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Quiz #4

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Question
Answer
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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