Heart Meds

Question 1

Nitroglycerin: Action

Answer 1

Decreases Preload = venous dilation, decrease blood volume and pressure in the heart

Decreases workload and O2 need the heart

Decreases Afterload: decreases systolic and workload due to arterioldilation

Question 2

Nitroglycerin: Routes

1. SL, chew tablets, transmucosal spray
2. PO sustained release tables and transdermal ointment
3. IV

Answer 2

1. Rx sudden onset angina
2. Manage and prevent chronic angina but chest pain isn’t relieved
3. Reduce preload and Afterload in severe heart failure, rx mi and manage angina unresponsive to the other routes, only route approved for kids

Question 3

Nitroglycerin: a/e

Answer 3

Headache and hypotension

Question 4

Patient Teaching: Nitro

If nitro doesn’t relieve pain when should I call 911?

Answer 4

3 SL tablets or oral sprays 5 min apart if it doesn’t relieve chest pain

Question 5

Patient Teaching: Nitro

My nitro gives me headaches and makes me dizzy.

Answer 5

It’s temporary keep taking meds and it should stop. You can take acetaminophen.

Question 6

Patient Teaching: Nitro

What assessment should be done pre-admin

Answer 6

B/p

Question 7

Digoxin (Lanoxin): Rx

Answer 7

Heart Failure

A-Fib and flutter

Question 8

Digoxin (Lanoxin): How does it treat heart failure?

Answer 8

Increases contractility and it’s force. Increases heart rate

Question 9

Digoxin (Lanoxin): Action for Atrial Dysrithmias

Answer 9

Decreases ventricular contraction

Question 10

Digoxin (Lanoxin): Therapeutic serum level

Answer 10

0.8-2.0

Question 11

Digoxin (Lanoxin): A/E

Answer 11

Very slow or rapid ventricular rhythm
Blurred vision
Mental changes

Question 12

Digoxin (Lanoxin): Pre digoxin admin assesments

Answer 12

Count pulse for full min

Question 13

Propranolol Hydrochloride (Indernal): Class and Action

Answer 13

Beta blocker

Reduces frequency and severity of acute angina like attack

Question 14

Propranolol Hydrochloride (Indernal): Action

Answer 14

Decreases cardiac workload and o2 needs of the heart

Question 15

Propranolol Hydrochloride (Indernal): a/e

Answer 15

Edema
Slow pulse
Confusion
Depression

Question 16

Quinidine: Action and RX

Answer 16

Action: reduces automaticity, slows cardiac system conduction, prolongs refractory periods of myocardial cells

RX: atrial Dysrithmias and ventricular tachycardia’s

Question 17

Quinidine: A/E

Answer 17

Conduction disturbance, heart block and hypotension

Vision changes

Question 18

Quinidine: What happens if I skip or prolong a dose?

Answer 18

You can loose control of your heard

Question 19

Nitroglycerin: Rx

Answer 19

Manage and prevent acute chest pain caused by sudden onset angina