Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Meti 1 r/o MI
R/O MI
| Question | Answer |
|---|---|
| Quinapril | Ace inhibitor, management of hypertension and CHF, Improves survival and decreases development of overt CHF and MI. Block the conversion of angiotensin I to the vasoconstrictor angiotensin II. Side effects=hypotension, cough, tast disturbances |
| Captopril | 110 Ace inhibitor, management of HTN, management of hypertension and CHF, Improves survival and decreases development of overt CHF and MI. Block the conversion of angiotensin I to the vasoconstrictor angiotensin II. |
| Side effects of Captopril | Side effects= hypotension, dizziness, cough sob |
| Diltiazem | Calcium Channel Blocker, treatment for HTN, angina pectoris, supraventricular tachyarrhythmias and rapid ventricular rates in atrial flutter or fib. Inhibits transport of calcium into myocardial and vascular smooth muscle cells. |
| Action of Diltiazem | Decreases bp, coronary vasodilation resultingin decreased frequency and severity of attacks of angina |
| Side effects of diltiazem | peripheral edema, cough, dyspnea, arrhythmias, hypotension |
| Simvastatin | (lipid lowering agent) HMG-CoA reductase inhibitor, management of hypercholesterolemia. Decreases risk of MI, Lowers LDL and triglycerides. |
| Side effects of Simvastatin | abd cramps, constipation, diarrhea, flatus, heartburn, rashes |
| Enoxaparin | Check creatinine clearance, caution if less than 30---anticoagulant, prevents thrombus formation.Side effects=anemia, risk of bleeding increased, urinary retention |
| Amiodarone | Antiarrhythmic Class III, management of life threatening arrhythmias, management of Ventricular fib/pulselessness, action=slows the sinus rate |
| Side effects of Amiodarone | Side effects=dizziness, fatigue, malaise, corneal microdepostis, brady, hypotension, N/V , ARDS, worsening of arrhythmias. |
| Dopamine | inotropic, vasopressor (adrenergics) tx of shock unresponsive to fluid replacement, increases renal perfusion in low doses, increases blood pressure and cardiac output, improves renal blood flow. |
| Side effects of Dopamine | arrhythmias, hypotension |
| Atropine | antiarrhythmic, treatment of sinus bradycardia or heart block, inhibits action of aceytlcholine at postganglionic sites located in smooth muscle, increases HR |
| Docusate sodium | Laxative, stool softner, promotes water in stool, Side effects:cramps, rash |
| Maalox | Antiulcer/antacid, neutralizes gastric acid, healing of ulcers, Side effects: Diarrhea and constipation |
| Milk of Mag | Mineral and electrolye, laxative, Neurostrasmission and muscular excitability. Draws water into the lumen causing peristalsis |
| Promethazine | antiemetic, Blocks the effects of histamine, treatment of nausea and vomiting, side effects: confusion, disorientation, sedation |
| Temazepam | Benzodiazepine/Sedative, Acts on CNS producing generalized depression Side effects: hangover, dizzy, drowsiness |
| Alprazolam | Benzodiazepines/antianxiety, Acts on CNS produces anxiolytic effect Side effects:dizziness, drowsiness and lethargy |
| Morpine | Binds to opiate receptors in the cns alters perception of painful stimuli Side effects: hypotansion, sedation, confusion, resp depression |
| Normal BUN levels | 8-21mg/L--if elevated indicated dccreased blood flow and renal perfusion |
| Cardiac Cath | Most definitive test for heart disease, pt may feel sensations such as palpitation, heat or hot flash, desire to cough, get consent |
| Prior to cardiac cath | ensure pt adequately hydrated, check coagulation studies, BUN, creatinine, electrolytes, assess peripheral pulses, get VS and assess for allergies to iodine |
| Post cardiac Cath | Bedrest-4-6 hr, keep ext.straight,Surgical VS, Assess insertion site, Assess peripheral pulses, monitor ECG, encourage fluids |
| Discharge teaching | Limit activity for several days, no lifting, leave dressing in place for 1 day at home, monitor for swelling, redness, warmth and pain,go over s/s of MI, set appt with cardiac rehab, medications, exercise,diet to follow,dly wt,checking pulse, avoid strain |
| What is a Cardiac Diet | Avoid high fat, limit red meat 3-4 times per wk, low sodium, encourage fiber, maintain adequate dietary potassium (bannanas), calcium and magnesium. |
| What do you do if the patient is ishcemic | O2 |
| 5 Rights of medication administration | 1-Right patient 2-Right Route 3-Right Dose 4-Right time 5-Right Medication |
| Proper ECG placement | Snow over tree and Smoke over Fire and everyone loves chocolate |
| What do you do in the event of Ventricular Tachycardia or Ventricular fib? | Admin 200 joules precordial electric shock, call code blue if unseccessful, give 2nd 200-300 joules, third defibrillation at 360 joules |
| Isosorbide | antianginal/nitrate, produces vasodilation, decreases left ventricular end diastolic pressure. side effects: dizzy, HA, hypotension, tachy |
Created by:
Jen222
Popular Nursing sets