Test 6 Flashcards
Which drugs do you avoid grapefruit juice with
Amiodarone, verapamil, diltiazem
Effect of beta blockers on diabetics and the absorption of insulin
Enhances effect of hypoglycemias, can increase blood glucose
Which medications treat bradycardia
Atropine, epinephrine, dopamine
Therapeutic level of digoxin when a trough level is drawn
0.5-2 ng/ml
Antidote for digoxin
Digibind
Signs and precautions of amiodarone toxicity
Blurred vision, rashes, photosensitivity, n/v, dizziness, pulmonary toxicity
Increases digoxin toxicity by 70%
Signs and precautions of digoxin toxicity
Dysrhythmias caused by hypokalemia
Education on dysrhythmias treatments
BP meds can cause hypotension
Beta blockers masks hypoglycemia for those insulin
No statins with calcium channel blockers
Nursing interventions for patients on blood thinners
Monitor for bleeding and vital signs, hold pressure
Atelpase= bed rest, no injections
Plavix= stop before surgery
Warfarin/Coumadin= monitor PT/INR Avoid vitamin K and protein supplements and garlic
Normal levels of cardiac markers- Troponin/BNP
BNP- <100
Troponin- 0-0.4
Why should patients with chronic or acute lung conditions not take a beta blocker
Can reduce lung function, bronchospasm
Adverse effects of hypertension meds
Cough, headache, dizziness, orthostatic hypotension, hyperkalemia, angioedema
What foods/meds to avoid while taking blood thinners
Garlic, vitamin k supplements, protein supplements
Do not give with an epidural
What conditions can lead to heart failure
Mitral stenosis, MI, HTN, coronary artery disease, DM
What action to take when med error occurs with anti-dysrhythmic med
Monitor VS, continuous EKG, vasopressor for hypotension, atropine for bradycardia
