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Module 7 (Critical Care) > Exam 2 Pharmacology > Flashcards

Exam 2 Pharmacology Flashcards

Furosemide, heparin, lisinopril, meropenem, metoprolol, thiamine, nicardipine, and dobutamine

1
Q

Furosemide MOA

A

given to help treat fluid retention (edema) and swelling

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2
Q

Furosemide given for

A

congestive heart failure, liver disease, kidney disease, or other medical conditions.

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3
Q

Furosemide expected outcomes

A

decreased edema, improved breathing, and relief from symptoms associated with fluid overload

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4
Q

Furosemide adverse effects

A

tinnitus
blurred vision
hematuria
confusion
constipation
diarrhea

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5
Q

Furosemide contraindications

A

low BP
DEHYDRATION
Addison’s
diabetes

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6
Q

Furosemide type of

A

loop diuretic

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7
Q

Furosemide should be gven with

A

K

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8
Q

Heparin is what type

A

anticoagulant

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9
Q

Heparin MOA

A

makes blood

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10
Q

Heparin monitor for

A

PTT 60-100
INR 2-3

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11
Q

Heparin onset

A

fast onset

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12
Q

Heparin needed for

A

deep vein thrombosis (DVT) and pulmonary embolism (PE) as well as atrial fibrillation (AF).

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13
Q

Heparin expected outcomes

A

Prevention or resolution of blood clots

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14
Q

Heparin adverse effects

A

easy bruising and bleeding
hemoptysis
vomiting
dizziness
HA
NOSE BLEEDS
THROMBOCYTOPENIA
AND swelling

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15
Q

lisinopril type of drug

A

ACE

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16
Q

lisinopril MOA

A

block the production of a hormone called angiotensin II. This is a hormone that typically increases blood pressure
- treats high blood pressure, heart failure

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17
Q

lisinopril expected outcomes

A

lowers your blood pressure and makes it easier for your heart to pump blood around your body. This can improve the symptoms of heart failure. In diabetic kidney disease, it helps to protect your kidneys and slows down the disease.

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18
Q

lisinopril adverse reactions

A

dry cough gets worse
dizzy
orthostatic hypotension
HA
vomiting
diarrhea
blurred vision

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19
Q

lisinopril monitor

A

monitor BP
water retention and SOB
EKG

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20
Q

MEROPENEM type

A

intravenous carbapenem antibiotic

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21
Q

MEROPENEM MOA

A

inhibition of cell wall synthesis.

22
Q

MEROPENEM expected outcomes

A

fight the infection and

23
Q

MEROPENEM nursing actions

A

extravasation.
Observe for signs of renal, hepatic, or haematological dysfunction.
Observe for skin rashes.
Measure urine output.
Feb 7, 2020

24
Q

MEROPENEM adverse reactions

A

increase liver enzymes
thrombocytosis

25
Q

Metoprolol should not be given if

A

HR is less than 60

26
Q

Metoprolol type

A

beta blocker

27
Q

Metoprolol tx

A

high BP
chronic chest pain
survival after heart attack

28
Q

Metoprolol MOA

A

decreases the workload of the heart by slowing the contractions

29
Q

Metoprolol expected outcomes

A

lower blood pressure to a healthy level

30
Q

Metoprolol adverse effects

A

tired
dizzy
chest pain
alow irregular heartbeat
numbness

31
Q

Metoprolol nursing considerations

A

increase risk of hypoglycemia
vital signs and ECG every 5 – 15 minutes during and for several hours after parenteral administration

32
Q

Thiamine type

A

B1 vitamin

33
Q

Thiamine tx

A

dietary supplement in patients with GI disease,
alcoholism or cirrhosis
- treats beriberi - thiamine deficiency
- prevents Wernicke’s encephalopathy
- given to alcoholics

34
Q

Thiamine MOA

A

carbohydrate metabolism

35
Q

Thiamine expected outocomes

A

strengthen the immune system and improve the body’s ability to withstand stressful conditions

36
Q

Thiamine adverse effects

A

with large
doses or IV administration
- restlessness, weakness, respiratory distress
- vascular collapse, GI bleed, hypotension

37
Q

Thiamine nursing considerations

A

not for pregnant or plan to become pregnant
- nutrition
- caution with diagnosed with Wernicke’s encephalopathy

38
Q

Thiamine rich foods

A

whole grain
cereal
meat
frech veggies

39
Q

Nicardipine type

A

Calcium channel blockers

40
Q

Nicardipine tx

A
41
Q

Nicardipine MOA

A

lowers blood pressure by relaxing the blood vessels so the heart does not have to pump as hard. It controls chest pain by increasing the supply of blood and oxygen to the heart.

42
Q

Nicardipine expected outcomes

A

high blood pressure and to control angina (chest pain)

43
Q

Nicardipine adverse effects

A

HF
dizzy
HA
blurry
chest pain
fatigue
wheeze
lower back pain
cold feet and hands

44
Q

Nicardipine nursing considerations

A

Monitor BP and pulse, ECG, I&O, WT
PERIPHERAL EDEMA, CRACKLES, DYSPNEA, WT GAIN, JVD

45
Q

Dobutamine class

A

inotropic agents

46
Q

Dobutamine MOA

A

myocardium through binding and activating the beta-1 receptors selectively.
- VASODILATOR

47
Q

Dobutamine tx

A

coronary revascularization, mechanical circulatory support, or heart transplant
- acute tx of congestive heart failure

48
Q

Dobutamine expected outcomes

A

Increase in cardiac output. Improved hemodynamic parameters. Increased urine output

49
Q

Dobutamine adverse effects

A

nausea, headaches, chest pain, palpitations, and shortness of breath.

50
Q

Dobutamine nursing considerations

A

Observe IV site closely and avoid extravasation. Dobutamine can cause inflammatory response and tissue ischaemia.
Monitor for adverse reactions.
Continuous blood pressure monitoring.
Continuous cardiorespiratory monitoring.
Document vital signs hourly and PRN.
Monitor fluid balance.

Module 7 (Critical Care) (22 decks)

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