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VN16 > Test 5 > Flashcards

Test 5 Flashcards

1
Q

Nursing considerations vaso - dilator

A
  • severe hypotension (take bp to check)
  • cyanide poisoning (only nitroprusside) weakness , delirium , drowsy
  • monitor pt whose taking sildenafil
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2
Q

Nursing considerations for loop diuretics

A

-monitor potassium labs (3.5-5)
-increase potassium
-monitor hearing (administer furosemide SLOWLY , rapid administering can cause ototoxicity)
-monitor glucose
-wear sunscreen
-take in morning
-assess lung sounds

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3
Q

Loop diuretic adverse effects

A

-hyperkalemia : low / slow
-bradycardia
-fatigue
-muscle twitching
Toxicity: tinnitus , dizziness , hearing changes
Hyperglycemia: increase blood sugar labs
-hypotension
-hyponatremia
-dehydration
-photosensitivity (skin , burn changes)

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4
Q

Antidote for heparin

A

Protamine sulfate

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5
Q

Antidote for warfin

A

Vitamin k

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6
Q

What is the weakest diuretic?

A

Potassium sparing diuretic , spironolactone (aldactone)

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7
Q

What is amiodarone used for?

A
  • severe dysthymia’s
  • ventricular fibrillation
  • ventricular tachycardia
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8
Q

What are nursing considerations for a client on Digoxin?

A
  • check pulse and hold med if less than 60 bpm
  • count apical pulse for full minute before administering
  • HEART FAILURE
  • atrial fibrillation
  • atrial flutter
  • toxicity: GI upset , fatigue/weakness , vision changes
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9
Q

Nursing considerations for calcium Channel blockers

A

Risk of reflex tachycardia
Avoid grape fruit juice

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10
Q

Beta blocker nursing considerations

A

No good for COPD , asthma , respiratory conditions
- lowers HR then BP

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11
Q

When is heparin used

A

When there’s a risk for clotting.
- Treat stroke , DVT , PE , and other thromboembolic disorders requiring fast anti coagulation

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12
Q

Enoxaprin administration

A

Subcutaneous
Self administer
7-10 days
Twice a day
Rotate sites

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13
Q

What are nursing considerations for heparin?

A
  • closely monitor aPTT.
  • therapeutic aPTT is 1.5-2 times baseline.
  • monitor for bleeding ( coffee ground emesis, tarry stools )
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14
Q

What are nursing considerations for Enoxaprin?

A

Monitor HGB , HCT , and CBC platelets

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15
Q

What are nursing considerations for a client on an ACE inhibitor?

A

Electrolyte imbalance , angioedema , hyperkalemia

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16
Q

What are nursing considerations for a client on aspirin?

A

Do not use in patients with peptic ulcer disease or bleeding disorders
- monitor for salicylism ( tinnitus , vomiting/diarrhea , respiratory alkalosis)
- do not give to children w fever , can cause Reye’s syndrome

Abdominal pain
Salicylism
Peptic ulcer
Intestinal blood loss
Reye’s syndrome
Itch rash
Noise (tinnnitus)

17
Q

Nursing considerations for a client on clopidrogel

A

Assess for bleeding , monitor EKG and vital signs for -abciximab : bleeding , hypotension , dysrhythmias

Clopidrogel : bleeding , GI upset and rash

18
Q

Nursing considerations for Anti coagulants

A

PT , INR , aPTT , vitamin K

19
Q

Nursing consideration for beta blocker

A
  • bradycardia : less than 60 bpm
  • bottom out BP
    -bronchorestriction
  • blood sugars can mask hypoglycemia symptoms
20
Q

Manifestations for Hypokalemia

A

-anorexia
-nausea/vomiting
-muscle twitching
-depression
-confusion
-bradycardia
-impaired thought process
-drowsiness

21
Q

Manifestations for Hyperkalemia

A

-irritability
-anxiety
-confusion
-muscle cramps
-numbness/tingling
-nausea
-diarrhea
-cardiac arrhythmias
-flaccid paralysis

22
Q

Nursing considerations for a client on thiazide

A

Hyperkalemic: low , slow . Fatigue , bradycardia
- chemically similar to sulfamides: watch and ask about allergy
- older the client , risk of toxicity

23
Q

Nursing considerations for amiodrone

A
  • no grapefruit juice
  • hypotension , bradycardia , pulmonary toxicity , liver toxicity , thyroid dysfunction
24
Q

Nursing considerations for potassium sparing diuretic

A

-gynecomasia : enlarged breast in men
- menstrual issues
- sexual dysfunction
- weakest
- also done w thiazide

  • hyperkalemia: tall T waves , numbing/tingling in extremities, dysthymia’s , increased BP , muscle cramps

VN16 (4 decks)

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