEW GUM / HARD CANDIES / OTC MOUTH MOISTURIZERS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

ALPHA 2 ADRENERGIC AGONISTS

Nursing Admin

A

COMMONLY ADMIN’D WITH TRANSDERMAL PATCH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

ALPHA 2 ADRENERGIC AGONISTS

Relevant Lab Values

A

??

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

BETA ADRENERGIC BLOCKERS (BETA BLOCKERS)

Med Class

A

ANTIHYPERTENSIVE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

BETA ADRENERGIC BLOCKERS (BETA BLOCKERS)

Therapeutic Uses

A

HYPERTENSION (BP CONTROL)
STABLE ANGINA
HF - BUT NOT ACUTE HF
DYSRHYTHMIAS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

BETA ADRENERGIC BLOCKERS (BETA BLOCKERS)

Drug Names( suffix or prefix)

A

OLOL’

ACEBUTOLOL
METOPROLOL
PROPRANOLOL
NADOLOL
ATENOLOL
CARVEDILOL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

BETA ADRENERGIC BLOCKERS (BETA BLOCKERS)

Side Effects

A

BRADYCARDIA & HEART BLOCKS
BREATHING PROBLEMS (BRONCHOSPASMS / BRONCHOCONSTRICTION - BAD FOR ASTHMA
BAD FOR HF (ACUTE SETTINGS)
BLOOD SUGAR MASKING (MASKS S/S OF HYPOGLYCEMIA)
BLOOD PRESSURE LOWERED (HYPOTENSION)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

BETA ADRENERGIC BLOCKERS (BETA BLOCKERS)

Nclex Tips / Memory Tricks

A

5 B’S OF BETA BLOCKERS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

BETA ADRENERGIC BLOCKERS (BETA BLOCKERS)

Patient Education

A

ORHTOSTATIC HYPOTENSION - CHANGE POSITIONS SLOWLY
AVOID K+
TAPER OFF / DO NOT STOP ABRUBPTLY (REBOUND HYPERTENSION)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

BETA ADRENERGIC BLOCKERS (BETA BLOCKERS)

Nursing Admin

A

CAN BE SELECTIVE (BETA 1 - 1 HEART) (BETA 2 - 2 LUNG LOBES)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

BETA ADRENERGIC BLOCKERS (BETA BLOCKERS)

Relevant Lab Values

A

??

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

CALCIUM CHANNEL BLOCKERS

Med Class

A

ANTIHYPERTENSIVE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

CALCIUM CHANNEL BLOCKERS

Therapeutic Uses

A

HYPERTENSION
STABLE ANGINA
DYSRHYTMIAS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

CALCIUM CHANNEL BLOCKERS

Drug Names( suffix or prefix)

A

DIPINE’

AMLODIPINE
NIFEDIPINE
NICARDIPINE
VERAPAMIL
DILTIAZEM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

CALCIUM CHANNEL BLOCKERS

Side Effects

A

ORTHOSTATIC HYPOTENSION
DIZZINESS
FLUSHING
HEADACHE
PERIPHERAL EDEMA
CONSTIPATION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

CALCIUM CHANNEL BLOCKERS

Nclex Tips / Memory Tricks

A

FLUIDS / FIBERS / FRUITS - FILL UP THE TOILET (HELP WITH CONSTIPATION)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

CALCIUM CHANNEL BLOCKERS

Patient Education

A

ORHTOSTATIC HYPOTENSION - CHANGE POSITIONS SLOWLY
AVOID K+
TAPER OFF / DO NOT STOP ABRUBPTLY (REBOUND HYPERTENSION)

DO NOT TAKE WITH GRAPEFRUIT JUICE (SEVER HYPOTENSION)

LEG ELEVATION / COMPRESSION - REDUCE EDMA
HELP WITH CONSTIPATION - FLUIDS / FIBERS / FRUITS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

CALCIUM CHANNEL BLOCKERS

Nursing Admin

A

??

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

CALCIUM CHANNEL BLOCKERS

Relevant Lab Values

A

??

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

DIRECT THROMBIN INHIBITORS (DTI’S)

Med Class

A

ANTICOAGULANT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

DIRECT THROMBIN INHIBITORS (DTI’S)

Therapeutic Uses

A

CLOT FORMATION
REDUCE RISK OF STROKE WHEN CHRONIC AFIB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

DIRECT THROMBIN INHIBITORS (DTI’S)

Drug Names( suffix or prefix)

A

NONE’

DABIGATRAN
ARGATROBAN
BIVALIRUDIN
DESIRUDIN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

DIRECT THROMBIN INHIBITORS (DTI’S)

Side Effects

A

??

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

DIRECT THROMBIN INHIBITORS (DTI’S)

Nclex Tips / Memory Tricks

A

??

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

DIRECT THROMBIN INHIBITORS (DTI’S)

Patient Education

A

AVOID - NSAIDS / ASPIRIN / ALCOHOL / ANTIBIOTICS
SOFT BRISTLED TOOTHBRUSH
AVOID CONTACT SPORTS
REMOVE THROW RUGS
USE ELECTRIC RAZOR

SWALLOW CAPSULE WHOLE
KEEP IN ORIGINAL CONTAINER
DO NOT ABRUPTLY STOP
DO NOT CRUSH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

DIRECT THROMBIN INHIBITORS (DTI’S)

Nursing Admin

A

??

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

DIRECT THROMBIN INHIBITORS (DTI’S)

Relevant Lab Values

A

??

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

FACTOR XA INHIBITORS

Med Class

A

ANTICOAGULANT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

FACTOR XA INHIBITORS

Therapeutic Uses

A

PREVENTS DVT’S (AFTER HIP/ KNEE REPLACEMENT)
PREVENT STROKES
MANAGE PE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

FACTOR XA INHIBITORS

Drug Names( suffix or prefix)

A

XABAN’

RIVAROXABAN
EDOXABAN
APIXABAN

54
Q

FACTOR XA INHIBITORS

Side Effects

A

??

55
Q

FACTOR XA INHIBITORS

Nclex Tips / Memory Tricks

A

??

56
Q

FACTOR XA INHIBITORS

Patient Education

A

AVOID - NSAIDS / ASPIRIN / ALCOHOL / ANTIBIOTICS
SOFT BRISTLED TOOTHBRUSH
AVOID CONTACT SPORTS
REMOVE THROW RUGS
USE ELECTRIC RAZOR

REPORT NEUROLOGICAL IMPAIRMENT (NUMBNESS / WEAKNESS / ALTERED SENSATION)

57
Q

FACTOR XA INHIBITORS

Nursing Admin

A

INCREASED RISK FOR SPONTANEOUS INTRACRANIAL BLEEDING / FORMATION OF EPIDURAL HEMATOMAS

58
Q

FACTOR XA INHIBITORS

Relevant Lab Values

A

REQUIRES LESS MONITORING (PT / INR) THAN WARFARIN

DO NOT REQUIRE MONITORING OF CLOTTING TIMES

59
Q

WARFARIN

Med Class

A

ANTICOAGULANT

60
Q

WARFARIN

Therapeutic Uses

A

SUPPRESSES COAGULATION
PREVENTS NEW CLOTS OR CURRENT CLOTS FROM GETTING BIGGER
TREATS AFIB / ARTIFICAL HEART VALVES (WHEN HISTORY OF THROMBOSIS)

LONG TERM THERAPY - DOES NOT BREAK DOWN OR DISSOLVE CLOT

61
Q

WARFARIN

Drug Names( suffix or prefix)

A

NONE’

WARFARIN AKA COUMADIN

62
Q

WARFARIN

Side Effects

A

TERATOGENIC - NOT SAFE DURING PREGNANCY

63
Q

WARFARIN

Nclex Tips / Memory Tricks

A

DURING ‘WAR’ VITAMIN K KILLS ‘WAR’FARIN

VITAMIN K IS ANTIDOTE

64
Q

WARFARIN

Patient Education

A

AVOID - NSAIDS / ASPIRIN / ALCOHOL / ANTIBIOTICS
SOFT BRISTLED TOOTHBRUSH
AVOID CONTACT SPORTS
REMOVE THROW RUGS
USE ELECTRIC RAZOR

WEAR MEDIC ALERT BRACELET
KEEP CONSISTENT VIT K INTAKE
TAKE MEDS SAME TIME EVERY DAY
FREQUENT BLOOD TESTS TO MONITOR THERAPEUTIC LEVELS

65
Q

WARFARIN

Nursing Admin

A

VITAMIN K - FOODS HIGH IN VIT K - BROCCOLI / SPINACH / BRUSSEL SPROUTS / CABBAGE

WARFARIN IS PO
HEPARIN IS IV OR SUBQ

WARFARIN WORKS SLOWLY WHILE HEPARIN WORKS FAST (TAKE BOTH UNTIL WARFARIN INR REACHES THERAPEUTIC LEVEL

66
Q

WARFARIN

Relevant Lab Values

A

PT / INR: 2-3 ?? CLARIFY THIS - THE HIGHER THE NUMBER - THE HIGHER THE CHANCE OF BLEEDING

67
Q

HEPARIN

Med Class

A

ANTICOAGULANT

68
Q

HEPARIN

Therapeutic Uses

A

PREVENTS NEW CLOTS OR CURRENT CLOTS FROM GETTING BIGGER
DVT’S
PE’S
ANGINA
MI

PROPHYLACTICALLY TO PREVENT CLOTS

69
Q

HEPARIN

Drug Names( suffix or prefix)

A

PARIN’

HEPARIN
DALTEPARIN (LOW MOLECULAR WEIGHT HEPARIN)
ENOXAPARIN (LOW MOLECULAR WEIGHT HEPARIN)

ANTIDOTE - PROTAMINE SULFATE

70
Q

HEPARIN

Side Effects

A

??

71
Q

HEPARIN

Nclex Tips / Memory Tricks

A

??

72
Q

HEPARIN

Patient Education

A

AVOID - NSAIDS / ASPIRIN / ALCOHOL / ANTIBIOTICS
SOFT BRISTLED TOOTHBRUSH
AVOID CONTACT SPORTS
REMOVE THROW RUGS
USE ELECTRIC RAZOR

WEAR MEDIC ALERT BRACELET

73
Q

HEPARIN

Nursing Admin

A

STOP INFUSION IF SIGNS OF BLEEDING

74
Q

HEPARIN

Relevant Lab Values

A

APTT 46-70 SECONDS
1.5 - 2.0 TIMES BASELINE VALUE ??

75
Q

TISSUE PLASMINOGEN ACTIVATORS (TPA)

Med Class

A

THROMBOLYTICS
FBRINOLYTICS

76
Q

TISSUE PLASMINOGEN ACTIVATORS (TPA)

Therapeutic Uses

A

CLOT BLUSTER - ACTUALLY DISSOLVES CLOTS
ISCHEMIC STROKE
ACUTE MI
PE

77
Q

TISSUE PLASMINOGEN ACTIVATORS (TPA)

Drug Names( suffix or prefix)

A

ASE’

ALTEPLASE
RETEPLASE
STREPTOKINASE
TENECTEPLASE

78
Q

TISSUE PLASMINOGEN ACTIVATORS (TPA)

Side Effects

A

MAJOR RISK FOR BLEEDING

79
Q

TISSUE PLASMINOGEN ACTIVATORS (TPA)

Nclex Tips / Memory Tricks

A

??

80
Q

TISSUE PLASMINOGEN ACTIVATORS (TPA)

Patient Education

A

REPORT SIGNS OF BLEEDING:
ABDOMINAL PAIN
COFFE GROUND EMESIS
HEMATURIA
COUGHING UP BLOOD
BLACK / TARRY STOOL

81
Q

TISSUE PLASMINOGEN ACTIVATORS (TPA)

Nursing Admin

A

NO NEW INJECTIONS
AVOID IM INJECTIONS
AVOID UNNECESSARY IV PUNCTURES
PREVENT INJURY (BED REST)
MONITOR FOR SIGNS OF BLEEDING

DO NOT GIVE IF:
ACTIVE BLEEDING
STROKE HISTORY
RECENT HEAD TRAUMA
ANEURYSMS
UNCONTROLLED HTN (>180/110)

82
Q

TISSUE PLASMINOGEN ACTIVATORS (TPA)

Relevant Lab Values

A

??

83
Q

HMG CoA REDUCTASE INHIBITORS (STATINS)

Med Class

A

ANTIHYPERLIPIDEMIC / LIPID LOWERING AGENTS

84
Q

HMG CoA REDUCTASE INHIBITORS (STATINS)

Therapeutic Uses

A

HYPERLIPIDEMIA (PRIMARY / SECONDARY)

85
Q

HMG CoA REDUCTASE INHIBITORS (STATINS)

Drug Names( suffix or prefix)

A

STATIN’

ATORVASTATIN
FLUVASTATIN
LOVASTATIN
PITAVASTATIN
SIMVASTATIN
ROSUVASTATIN

86
Q

HMG CoA REDUCTASE INHIBITORS (STATINS)

Side Effects

A

ADR -
RHABDOMYOLYSIS
HEPATIC DYSFUNCTION

87
Q

HMG CoA REDUCTASE INHIBITORS (STATINS)

Nclex Tips / Memory Tricks

A

STATINS HURT MUSCLES / KIDNEYS / LIVER
‘STAT’ - SORE MUSCLE / TOXIC LIVER (AST / ATL) / AVOID GRAPEFRUIT AND ST JOHNS / TAKE AT NIGHT

HAPPY CHOLESTEROL - WANT HIGH NUMBERS
HDL > 40

88
Q

HMG CoA REDUCTASE INHIBITORS (STATINS)

Patient Education

A

REPORT MUSCLE PAIN / WEAKNESS
TAKE IN EVENING (CHOLESTEROL PROD HAPPENS MAINLY AT NIGHT
‘STAT’ - SORE MUSCLE / TOXIC LIVER (AST / ATL) / AVOID GRAPEFRUIT AND ST JOHNS / TAKE AT NIGHT

89
Q

HMG CoA REDUCTASE INHIBITORS (STATINS)

Nursing Admin

A

CHECK LIVER FUNCTION BEFORE ADMIN FOR BASELINE (ALT/AST)

90
Q

HMG CoA REDUCTASE INHIBITORS (STATINS)

Relevant Lab Values

A

HDL - > 40
LDL - 100
TRIGLYCERIDES - < 150
TOTAL CHOLESTEROL < 200

91
Q

RHABDOMYOLOYSIS

A

MUSCLES ARE DAMAGED
MYOGLOBIN LEAKS INTO BLOOD - CAUSES KIDNEY DAMAGE

92
Q

RHABDOMYOLOYSIS S/S

A

MUSCLE PAIN
TENDERNESS
MALAISE / FEVER
INCREASED CREATININE
DARK URINE (TEA COLOR OR COKE)

93
Q

NITRATES

Med Class

A

ANTIANGINALS

94
Q

NITRATES

Therapeutic Uses

A

ANGINA (CHEST PAIN)
PREVENTS ANGINA ATTACKS
ACUTE CORONARY SYNDROME

WORKS AS A VASODILATOR - INCREASES BLOOD FLOW TO HEART MUSCLE

95
Q

NITRATES

Drug Names( suffix or prefix)

A

NITRO’ OR ‘NITRA’

NITROGLYCERIN
ISOSORBIDE MONONITRATE

96
Q

NITRATES

Side Effects

A

DO NOT TAKE WITH ED DRUGS (PHOSPHODIESTERASE)
CAUSES LIFE THREATENING LOW BP

SERIOUS S/S
DIZZINESS
LIGHTNEADEDNESS

OTHER S/S (THREE H’S)
HEADACHE
HYPOTENSION
HOT FLUSHING - FACE

97
Q

NITRATES

Nclex Tips / Memory Tricks

A

3 H’S OF NITRA OR NITRO

PHOSPHODIESTERASE - ENDS IN ‘AFIL’ (SILDENAFIL)

98
Q

NITRATES

Patient Education

A

TRANSDERMAL PATCH
ROTATE SITES
OVER HAIRLESS AREA
WEAR GLOVES

SUBLINGUAL
1 TAB / MIN - MAX 3 DOSES
NOT RELEIVED AFTER 5 MIN - CALL 911

SUBLINGUAL / BUCCAL
BUCCAL - BETWEEN CHECK / GUM
SUBLINGUAL - UNDER TONGUE
RINSE WITH H20 B/F PLACING TABLETS

KEP IN ORIGINAL CONTAINER (DARK GLASS BOTTLE)
DRY / COOL PLACE
DO NOT CHEW / SWALLOW

99
Q

NITRATES

Nursing Admin

A

IV INFUSION - RISK FOR HYPOTENSION / CIRCULATORY COLLAPSE

100
Q

NITRATES

Relevant Lab Values

A

??

101
Q

DIGOXIN

Med Class

A

GLYCOSIDE

(improve cardiac output - heart failure. slow down fast heartbeats)

102
Q

DIGOXIN

Therapeutic Uses

A

HEART FAILURE
CARDIOGENIC SHOCK
DYSRHYTHMIAS
AFIB

103
Q

DIGOXIN

Drug Names( suffix or prefix)

A

DIGOXIN

104
Q

DIGOXIN

Side Effects

A

SIGNS OF TOXICITY
GI - NAUSEA / VOMITING / DIARRHEA
VISUAL - BLURRED / YELLOW OR GREEN VISION / HALO EFFECT
NEURO - HEADACHE / DROWSINESS / CONFUSION / DISORIENTATION

105
Q

DIGOXIN

Nclex Tips / Memory Tricks

A

APICAL PULSE MUST BE ASSESSED FOR 1 MINUTE
HOLD IF < 60
CHILDREN < 70
INFANTS 90-110

APICAL PULSE LOCATION
POINT OF MAXIMAL IMPULSE (PMI)
5TH INTERCOSTAL / MIDCLAVICULAR SPACE

106
Q

DIGOXIN

Patient Education

A

??

107
Q

DIGOXIN

Nursing Admin

A

DIG TOXICITY
D - DECREASED K+ (HYPOKALEMIA < 3.5) - USUALLY FROM K+ WASTING DIURETICS (LOOP)

I - INJURED KIDNEY

G - GFR DECREASED (AKA OLD PEOPLE)

ANTIDOTE: DIGIBIND / DIGIFAB
THE ‘DIGI’

108
Q

DIGOXIN

Relevant Lab Values

A

THERAPEUTIC RANGE 0.5-2.0

AKA GREATER THAN 2 - TOXIC (2 FOR TOXIC)

109
Q

POTASSIUM CHLORIDE (KCL)

Med Class

A

CARD MISSING

110
Q

POTASSIUM CHLORIDE (KCL)

Therapeutic Uses

A

CARD MISSING

111
Q

POTASSIUM CHLORIDE (KCL)

Drug Names( suffix or prefix)

A

CARD MISSING

112
Q

POTASSIUM CHLORIDE (KCL)

Side Effects

A

CARD MISSING

113
Q

POTASSIUM CHLORIDE (KCL)

Nclex Tips / Memory Tricks

A

CARD MISSING

114
Q

POTASSIUM CHLORIDE (KCL)

Patient Education

A

CARD MISSING

115
Q

POTASSIUM CHLORIDE (KCL)

Nursing Admin

A

CARD MISSING

116
Q

POTASSIUM CHLORIDE (KCL)

Relevant Lab Values

A

CARD MISSING

117
Q

ADENOSINE

Med Class

A

ANTIARRHYTHMICS

118
Q

ADENOSINE

Therapeutic Uses

A

SUPRAVENTRICULAR TACHYCARDIA (SVT)

SVT - RAPID RHYTHM > 150/MIN

119
Q

ADENOSINE

Drug Names( suffix or prefix)

A

ADENO’

120
Q

ADENOSINE

Side Effects

A

FLUSHING
DIZZINESS
HYPOTENSION
BRADYCARDIA
CHEST PAIN / PALPITATION

121
Q

ADENOSINE

Nclex Tips / Memory Tricks

A

?

122
Q

ADENOSINE

Patient Education

A

FLUSHING
DIZZINESS
HYPOTENSION
BRADYCARDIA
CHEST PAIN / PALPITATION

123
Q

ADENOSINE

Nursing Admin

A

VALSALVA MANUEVER (PATIENT BEAR DOWN)
ADMIN AS CLOSE TO HEART AS POSSIBLE
RAPID ADMIN (1-2 SECONDS)
FOLLOW WITH SALINE FLUSH
BRIEF PERIOD OF ASYSTOLE MAY HAPPEN
(Asystole (ay-sis-stuh-lee) is when there’s no electricity or movement in your heart. That means you don’t have a heartbeat. It’s also known as flatline.)

124
Q

ADENOSINE

Relevant Lab Values

A

??

125
Q

LIDOCAINE IS WHAT TYPE OF DRUG

A

ANTIDYSRHTMIC

126
Q

WHAT DOES LIDOCAINE TREAT

A

VENTRICULAR DYSRHYTHMIAS

127
Q

EPINEPHRINE IS WHAT TYPE OF DRUG

A

adrenergic agonist

128
Q

WHAT IS EPINEPHRINE USED FOR

A

control superficial bleeding, delay local anesthetic absorption, and treat cardiac arrest and anaphylaxis

129
Q

ATROPINE IS WHAT TYPE OF DRUG

A

muscarinic agonist

130
Q

ATROPINE IS USED FOR

A

Treat and manage bradycardia by increasing the heart rate