Hyperglycemia medications

Question 1

Metoprolol succinate

Answer 1

Anti-anginal, antihypertensive beta blocker
-take apical pulse, hold if bpm less than 50
-blocks beta 1 receptors decreasing BP, HR, and frequency of angina attacks
-decreases mortality in pts with HF
15min//unknown//6-12hr
-Fatigue, weakness, bradycardia, heart failure, pulmonary edema ,erectile dysfunction
-monitor BP, vitals, Intake/output ratios, daily wt
-assess for signs of heart failure

Question 2

Simvastatin

Answer 2

Lipid lowering agent
-slows progression of CAD and lowers high cholesterol (slightly raises HDL)
Unknown/1-2hr/unknown
-should be given in evening
-asthenia. Headache, abdominal pain, constipation, diarrhea, dyspepsia, flatulence, nausea, upper respiratory tract infection
-should be given in evening
-expect lowering of LDL and raising of HDL

Question 3

Nitroglycerine

Answer 3

vasodilator

• for angina
• reduces cardiac oxygen demand and increases blood flow by dilating coronary arteries
• give at first signs of attack
• assess pain before and after administration.systolic over 100 and apical over 50
• monitor BP and other vitals, intensity and duration of drug response
• pt may have tingling and if so can hold dose in cheek
• headache, dizziness, syncope, weakness, orthostatic hypotension, tachycardia, flushing, palpitations, nausea, vomiting, cutaneous vasodilation, rash

Question 4

Humulin R

Answer 4

need independent check while syringe is in bottle of sliding scale and draw up
antidiabetic hormone
-for hyperglycemia r/t DM
-lowers blood glucose by stimulating glucose uptake while inhibiting liver production of glucose. enhances protein synthesis
30-60min/2-4hr/5-7hr
-monitor blood glucose
-hypoglycemia and anaphylaxis

Question 5

Potassium

Answer 5

Max rate of 10mEq/100mL

• max concentration of 10/100
• take BP and apical pulse (rate and rhythm)
• double check pump