summer final Flashcards
how would a nurse assess for adequate cardiac output?
pulse, cap refill, pallor, sensation, blood pressure
what are the effects of positive inotropic medications?
increased force of contraction
clients should receive education to avoid what type of over the counter medication when taking beta blockers?
decongestants
which lab is important to monitor when administering an “Ace” inhibitor?
potassium- d/t K+ sparing effects
what side effect can an “Ace” inhibitor cause that is irritating to clients?
dry cough
which organ should be monitored while taking flecainide?
liver
digoxin works to. . .
increase myocardial contractility
which vital sign is a priority to assess with digoxin?
pulse
what should a nurse teach a client to avoid when taking digoxin?
bran/fiber d/t decrease in absorption
therapeutic level of digoxin
0.125-0.5 mg/day
what signs and symptoms would alert a nurse that digibind needs to be given?
hyperkalemia, bradycardia, OD (more than 10mg in adults, 4mg in children)
what medication is commonly used for angina?
metoprolol
what s/s occur when a client ingests alcohol and takes antabuse?
sweating, violent vomiting, h/a, sob, tachycardia, vertigo, confusion
which medication would help a client reduce cravings for alcohol?
naltrexone (ReVia)
what medication could cause a potentially lethal issue?
large doses at once can produce a high, which is usually a lethal amount
how would a nurse recognize s/s of withdrawal in a client who has been taking lorazepam and has now stopped?
agitation, GI upset/cramps, insomnia, seizure activity
how would the nurse treat OD in a client taking lorazepam?
flumazenil (Romazicon) administered IV- onset 1-2 min with full effects in 6-10. Repeat after 20 mins if needed
what dietary restrictions are indicated with the use of lorazepam?
grapefruit juice
what is the therapeutic level of lithium?
- long-term: 0.6-1.2
- acute manic phase: 1.0-1.5
how often should a lithium level be drawn?
every 1-3 months for the duration of therapy
what foods should be avoided when taking MAOI’s
foods with tyramine (herring, salami, smoked fish, cheese, beer, wine
what assessment findings would be concerning in a client taking MAOI’S
hypertension, orthostatic hypotension, n/v, dry mouth, occipital h/a (hypertensive crisis when taken with tyramine)
what are the S/S of serotonin syndrome?
- mild: HTN, agitation, tachycardia, tremors, diarrhea
- severe: muscle rigidity, diaphoresis, fever, seizures
what black box warning should be noted with SSRI’s?
- use w caution w impaired liver/kidney function
- do not use St. John’s Wart d/t increased risk for serotonin syndrome
why should patients with cardiac history avoid tricyclic antidepressant?
anticoagulants d/t increased bleeding potential
