Term
| What does P.R.E.S.S.U.R.E. stand for? |
|
Definition
P pressure (blood) monitor
R rise slowly to reduce
ortho hypo
E eating must be considered
(diet)
S stay on meds
S skipping or stopping is a no-no
U undesirable responses
R remind to exercise, ⇩alcohol
E eliminate smoking, educate |
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Term
| What are Beta Blocker's effect on the heart? |
|
Definition
| Drop blood pressure, drop HR |
|
|
Term
| What can beta blocker's do the heart rate? |
|
Definition
|
|
Term
| What can beta blocker's do the blood pressure? |
|
Definition
|
|
Term
| Who should caution use of beta blockers? |
|
Definition
COPD -> bronchospasms/constriction
Diabetes -> masks symptoms of blood sugar |
|
|
Term
| What are the 5 B's of beta blockers? |
|
Definition
Bradycardia
Blood pressure too low
Bronchial constriction
Blood sugar- masks low
Blocks heart- first degree |
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|
Term
| What are calcium channel blocker's effect on the heart? |
|
Definition
| Decrease contractility and conductivity of the heart which in turn decreases the demand for oxygen for the heart and decreases cardiac output |
|
|
Term
| Who should NOT get calcium channel blockers? |
|
Definition
HEART FAILURE PATIENTS! Need their heart to beat not to stop!
se digoxin if person is in HF |
|
|
Term
|
Definition
-Verapamil
-Nifedipine
-Dilatezem |
|
|
Term
| What are the side effects of calcium channel blockers? |
|
Definition
Decreased BP
Bradycardia
Headache
Abdominal Discomfort
Peripheral Edema |
|
|
Term
| What does R.A.P.P.E.R. mean for CCB? |
|
Definition
R Regular checks of BP & HR (ortho hypo & bradycardia)
A Acute migraine attacks
P Pump, check for heart condition
P Position changes slowly
E Eliminated, prevent constipation
R Rate too slow? |
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|
Term
| What is digoxin's effect on the heart? |
|
Definition
-Cardiotonic = strengthens the contractions of the heart
-Antidysrhythmic
-Decreases the rate |
|
|
Term
| What is the therapeutic range for digoxin? |
|
Definition
|
|
Term
| What are the s/s of toxicity? |
|
Definition
| visual disturbances, loss of appetite, N/V, irregular pulse |
|
|
Term
| When should you hold digoxin? |
|
Definition
| Apical pulse less than 60 |
|
|
Term
| What does D.I.G. stand for? |
|
Definition
D - Dig level 2 ng/ml or greater is toxic
I - Increases myocardial toxicity
G - GI or CNS symptoms indicate adverse effects |
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|
Term
| What are the common endings of ACE inhibitors? |
|
Definition
|
|
Term
| What are the side effects of ACE inhibitors? |
|
Definition
-IRRITATING COUGH #1
-Hypotension
-Hyperkalemia
-Edema |
|
|
Term
| What can people on ACE inhibitors NOT have? |
|
Definition
|
|
Term
| What is the risk that people on ACE and ARBS have? |
|
Definition
|
|
Term
| What does C.H.F. stand for in ACE inhibitors? |
|
Definition
C - Cough/contraindicated in renal artery stenosis
H - Hypotension/ Hyperkalemia
F - First dose watch for hypotension/Food loses taste |
|
|
Term
| Sartans are ARBS, Sartans wear... |
|
Definition
|
|
Term
| What does A.R.B.S. stand for? |
|
Definition
A Administer without regard to meals
R Renal function tests- review
B Blocks vasoconstriction effect of renin-
angiotensin system
S Salt substitute or potassium supplements,
DO NOT USE |
|
|
Term
A patient is ordered to receive digoxin (Lanoxin) to treat congestive heart failure. The nurse is most concerned about which of the following assessment findings?
Heart rate 56
BP 138/90
RR 18
1+ pitting edema of the lower extremities |
|
Definition
|
|
Term
Before administering digoxin (Digitalis) the nurse assesses a patient’s laboratory values. Which is the nurse most concerned about?
Sodium 138 mEq/L
Potassium 3.0 mEq/L
Digitalis level 1.8 ng/mL
BNP 200 pg/mL |
|
Definition
|
|
Term
When administering antianginal drugs, the nurses identifies which of the following as the most common response?
Tachycardia
Bradypnea
Hypotension
Dry mouth |
|
Definition
|
|
Term
Which of the following drug groups is most effective for the treatment of variant (vasospastic) angina?
Calcium channel blockers
Beta blockers
Cardiac glycosides
Phosphodiesterase inhibitors |
|
Definition
Calcium channel blockers
Nitrates and calcium channel blockers are effective in treating variant (vasospastic) angina. Beta blockers are not effective for this type of angina. Cardiac glycosides and phosphodiesterase inhibitors are effective in the treatment of heart failure. |
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|
Term
After taking nitroglycerine, a patient should report which of the following to the healthcare provider?
Dizziness
Faintness
Headache
Persistent pain |
|
Definition
|
|
Term
Pentoxifylline (Trental) improves microcirculation and tissue perfusion by
Increasing blood viscosity
Impeding flexibility of erythrocytes
Inhibiting aggregation of platelets
Dissolving fibrin bonds of formed clots |
|
Definition
| Inhibiting aggregation of platelets |
|
|
Term
A patient should be instructed not to suddenly stop taking antihypertensives in order to avoid
Rebound bradycardia
Rebound tachycardia
Rebound hypertension
Rebound hypotension |
|
Definition
|
|
Term
An adult patient with hypertension is ordered to receive an ACE inhibitor. A common benign side effect of this class of medications is
Hiccups
Flatulence
Abdominal distention
A dry cough |
|
Definition
|
|
Term
Use of the alpha-adrenergic blocker prazosin (Minipress) is contraindicated for patients having
Renal disease
Refractory heart failure
Hypertension
Benign prostatic hypertrophy |
|
Definition
|
|
Term
| What medicine causes gingivitis and gingival hyperplasia? |
|
Definition
|
|
Term
| What medications can cause gynecomastia? |
|
Definition
|
|
Term
| What causes a brief period of asystole? |
|
Definition
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