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41 Cards in this Set
- Front
- Back
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Furosemide (Lasix) is contraindicated in...
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Clients with sulfa allergies
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Lanoxin (Digoxin) causes...
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Hypokalemia
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This medication promotes sodium excretion while conserving potassium
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Spironolactone (Aldactone)
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Spironolactone (Aldactone) is
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A potassium-sparing diuretic that promotes sodium excretion while conserving potassium
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Hydrochlorothiazide is
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A thiazide diuretic resulting in hypokalemia
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The drug of choice for clients with proteinuria associated with hypertension
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An angiotensin-converting enzyme (ACE) inhibitor such as captopril (Capoten)
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Loop diuretics such as furosemide (Lasix)
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Decrease renal vascular resistance and may increase renal blood flow
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Associate ACE inhibitors with...
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Normal renal function as well as proteinuria
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Tea and coffee are...
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Mild diuretics - can cause severe dehydration if used concurrently in large amounts with potent diuretics
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When to take diuretics...
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At the same time each day to assure maximum drug effectiveness.
Early evening prevents disruption of the sleep-rest pattern |
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Adverse effects include the potential for both bronchospasms and masking hypoglycemia
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Beta-adrenergic blockers
*i.e. Propranolol (Inderal) |
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Side effects associated with diuretics such as hydrochlorothiazide include
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Hyperglycemia, agranulocytosis, and hypokalemia
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Frequent barriers to compliance with therapy for essential hypertension...
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Regular exercise; Dietary alterations
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NSG diagnosis during dopamine (Intropin) therapy
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Risk for impaired tissue perfusionr R/T peripheral vasoconstriction
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A dry cough and decreased taste may occur with...
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(ACE) inhibitors (antihypertensives)
*i.e. Lisinopril (Prinivil) |
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Common side effects associated with furosemide (Lasix), a loop diuretic, includes...
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Dehydration and hypokalemia
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The sulfa-based thiazide diuretics (i.e.hydrochlorothiazide (HydroDiuril) are contraindicated in patients with...
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Hyperglycemia and sulfa allergy
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The side effects of HCTZ are...
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Hypokalemia, hyperglycemia, hyperuricemia, and hypercalcemia
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The drugs of choice for the client with coronary heart disease and angina
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Beta blockers such as propranolol (Inderal) because they decrease myocardial oxygen consumption and heart rate, and lower the blood pressure
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Loop diuretics such as bumetanide...
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May result in acute hypotension which may increase the myocardial oxygen consumption
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IV administration of furosemide (Lasix)
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Inject the medication slowly over 2 to 3 minutes (not to exceed 20 mg/min or 4 mg/min if administering high doses)
r *isk of ototoxicity |
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Monitor for constipation and tachycardia when taking:
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oxybutynin (Ditropan)
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Signs and symptoms associated with oxybutynin (Ditropan):
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Drowsiness, blurred vision, constipation, and tachycardia
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Severe hypertension and life-threatening dysrhythmias are associated with:
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Beta-adrenergic agonists
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The drug of choice for clients with renal insufficiency
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Furosemide (Lasix), a loop diuretic
*results in renal and peripheral vasodilation increased renal blood flow a temporary increase in glomerular filtration rate (GFR) decreased peripheral vascular resistance |
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Contraindicated in clients with reduced renal function
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spironolactone
*Because of the risk of hyperkalemia |
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Suspend administration of diuretics for:
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Anuria
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A diuretic which also leads to a decreased rate of aqueous humor formation, resulting in decreased intraocular pressure
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acetazolamide (Diamox),
*Effective in diminishing halos around objects associated with glaucoma |
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It is unsafe to ingest potassium supplements with...
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Spironolactone (Aldactone)
SPironolactone = Potassium SParing |
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The critical concepts associated with managing hypertension include...
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Stability and consistency
*Take meds as ordered - don't skip (destabilizes theraputic effects) Except for low BP - know parameters. |
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Most appropriate procedure for administering a drug to a verbal PT
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Utilize bracelet, name statement, and medication sheet/card to establish identity.
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These antihypertensives are teratogenic and cause fetal abnormalities
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Angiotensin-converting enzyme (ACE) inhibitors
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Known to reduce the level of cyclosporine.
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Phenytoin (Dilantin)
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Consider grapefruit as an adversary of...
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A calcium channel blocker
*grapefruit juice may increase therapeutic dose level as well as adverse effects |
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Because minoxidil (Loniten) is a vasodilator...
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Peripheral edema and weight gain are common
*A mild diuretic will remove the excess fluid |
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The outcomes of digoxin (Lanoxin) therapy are:
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Cardiac rhythm is regular
Increased cardiac contractility Increased cardiac output Decreased heart rate *prescribed to reduce dysrhythmias |
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The onset of spironolactone (Aldactone) is...
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Slow (2-3 days) with a 2-3 week therapeutic effectiveness
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This drug helps the urine flow by relaxing the smooth muscles of the bladder neck
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terazosin (Hytrin)
*an alpha adrenergic blocker antihypertensive |
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Ingesting verapamil (a calcium channel blocker) and digoxin (a cardiac glycoside) concurrently can result in...
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Digoxin toxicity
*Digoxin immune fab (Digibind) may need to be administered |
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Non-selective beta blockers result in ...
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Bronchoconstriction
*they may exacerbate symptoms of chronic lung disease |
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Coumadin therapy often overlaps
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Heparin therapy
*to prevent the increased risk of hypercoagulation. **Coumadin interrupts the function of Vitamin K dependent clotting factors **Heparin inhibits the action of antithrombin III |
