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18 Cards in this Set
- Front
- Back
- 3rd side (hint)
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procainamide (Pronestyl)
some side effects |
diarrhea, n/v, HF
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'cain' to the gut, now you have dia., n/v, and you feelings are hurt so you have HF
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Ventricular dysrhythmias
primary meds |
1st-line: Lidociane
then: Pronestyl, amiodarone, Mg sulfate |
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Lidocaine
adverse reactions |
*Heart block
*Neuro changes -paresthesia, numbness, euphoria, disorientation, agitation |
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digoxin
2 adverse reactions |
seeing green-yellow halos
GI disturbance |
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Quinidine
unique adverse effect |
blood dyscrasias
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Pronestyl
unique adverse effects |
-lupus-like reactions
-severe hypotension -cardiac arrest |
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Sodium Nitroprusside
Nursing implications |
-cover bag with aluminum wrap (light sensitive)
-assess for cyanide toxicity -take frequent VS |
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Quinidine
administration considerations |
-no double dosing (after 2 hrs missed dose)
-take on empty stomach -with full glass of water |
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disopyramide (Norpace)
side effects |
-urinary retention
-tachy- & bradycardia -hypotension *CONTRAINDICATED with glaucoma |
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Adenosine
side effect |
transient dyspnea
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propafenone (Rhythmol)
side effects |
-blurred vision
-dizziness |
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Diltiazem (Cardizem)
nursing implications |
-take before meals and before bed
-notify MD if SOB, irreg HB, dizziness, nausea, constipation |
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nicadipine (Cardene)
side effects |
peripheral edema, hypotension, tachycardia, mental depression
*can exacerbate angina |
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2 days post-Acute MI
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1st - v O2 demand
which will v pain which will v cardiac dysrhythmias |
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lidocaine
action |
v electrical sensitivity of heart
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Digitoxin plus HCTZ
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hypokalemia
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Prinzmetal angina (i.e. angina at rest)
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v workload (i.e. CCC)
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amiodarone (Cordarone)
onset side effects |
1-3 week onset
-fatigue, cough, pleuritic pain -photosensitivity -GI distress |
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