Quiz #4
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show | Increases water excretion
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show | pumonary edema, edema, HTN, ascites
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show | *Hypokalemia* dehydration, hypotension, ototoxic, addivtive effect with other antihypertensives
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Loop Diuretic drugs | show 🗑
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Nursing Interventions for Loop diuretics | show 🗑
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Potassium Sparing Diuretics does what? | show 🗑
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show | treat HTN and edema
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What drug decreases sodium rention and decreases potassium excretion? | show 🗑
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show | Hyperkalemia
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Nursing interventions for Aldactone | show 🗑
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show | Mannitol
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show | helps prevent renal failure with prolonged surgery
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Osmotic diuretic pulls fluid from where? | show 🗑
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show | oliguria and anuria
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What are Vasodilators used for? | show 🗑
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Vasodilators are usually given IV because? | show 🗑
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Vasodilators can cause direct vasodilation or vasconstriction? | show 🗑
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show | tachycardia
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What drugs are vasodilators? | show 🗑
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What is a precaution with Vasodilator? | show 🗑
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show | syndrome of substernal chest pain produced when O2 demands of the heart exceed O2 supply
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show | rest or nitroglycerin
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show | unstable angina
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First line of defense in prevention and treatment of Angina | show 🗑
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show | relaxes smooth muscle in the blood vessel walls
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What are the uses for Organic Nitrates? | show 🗑
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show | Tolerance
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What are some adverse effects oF nitrates? | show 🗑
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show | head trauma with increased intracranial pressure, pt with hypotension
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Nursing interventions for Nitrates | show 🗑
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show | fizzle or burn
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show | from heat and light (in brown bottle)
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show | vacsoconstriction
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show | Inhaled
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Why should Beta Blockers should never be used in an emergency? | show 🗑
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What kind of medication is used for chronic stable angina? | show 🗑
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show | Propranolol hydrochloride (Inderal) and Atenolol (Tenormin)
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What do Beta Adrenergic Blockers do? | show 🗑
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What do Beta Blockers? | show 🗑
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What do calcium channel blockers do? | show 🗑
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What are the Calcium channel blocker drugs? | show 🗑
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show | blood supply to the myocardium and decrease workload
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What are the interventions for Calcium channel blockers? | show 🗑
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show | dysrhythmias, HTN, CHF
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show | decrease platelet aggregation to prevent MI
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show | surgery and injury
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What are the names of two Antiplatelet drugs? | show 🗑
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What are the nursing interventions with Antiplatelet drugs? | show 🗑
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show | Interfere with coagulation cascade
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show | throbotic disorders, prevent clot extension and formation
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What are the cautions with anticoagulants? | show 🗑
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Name two drugs that are anticoagulants | show 🗑
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Why is Heparin given? | show 🗑
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show | IV or SQ
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show | PTT and 1.5-2.5 control
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What is used for overdose with heparin? | show 🗑
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show | abdomen no rubbing
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show | enoxaparin (Lovenox) SQ
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show | platelet counts
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Do not remove what from the syringe when giving Lovenx? | show 🗑
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What site is preferred when giving Lovenox? | show 🗑
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show | with vit K dependent clotting
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show | PO
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show | anticoagulant
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How many days does it take for an anticoagulant to take effect? | show 🗑
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show | PT (1.3-1.5 X control) or INR (2-3)
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Antidote for an anticoagulant is? | show 🗑
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show | Daily
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Thrombolytics is known as what kind of buster? | show 🗑
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show | dissove clots, reestablish blood flow, prevent or limit tissue damage
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show | acute MI and stroke
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What are the adverse effects of Thrombolytics? | show 🗑
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What are the precautions for Thrombolytics? | show 🗑
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Name a Thrombolytics drug | show 🗑
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What are the nursing interventions for Thrombolytics? | show 🗑
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show | SA node... produces the beat
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Cardiac Electrophysiology is dependent on flow of what in and out of the cell? | show 🗑
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Conductivity in cardiac electrophysiology is what? | show 🗑
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What is it called when somewhere else besides the AV node becomes the pacer? | show 🗑
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show | convert atrial fibrillation or atrial flutter, maintain normal sinus rhythm after conversion, supprss fast rate, and dangerous life threatning arrhythmias
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What is the prototype for antidysrhythmics? | show 🗑
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Class 1A-Quinidine does what? | show 🗑
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Class 1B-Lidocaine does what? | show 🗑
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What does Class II-Beta Blockers-Propanolol do? | show 🗑
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show | Pulmonary toxicity
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show | Amiodarone
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Amiodarone-IV-ACLS for VT/VF does what? | show 🗑
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show | delayed action 3 days to 3 weeks, loading dose
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What allergies should you watch for with amiodarone-Oral? | show 🗑
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show | Thyroid
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show | corneal deposits
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show | Blue nose
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show | Adenosine
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What is Adenosine for? | show 🗑
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How would you give Adenosine? | show 🗑
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Adenosine is the 2nd line after __________ maneuvers in ACLS guidelines are. | show 🗑
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show | Verapamil and Diltiazem only
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show | Block Calcium from moving into heart muscle, slows conduction through SA and AV nodes, slowes HR
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show | SVT (HR >140)
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Name the cardiac failure drugs | show 🗑
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Name the antihypertensive drugs | show 🗑
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Name the calcium channel blocker drugs | show 🗑
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Name the diuretic drugs | show 🗑
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show | Nitrates-Nitrogycerine (Nitrobid), Isosorbide dinitrate (Isordil), Isosorbide momonitrate (Ismo, Beta Blockers "LOL" drugs and Calcium channel blockers "pine" drugs
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major S/S of heart failure | show 🗑
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show | systolic
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show | diastolic
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When compensation in Heart failure occurs, what is increased first? | show 🗑
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show | Renin-Angiotension-Alfosterone
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Drugs to teat chronic heart failure | show 🗑
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What route is Digoxin (Lanoxin)given? | show 🗑
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When taking Digoxin, what can not be switched back and forth? | show 🗑
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How does Digoxin work? | show 🗑
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*****Indications for Digoxin***** | show 🗑
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Contraindications for Digoxin | show 🗑
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REversal drug for digoxin toxicity | show 🗑
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Digoxin S/S are? | show 🗑
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Hypothryroidism can slow digoxin metabloism and lead to toxicity due to what? | show 🗑
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Therapeutic range for Digoxin | show 🗑
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show | <60 for adults and <100 for younger children
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show | drugs to reduce BP, reduce cardiac output and/or reduce peripheral resistance
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Therapeutic Regimens for HTN; Lifestyle modification | show 🗑
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show | smaller doses in elderly and hypothroidism, discontinue digoxin-dont just decrease the dose *Stop it!*, monitor for cardiac arrhythmias, toxicity can occure at lower levels
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show | Normal systolic >140mm/Hg and diastolic >90mm/Hg
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What is the goal of treatment for a diabetic pt with HTN? | show 🗑
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show | Thiazide Diuretic +/- ACE, ARB, BB or CCB
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What does an ACE inhibitor do to the angiotension I and II? | show 🗑
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show | peripheral vascular resisitance and lowers BP
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show | renal sodium is increased and water excretion (Aldosterone)
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show | Catatopril (Capoten), Lisinopril (Prinivil),Quinapril (accupril), Ramipril (Altace), Enalapril (Vasotec)
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show | severe hypotension, renal tubular damage, *cough-dry/hacky**
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What is a caution of ACE inhibitors? | show 🗑
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How many times a day do you take ACE inhibitors? | show 🗑
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show | monitor BP, check wt, I&O hospital, risk of rebound HTN with abrupt stop, schedule follow up appt
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angiotension II receptor blockers do what? | show 🗑
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Angiotension II Receptor blockers have similar effects as what other inhibitor? | show 🗑
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Angiotenison II receptor blocker is used to treat what? | show 🗑
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Name some adverse effects for angioteniosn II receptor blockers | show 🗑
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Name some cautions of angiotension II receptor blocker | show 🗑
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name ARB Drugs | show 🗑
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Nursing interventions for ARB drugs | show 🗑
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show | loop Diuretics (Lasix), Potassium sparing (Aldactone), Thiazide-Hydrochlorothiazide (HCTZ) and Osmotic (Mannitol)
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show | Increases the renal excretion of water, Na+ and other
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Name all the classes for Antidysrhythmics | show 🗑
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What drugs are in the Class I Na channel blocker | show 🗑
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What drugs are in the class II Beta Adrenergic blockers? | show 🗑
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show | Aminodarone (Cordarone)
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What drugs are in the class IV calcium Channel blockers? | show 🗑
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What are the names of the unclassified drugs in the Antidysrhythmics? | show 🗑
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show | Nitrates: Nitrogycerinel (Nitrobid), Isosorbide dinitrate (Isordil) and Isosorbide mononitrate (Ismo), Beta Blockers and Calcium channel blockers
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show | Anticoagulants, Antiplatelet and Thrombolytic
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Name some anticoagulant drugs | show 🗑
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show | ASA, chlpidogrel (Plavix), Ticloipidine (Ticlid)
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show | steptokinase (Streptase)
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show | Sulfonamides
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Nursing interventions with Diuretics | show 🗑
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show | Early morning
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