In each blank, try to type in the
word that is missing. If you've
typed in the correct word, the
blank will turn green.
If your not sure what answer should be entered, press the space bar and the next missing letter will be displayed. When you are all done, you should look back over all your answers and review the ones in red. These ones in red are the ones which you needed help on. Question: Cardiac (Digoxin) Action:Answer: Increases contractions (inotropic) and has the ability to slow heart rate (chronotropic) Question: Glycosides (Digoxin) Uses:Answer: HF, A-Fib, A-Flutter, Question: Glycosides (Digoxin) Adverse Effects:Answer: - fuzzy, yellow/green haze, insomnia, depression Question: Glycosides (Digoxin) Nursing Care:Answer: check pulse for 1 min, report if less than 60, level is 0.5-2, antidote is Digibind Question: Phosphodiasterase (Inamirone, , viagra) Action: Answer: heart's contractions, decreases preload and afterload Question: Phosphodiasterase (Inamirone, , viagra) Uses:Answer: HF refractory to Dig, vasodilators and (need a new heart) Question: Phosphodiasterase (Inamirone, milrinone, viagra) Effects:Answer: arrhythmias, N/V, HA, , chest pain, decreased K levels, thrombocytopenia, mild increase in HR Question: Phosphodiasterase (Inamirone, , viagra) Nursing Care:Answer: don't use if pt had an acute MI, K levels Question: Vasodilators (apresoline, nitropress, nipride, ) Action:Answer: blood dilate, BP decreases Question: Vasodilators (apresoline, , nipride, catapress) Uses:Answer: w/other for mod to severe HTN Question: Vasodilators (apresoline, , nipride, catapress) Adverse Effects:Answer: increased HR, palpitaions, angina, edema, breast tenderness, , rash, HA Question: Vasodilators (apresoline, nitropress, nipride, catapress) Care:Answer: VS, antidote for Nipride is Sodium Nitrate & Sodium Thiosulfate, after 48 hrs - causes hallucinations Question: Nitrates (imdur, isordil, NTG) : Answer: vasodilation of veins/arteries, decreases preload and , decrease o2 consumption Question: (imdur, isordil, NTG) Uses:Answer: relief/prevention of Question: Nitrates (imdur, isordil, NTG) Effects:Answer: HA< hypotension, dizziness, HR Question: Nitrates (imdur, isordil, NTG) Care: Answer: only, monitor BP and hold if below 90, can take q5minx3 Question: Beta Blockers (metaprolol, acebutolol, , nadolol, labetolol, propranolol) Action:Answer: decreases strength of heart's , decreases o2 requirements, BLOCK EXCESS SYMPATHETIC STIMULATION Question: Beta Blockers (metaprolol, acebutolol, , nadolol, labetolol, propranolol) Uses: Answer: A-fib/flutter, Atrial Tach Question: Beta (metaprolol, acebutolol, atenolol, nadolol, labetolol, propranolol) Adverse Effects:Answer: arrhythmias, bradycardia, HF, , N/V diarrhea, bronchoconstriction Question: Beta (metaprolol, acebutolol, atenolol, nadolol, labetolol, propranolol) Nursing Care:Answer: apical rate and pulse, don't abrutly stop, momitor for hypoglyceima, don't use if EF is less than 60%, is antidote Question: Ace Inhibitors (capoten, vasotec, accupril, prinivil, monopril, altace) ARBS (cozaar, , avapro) Action: Answer: (ACEI) - decrease BP, stops conversion of angiotensin I to angiotensin II. (ARBS) which is an angiotensin II receptor blocker, action of angiotensin II Question: Ace Inhibitors (capoten, vasotec, accupril, prinivil, monopril, ) ARBS (cozaar, diovan, avapro) Uses:Answer: HTN, Question: Ace Inhibitors (capoten, vasotec, , prinivil, monopril, altace) ARBS (cozaar, diovan, avapro) Adverse Effects:Answer: fatigue, increased K levels, renal , ANGIEDEMA, PERSISTENT COUGH Question: Ace (capoten, vasotec, accupril, prinivil, monopril, altace) ARBS (cozaar, diovan, avapro) Nursing Care:Answer: VS, angiedema is life-threatening, cough can take a to develop (ARBS are given instead if this happens) Question: Calcium Channel (cardizem, verapmil, norvasc) Action: Answer: vasodilation, HR and SV Question: Calcium Channel Blockers (cardizem, , norvasc) Uses:Answer: , HTN, arrhythmias, migraines, PVD, esophageal spasms Question: Calcium Channel Blockers (cardizem, verapmil, norvasc) Adverse :Answer: DECREASED K LEVELS, hypotension, bradycardia, dizziness, flushing, peripheral edema Question: Calcium Channel Blockers (cardizem, verapmil, norvasc) care:Answer: VS, rythym, Ca supplements decrease effectiveness Question: (Thiazide, Loop, K sparing) Action:Answer: (Thiazide) Na reabsorption in kidney, (Loop) Increase secretion of Na, Cl, water, (K sparing) increase secretion of Na, Cl, water, Ca, K Question: Diuretics (Thiazide, Loop, K ) Uses:Answer: HTN, , nephrotic syndrome, cirrhosis, diuretic induced hypokalemia Question: (Thiazide, Loop, K sparing) Adverse effects:Answer: hypokalenia, hyperkalemia, hypernatremia, orthostatic hypotension Question: Diuretics (Thiazide, Loop, K ) Nursing care:Answer: electrolytes, VS, I & O, blood sugar, dehydration, sulfa allergies Question: Vasoconstrictors (dobutamine, dopamine, epinephrine, norepinephrine, ephedrine, phenylephrine) :Answer: increases HR, dilation of , increases o2 consumption Question: Vasoconstrictors (dobutamine, , epinephrine, norepinephrine, ephedrine, phenylephrine) Uses:Answer: hyptension, shock, renal , bronchospasms, allergic reactions Question: Vasoconstrictors (dobutamine, , epinephrine, norepinephrine, ephedrine, phenylephrine) Adverse Effects:Answer: HA, palpations, tingling sensations in extremeties, bronchospasm, HTN crisis, AV blocks, restlessness, anxiety, stroke, of extremeties Question: Vasoconstrictors (dobutamine, dopamine, epinephrine, , ephedrine, phenylephrine) Nursing care:Answer: Assess VS, heart rythym, IV, correct hypovolemia, don't mix with other drugs, stop if extravasions occur and give Question: Antiarrythmics (lidocaine, quindine, proconamide, beta blockers, amiodarone, calcium channel blcokers, adenosine) : Answer: Tx of Question: Antiarrythmics (lidocaine, quindine, proconamide, beta blockers, amiodarone, channel blcokers, adenosine) Uses:Answer: V-tach, A-fib/flutter, PAT, Atrial Question: Antiarrythmics (lidocaine, , proconamide, beta blockers, amiodarone, calcium channel blcokers, adenosine) Adverse Effects:Answer: flushing, peripheral edema, SOB, hypotension, bradycardia, N/V, diarrhea, bitter , drowsiness, new arrythmias, high risk for Dig toxicity (amiodarone) Question: Antiarrythmics (lidocaine, quindine, proconamide, beta blockers, amiodarone, calcium channel , adenosine) Nursing care:Answer: Assess VS, heart rythym, use with asthma pt, must wean off these drugs Question: Sodium Channel Blockers (lidocaine, , quinidine, propranolol, norpace, rythmol, tambocar) Action: Answer: depress ectopic areas in & ventricles, decrease rate of depolarization Question: Channel Blockers (lidocaine, proconamide, quinidine, propranolol, norpace, rythmol, tambocar) Uses:Answer: V-tach, A-fib/flutter, SVT, Question: Sodium Channel Blockers (lidocaine, proconamide, quinidine, , norpace, rythmol, tambocar) Adverse Effects:Answer: diarrhea, abd cramps, N/V, anorexia, bitter taste, drowsiness, hypotension, new , poss bronchospasms Question: Sodium Channel Blockers (lidocaine, proconamide, quinidine, propranolol, norpace, rythmol, tambocar) Care:Answer: check pulse and hold if extreme, use pump for IV, use cautiously in pt with ashtma, monitor and electrolytes Question: Anticoagulants (Heparin, fragmin, lovenox, coumadin, , ticlid, ASA, persantine) Action:Answer: decreases ability of to clot Question: Anticoagulants (Heparin, fragmin, , coumadin, plavix, ticlid, ASA, persantine) Uses:Answer: DVT, PE, hemodialysis, post-op clot , strokes, valvular disorders, invasive implanted devices Question: Anticoagulants (Heparin, fragmin, lovenox, coumadin, , ticlid, ASA, persantine) Adverse effects:Answer: bleeding, insomnia, HA, dizziness, confusion, edema, rash, joint pain , GI distress Question: Anticoagulants (Heparin, fragmin, , coumadin, plavix, ticlid, ASA, persantine) Nursing care:Answer: monitor clotting factors, No ASA or NSAIDS, on food/drug interactions, monitor for bleeding Question: Thrombolytics (activase, Tpa, ) Action:Answer: "clot busters", preexisting clot, thrombus Question: Thrombolytics (activase, Tpa, ) Uses:Answer: acute MI, acute ischemic stroke, PE, access cath occlusion, arterial thrombus Question: Thrombolytics (activase, Tpa, streptokinase) effects:Answer: bleeding, allergic Question: (activase, Tpa, streptokinase) Nursing care:Answer: monitor clotting indicators and hematocrit, 4 IV lines, no automated cuffs or , monitor for bleeding Question: Dopamine (Low) Range:Answer: 1-2 Question: Dopamine (Low) Uses:Answer: after fluid correction of status Question: dosing (Low) Action:Answer: increases BP, CO, dilates renal and messentric Question: dosing (Low) Receptor:Answer: Dopamine Question: Dopamine dosing (Mod) :Answer: 2-10 Question: dosing (Mod) Uses:Answer: hypotension, contractility Question: Dopamine dosing (Mod) :Answer: increases BP and Question: Dopamine dosing (Mod) :Answer: Question: Dopamine (High) Range:Answer: >10 Question: dosing (High) Uses:Answer: severe Question: Dopamine (High) Action:Answer: constricts blood vessels, increases inotrophy and chrontrophy and BP Question: Dopamine dosing (High) :Answer: Alpha Question: Digoxin Answer: Digibind Question: AntidoteAnswer: Sodium & Sodium thiosulfate Question: Beta AntidoteAnswer: Glucagon Question: What med do you give for that occur from vasoconstrictors? Answer: Regintine |
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