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8 Cards in this Set
- Front
- Back
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Nitroglycerin
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-used for acute and long term relief of angina -a coronary artery vasodilater S/S: look for orthostatic hypotension, dizziness, flushing, headaches -administer sublingual or aerosol spray, topical paste (wear gloves) |
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Morphine
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-narcotic used for moderate to severe pain S/S: N/v, decreased heart rate, decreased bp, diaphoresis, constipation and flushing -Needs to assess respiratory rate of a client before administration. Respirations need 12-20. Less than 12, hold medication and consult physician. -monitor heart rate, BP, check for adequate urination -implement deep breathing exercises |
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Aspirin
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-mild to moderate pain relief, fever reducer -used for platelet aggregation inhibitor -used for people who has had an MI, having an MI, or close to having MI (not used for pain relief for a heart attack) |
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oxygen
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-use lowest oxygen level needed to accomplish
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Digoxin-
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-increase contractibility in clients with heart failure and afib -assess apical pulse for 1 minute. If pulse is 60 or less, withhold medication and contact HCP -monitor client for dig toxicity. Early signs NV, loss of appetite, fatigue, headache, depression, weakness, drowsiness, confusion, nightmares, facial pain, personality changes, sensitivity to light, sinus bradycardia, AV block, V arrhythmia -Check blood tests for dig level |
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Furosemide
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in relation to cardiac, used to treat edema in heart failure and HTN -loop diuretic, works on loop o henle in kidneys -frequent urination expected. Assess patients lifestyle upon discharge. If works at night, swtich time of dosage to nighttime instead of daytime so sleeping patterns will not be interrupted -assess vital signs and K electrolyte levels. Loop diuretic, K++ loss can cause hypokalemia S/S of hypokalemia: muscle weakness, tremors, cramps, altered mental status and cardiac arrhythmias -check hydration status(skin tugor), intake/outtake fluid -weigh is taken same time every day, same outfit, etc |
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Antihypertensive Meds
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used to decrease BP each classification does it in different way monitor clients BP and HEart rate orthostatic hypertension |
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Enoxaparin
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Anticoagulant -use to prevent DVT -given SQ abdomen -Has air bubble in pre filled syringe, don't expel before injection because that air bubble seals medication into tissue to avoid leakage -before giving, make sure CBC and platelet count done as baseline. and monitored periodically. -watch for unusual bleeding (gum bleeding, nose bleeds) or bruising |
