Htn Meds (VN16)

Question 1

Digoxin

Answer 1

USE:
HF, AFIB, A flutter

K,H,K
-Toxicity (n/v, visual changes, fatigue and weakness) check apical pulse for a full minute and hold if <60, check digoxin levels 0.8-2

ANTIDOTE- DIGIBAND

RISK FOR TOXICITY
-Also on loops/thiazides (decrease the potassium levels)
-The older the client the higher risk of toxicity
-if takes st. Johns wort

Question 2

Anti-arrhythmics
CLass 1

Answer 2

sodium channel blocker
EXAMPLES
-lido-caine
-pro-cain amide

USE (given IV)
Hf, life-threatening dysrhythmias

K,H,K
-leukopenia
-thombopenia (monitor cbc)
-prolonged use can cause ANA (autoimmune response) -body fights itself

Normal Level 4-8

Question 3

Beta blockers are class 2

Question 4

K channel blockers
Class 3

Answer 4

EXAMPLE
Amiodarone

Use (LAST RESORT)
VFIB, VTACCY

K,H,K
-pulmonary toxicity (SOB, dry Cough)
-liver toxicity
-thyroid disfunction (bluish tone of skin, rash)

To do for toxicity:
Thyroid labs
LFTs
Chest X-ray

Question 5

Class 4 or calcium channel blockers