Term
| A patient develops blurred vision with yellow spots while taking Digoxin. The nurse recognizes these visual changes as |
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Definition
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Term
| What is the effect of sympathetic nervous system stimulation on the heart? |
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Definition
| Increased rate, increased force of contraction |
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Term
| Which of the following is the goal of therapy in cardiovascular disorders? |
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Definition
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Term
| The electrolyte imbalance that places patients at greatest risk for digoxin toxicity is... |
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Definition
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Term
| Before administering digoxin (Lanozin) the nurse should |
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Definition
| Report decreased difficulty breathing |
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Term
| A patient has chronic heart failure and is placed on a drug regimen that is the "standard of care" for heart failure. This regimen consist of an ACE inhibitor or ARB plus what other class of drugs? |
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Definition
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Term
| How is homeostasis restored in cardiovascular disorders? |
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Definition
Increased/Decreased cardiac output
INcreased/Decreased blood pressure
Increased/Decreased heart rate
Increased/decreased blood clotting
Alter cardiac rhythm
Alter quality of blood
Decrease chest pain in cardiac origin |
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Term
| Major factor in atherosclerosis, Acute coronary syndrome, Hypertension, Thromboembolic disorders? |
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Definition
| Dysfunction endothelium (smooth muscle cells) The main cause is: injury to blood vessel wall from trauma or disease. |
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Term
| What is the role of platelets? |
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Definition
| essential for blood coagulation. Prevents injured blood vessels from leakage. But they have no nucleus and cannot replicate. |
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Term
| What does inotropic mean? |
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Definition
| Ligand-gated ion channel. Channel linked receptor. (N+, K, Ca2+). Examples of these drugs are digoxin (cardiac glycoside) and phoshodiestease inhibitor, milrinone |
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Term
| Electrolyte imbalance that could cause digoxin toxcity? |
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Definition
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Term
| Vasopressin (anti diuretic hormone) |
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Definition
| from the posterior pituitary gland. |
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Term
| Signs and symptoms of digoxin toxicity |
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Definition
| Life-threatening heart rhythm disturbances, Nausea/vomiting, appetite loss, abnormal discomfort, blurred vision |
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Term
| Standard of care for chronic heart failure (two drug classes) |
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Definition
Diuretics in combination with: Antisense-converting enzyme (ACE) inhibitor and Angiotensin II reception blocker (ARB)
Digoxin (Lanoxin) beta bloker and aldosterone inhibitor may also be added |
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Term
| What to assess before administering digoxin |
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Definition
| HR and electrolyte levels. |
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Term
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Definition
| most is excreted by the kidneys and the rest is metabolized or excreted by non renal routes. |
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Term
| The method of administration of digoxin that produces effective drug levels quickly |
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Definition
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Term
| Patient assessment to see whether an antidysrhythmic drug is working |
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Definition
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Term
| The new goal of antidysrhythmic therapy |
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Definition
| To prevent or relieve symptoms or prolong survival, not just suppress dysrhythmias using non pharmacologic management of dysthythmias. |
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Term
| Why do we take off a nitroglycerine patch at night |
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Definition
| to prevent or manage nitrate tolorance |
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Term
| Nitroglycerine with Viagra?—problem this causes |
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Definition
| hypotension and vasodilation |
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Term
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Definition
| Calcium channel blocker produce vasodilation |
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Term
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Definition
| beta bloker, used to reduce the frequency and severity of acute attacks of angina |
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Term
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Definition
| class 1A antidysrhythmi: reduces automaticity, slows conduction, and prolongs the refractory period. Can treat digoxin intoxication |
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Term
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Definition
| IB antiysrhythmic used for treating serious ventricular dysrhythmicas associated with acute myocardial infarction. Cardiac catheterization, cardiac surgery, and digitalis, induced ventricular dyshythmias |
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Term
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Definition
| Prototype for nitrites (antianginal) relax smooth muscle in blood vessel walls producing vasodilation, which relieves angial pain. Reduces venous pressure and venous reburin to the heart. Dialate corinary arteries and arterioles. (LOWERS BP) |
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Term
| What two drugs can be used to treat dioxin toxicity? |
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Definition
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Term
| How are peripheral and vascular disease managed? |
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Definition
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