Meds
Proper application of nitroglycerin ointment includes:
rotate application sites
Which med would increase your risk for hypokalemia?
Aldactone (sprionolactone)
Demadex (torsemide)
Dyrenium (triamterene)
Midamore (amiloride hydrochloride)
Demadex (torsemide)
What can you not take with digoxin?
antacids
Normal troponin levels
<0.03 ng/ml I
<0.10 ng/mL T
Normal CRP levels
< 1.0 mg/dL
The nurse knows that the reversal drug for heparin is
protamine sulfate
Nitrostat does what to your blood vessels?
dilates
Can you cut the nitroglycerin transdermal patches?
No
normal CKMB levels
Females 30-135units/L.
Males 55-170 units/L.
CK-MB
0% of total CK
Normal PT/INR levels
1.2-12.5 for PT/Protime
0.8-1.1 INR
Some providers may maintain INR from 2-3 for therapeutic levels
Steps on placing a nitroglycerin patch
wear gloves
Known side effect of diazoxide?
numbness of hands
excessive drooling
weight gain
alopecia
numbness of hands
Normal BNP levels
<125
Normal PTT levels
Normal values for each local lab may vary
Common 20-30 sec
In others 30-40 sec
Which assessment would the nurse expect to find on a patient on CHF medications
increased urinary output
Important discharge teaching for nitroglycerine
leave in brown bottle
Normal myoglobin levels
<90 mcg/L
Normal lipid levels
Total lipids
Cholesterol
Triglycerides
HDL
LDL
400-1000 mg/dL
Less than 200 mg/dL
Females 35-135 mg/dL
Males 40-160 mg/dL
Females > 55 mg/dL
Males > 45 mg/dL
< 130 mg/dL
Digoxin parameters
60 or higher adults, 100 or higher peds
Can you give ACE inhibitors with diuretics?
yes - done frequently
Normal homocysteine levels
Level less than 14 mmol/dL is considered optimal but this level increases with age