Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
51 Cards in this Set
- Front
- Back
|
A class III antidysrhythmic drug used to treat life-threatening ventricular dysrhythmias that do not respond to the first-line drugs such as lidocaine.
|
amiodarone (Cordarone)
|
|
|
The client should have continuous electrocardiographic (ECG) monitoring, and the medication should be infused through an IV pump
|
amiodarone (Cordarone)
|
|
|
Fatal gasping syndrome is a side effect of this drug.
*oxygen therapy should be available |
amiodarone (Cordarone)
|
|
|
This drug is associated with life-threatening ventricular dysrhythmias and a high degree of safety is required for its administration
|
amiodarone (Cordarone)
|
|
|
This medication must be infused via the manufacturer specified tubing. The polyvinyl chloride in regular tubing will absorb (leech out) the medication
|
Intravenous (IV) nitroglycerin (Nitrostat)
* Also stable in a glass bottle for 24 hrs. |
|
|
This medication may cause a wide range of side effects and adverse reactions including diarrhea, nausea, vomiting, and heart failure. The nurse should conduct a baseline assessment before administration of the medication
|
procainamide (Pronestyl)
|
|
|
Good drugs for new, multiform premature ventricular contractions (PVCs)...
*Hint: antidysrhythmic agents |
lidocaine (Xylocaine)
procainamide (Pronestyl) amiodarone (Cordarone) magnesium sulfate (generic) |
|
|
When a medication error happens that could or did cause client harm nurses are required to...
|
Complete an incident report and notify the prescriber.
|
|
|
Because of the risk of error, nurses only accept verbal orders...
|
in emergency situations when it would not be expedient for the prescriber to take the time to write the order. The most appropriate person to write the order is the one who gave it directly
|
|
|
Antacids such as aluminum hydroxide often...
|
Interfere with the absorption of other medications. For this reason, antacids should be separated from other medications by at least 1 hour.
|
|
|
Lidocaine can cause:
|
Heart block
Neurological changes *Also: paresthesias, numbness, disorientation, euphoria, and agitation |
|
|
The nurse should monitor a client receiving lidocaine (Xylocaine) for:
|
ECG changes and neurological changes.
Lidocaine can also cause paresthesias, numbness, disorientation, euphoria, and agitation. |
|
|
A potent vasodilator that reduces both preload and afterload is...
* i.e. for acute pulmonary edema |
Sodium nitroprusside (Nipride)
*results in redistribution of central circulating volume to the periphery and decreased volume of blood returned to the heart. |
|
|
This drug must be administered via infusion pump and protected from light with an aluminum wrap around the infusion bag.
|
Sodium nitroprusside (Nipride)
|
|
|
When taking this drug the client must have frequent vital signs assessments including observation for cyanide toxicity
|
Sodium nitroprusside (Nipride)
|
|
|
A potent vasodilator that is commonly prescribed to prevent angina.
|
Nitroglycerin paste (Nitro-Dur), a form of nitroglycerin
|
|
|
The nurse would determine the effectiveness Nitroglycerin paste (Nitro-Dur) by evaluating...
|
Whether the client has had anginal episodes after the medication is applied
|
|
|
Signs and symptoms of digoxin (Lanoxin) toxicity are...
|
Anorexia, nausea, and green-yellow vision
|
|
|
Cerebrovascular congestion with this drug results in headaches. This is a common and often temporary occurrence.
|
nitroglycerin
*take acetaminophen or aspirin for headache |
|
|
If a client being treated for an atrial dysrhythmia with quinidine gluconate (Quinidex) misses a dose...
|
The client should be cautioned not to take an extra dose. Missing one dose is not significantly threatening
(take the medication if remembered within 2 hours of the missed dose or to omit the dose and then resume the normal schedule.) |
|
|
This drug should be ingested with a full glass of water on empty stomach for best absorption
|
quinidine gluconate (Quinidex)
|
|
|
An adverse reaction to this medication is a decreased ability to urinate (urinary retention).
*For this reason the client with prostate problems may experience urinary retention and this should be reported to the prescriber |
disopyramide (Norpace)
*suppresses cardiac activity, so either tachycardia or bradycardia may occur, so monitor the pulse and BP |
|
|
This drug is contraindicated in clients with glaucoma
|
disopyramide (Norpace)
|
|
|
Pseudoephedrine (Actifed) cold tablets...
|
May block or otherwise adversely interact with propranolol (Inderal)
*Pseudoephedrine causes nasal vasoconstriction, this local effect could become a systemic effect |
|
|
Since the client needs to have anticoagulation during the PCTA procedure...
|
There is a risk of bleeding that continues following the procedure
|
|
|
This drug has adverse effects such as severe hypotension and cardiac arrest when administered IV.
|
procainamide (Pronestyl)
|
|
|
Associate IV infusion of procainamide (Pronestyl) with...
|
Peripheral vasodilation and hypotension.
Position the client flat as tolerated and to monitor vital signs vigilantly (supine position and monitor for shock) |
|
|
Diltiazem (Cardizem) is a...
|
Calcium channel blocker
*reduces blood pressure |
|
|
Diltiazem (Cardizem) is usually administered...
|
Before meals and at bedtime to increase the absorption of the medication
|
|
|
This medication may cause a decrease in mental alertness until the body adjusts and the proper dosage is established
|
Diltiazem (Cardizem)
|
|
|
Nicardipine (Cardene) is a...
|
Calcium channel blocker that significantly reduces systemic vascular resistance
*useful in reducing blood pressure |
|
|
Side effects of nicardipine (Cardene)
|
peripheral edema, hypotension, tachycardia and mental depression
* Also could increase signs/symptoms of angina |
|
|
The goal of nursing care is to...
|
Create conditions to provide maximum utilization of the available oxygen supply.
|
|
|
When blood pressure is below normal, associate hypotension with...
|
A high risk of injury related to falling.
Place client on bedrest and provide a call bell if assistance is needed (risk of postural hypotension and further drop in blood pressure if the client gets out of bed) |
|
|
A loading dose of Lidocaine (Xylocaine) is given via...
|
IV push in doses of 1 to 1.5 mg/kg at a rate of 50 mg/min.
|
|
|
Lidocaine (Xylocaine) is the initial short term treatment for...
|
Ventricular tachycardia
*Followed by cardioversion (not pacemaker) if the drug is ineffective |
|
|
Because Lidocaine (Xylocaine) has an onset of 45-90 seconds with a duration of 10-20 minutes, the bolus must be followed immediately by...
|
An infusion of 1 to 4 mg/min via infusion pump
|
|
|
The maximum dosage range of lidocaine (Xylocaine) is...
|
200-300 mg
|
|
|
The standard protocol for nitroglycerine (NTG) administration is...
|
To administer up to three doses of NTG 5 minutes apart as long as the vital signs remain stable
*The health care provider should be called if the pain is unrelieved after 3 tablets have been administered |
|
|
This drug decreases depolarization, automaticity, and excitability of the cardiac muscle. This results in an increase in regularity of impulses by eliminating ectopic beats, and increased blood pressure related to increased output
|
lidocaine (Xylocaine)
|
|
|
Associate lidocaine (Xylocaine) with...
|
The suppression of electrical sensitivity and recall that this drug is first line therapy for ventricular dysrhythmias.
|
|
|
Align the risk of hypokalemia with...
|
digoxin (Lanoxin) and hydrochlorothiazide (HydroDiuril, HCTZ)
|
|
|
Both of these drugs are hypokalemic...
|
digoxin (Lanoxin) and hydrochlorothiazide (HydroDiuril, HCTZ).
|
|
|
When taking these drugs, the client's diet should be high in potassium to avoid hypokalemia.
|
digoxin (Lanoxin) and hydrochlorothiazide (HydroDiuril, HCTZ).
*If hypokalemia develops, the client would be at a greater risk for developing digitalis toxicity. |
|
|
For the best therapeutic effect, the medications should be taken at the same time each day; preferably in the morning
|
digoxin (Lanoxin) and hydrochlorothiazide (HydroDiuril, HCTZ).
*(so client will not have nocturia from the diuretic |
|
|
If the medication is "fresh" or potent, the tablet should sting or burn when placed under the tongue
|
nitroglycerine (Nitrostat)
|
|
|
How many pounds in a kg?
|
2.2
|
|
|
Prinzmetal's angina (at rest chest discomfort) is treated with...
|
Calcium channel blockers
|
|
|
The theraputic onset of (Cordarone) is...
|
1-3 weeks
|
|
|
Common side effects of amiodarone (Cordarone) include...
|
Fatigue, cough, photosensitivity and pleuritic pain
*given with food |
|
|
sildenafil (Viagra) and nitrates...
|
Both can cause vasodilation leading to a possible dangerous drop in blood pressure.
|
