CARDIAC MEDS
Diuretics and antihypertensives often cause this drastic decrease in blood pressure upon standing
Orthostatic hypotension
Which of the following medications treat pain? SATA
hydrocodone
atenolol
aspirin
guaifenesin
hydrocodone, aspirin
Name three things that must be monitored on patients receiving diuretics.
Intake (Liquid, and salt!)
Output (UO)
Vital signs (BP specifically)
Electrolytes
What vital sign does furosemide effect, and what is the effect?
BP (lowers)
What is the trade name for guaifenesin?
Mucinex
BETA blockers end in what suffix?
-lol
-olol
-alol
Which medication is NOT an NSAID?
ibuprofen, aspirin, acetaminophen
acetaminophen
What is the trade name for furosemide?
Lasix
What vital sign will acetominophen likely change, if elevated?
Temperature
What is guaifenesin used to treat?
Congestion (expectorant-loosens mucus)
ACE inhibitors end in what suffix?
-pril
Morphine belongs to which medication classification?
Benzodiazepine, opiate, NSAID, barbiturate
Opiate
What does the diuretic HCTZ stand for?
hydrochlorothiazide
What electrolyte needs monitoring for the patient receiving hydrochlorothiazide?
Potassium (it is a potassium-wasting diuretic)
What is the action of warfarin?
Prevents thromboembolic events
What is the trade name for clopidogrel?
Plavix
What is the name of the schedule II narcotic analgesic that is utilized for moderate to severe pain?
hydrocodone
Which electrolyte can become depleted with hydrochlorothiazide therapy, and requires monitoring?
Potassium (K+)
What vital sign needs extra monitoring for the patient receiving morphine?
Respiratory rate
What is the daily MAXIMUM dose for acetaminophen?
4g
Which medication is a cardiac glycoside and antiarrhythmic?
digoxin
Which pain medications on this drug set are controlled substances?
Hydrocodone, morphine
Ototoxicity (deafness, vertigo, tinnitus) may occur with vigorous diuresis with this medication, especially with renal impairment
furosemide
Hold metoprolol if the pulse is less than ___________ or SBP is less than ___________
60bpm
90 mm Hg
Name one antiplatelet medication that was on this drug set.
Plavix (clopidogrel)
Aspirin
What is the most common trade name for lisinopril?
Zestril (half points for Prinivil or Qbrelis)
What is the drug category/classification that relieves pain?
Analgesic
Name 3 nursing considerations, besides monitoring VS, for a patient receiving diuretic therapy
-Monitor I/Os
-Monitor electrolytes (Na & K especially)
-Monitor renal function
-Educate on consuming potassium rich foods
-Safety risk for falls (d/t orthostatic hypotension)
-Monitor for dehydration
-Monitor cardiac rhythm (electrolyte imbalances can cause arrythmias)
What are the hold parameters for digoxin?
Hold if HR less than 60bpm
Which medications on this drug set belong to the NSAID classification?
ibuprofen, aspirin (half points if only 1 drug is listed)