Medications For exam 1

Question 1

Morphine role in MI

Answer 1

Relieve chest pain
Reduce anxiety
Decrease O2 demand of the heart & GI motility
Caution clients who have asthma/emphysema –> resp. depression

Question 2

Aspirin action, purpose, nurse actions in coronary artery disease

Answer 2

Action: Decrease clot formation
Purpose: prevent total blockage of coronary artery
Nursing action: Use cautiously in at risk for bleeding pts.

Question 3

Nitroglycerin action, nursing actions, side effects

Answer 3

-Action: Prevents coronary artery vasospasm & reduces pre/afterload = decreasing O2 demand
Vasodilation + lowers BP
TX: angina
-Nursing action: Pt needs to be sitting or laying down
Administer 0.4 sublingual DO NOT SWALLOW (assess BP & pain baseline)
If pain is unrelieved in 5 min call 911, or be driven to ED
Side effects: headache is common, ortho hypotension

Question 4

Beta blockers (action, nursing actions, side effects)

Answer 4

Action: Antihypertension, lowers BP, antidysrhythmic, lowers HR
Nursing action: Assess BP, hold if less than 60 bpm
Monitor: LOC, crackles, chest discomfort
Side effects: Bradycardia, hypotension

Question 5

Atropine

Answer 5

-For symptomatic bradycardia
-Raises BP
Chest pain, SOB, fatigue, cool/clammy skin, syncope
Administer 0.5 increments up to 3 mg only!!!

Question 6

Adenosine

Answer 6

For SVT: causes sinus pause then sinus rhythm
Nursing action: brachial IV access
Need to push NS bolus within 3 seconds to help med reach the heart
First dose: 6mg
Second dose: 12 mg

Question 7

Digoxin

Answer 7

Action: helps w/ cardiac rhythm like arrhythmias (AFIB)
Toxicity: headache, irritation, not eating, photosensitivity
Nursing action: assess apical pulse for 1 minute, hold if <60 bpm
Assess, resp rate & POTASSIUM LEVEL!! 3.5-5.0