Cardiac & Diuretics
The nurse must count the apical pulse for one full minute and hold digoxin if the pulse falls below this rate.
What is 60 beats per minute?
This short-acting beta-agonist serves as the primary rescue inhaler during an acute asthma attack
lWhat is albuterol?
Aminoglycosides like gentamicin carry high risks for two main toxicities: nephrotoxicity and this toxicity affecting hearing and balance
lWhat is ototoxicity?
This form of insulin is the only type noted as suitable for intravenous administration
What is Regular insulin?
The most dangerous risk associated with systemic estrogen therapy, especially in women over 35 who smoke, is the formation of these
What are blood clots (or thromboembolism)?
Patients taking this loop diuretic must be monitored closely for hypokalemia, ototoxicity, and hypotension.
What is furosemide?
Patients using inhaled fluticasone must perform this simple action after each dose to prevent oral thrush.
What is rinsing the mouth (or swishing and spitting)?
Patients taking doxycycline or other tetracyclines must avoid sun exposure due to this skin reaction.
What is photosensitivity?
Metformin must be held prior to procedures involving this diagnostic substance to protect kidney function.
What is iodinated contrast (or contrast dye)?
If an oxytocin infusion causes uterine hyperstimulation or fetal distress, the nurse must perform this action immediately
What is stopping the infusion?
This adverse effect of ACE inhibitors presents with facial, lip, or tongue swelling and requires immediate emergency intervention
What is angioedema?
This specific antagonist is administered as an antidote to reverse opioid-induced respiratory depression.
What is naloxone?
Sudden pain or swelling in the Achilles region while taking ciprofloxacin or levofloxacin signals this dangerous complication.
What is tendon rupture (or tendonitis)?
Patients taking levothyroxine for hypothyroidism should take their dose at this specific time of day
What is in the morning on an empty stomach (30–60 minutes before breakfast)?
Unlike tamoxifen, which treats breast cancer, this SERM prevents osteoporosis without increasing the risk of endometrial cancer.
What is raloxifene?
When switching a heart failure patient from an ACE inhibitor to sacubitril/valsartan (ARNI), the nurse must enforce a washout period of this duration to prevent angioedema
What is 36 hours?
Acetaminophen toxicity damages this major organ, and its specific overdose treatment is acetylcysteine.
What is the liver?
Rapid IV administration of vancomycin can trigger flushing, redness, and hypotension known as this syndrome.
What is Red Man Syndrome?
Patients taking DPP-4 inhibitors like sitagliptin who present with severe abdominal pain must be evaluated for this inflammatory condition.
lWhat is pancreatitis?
This BPH medication actually shrinks the prostate over time, but pregnant women must never handle crushed tablets.
What is finasteride?
Co-administration of nitroglycerin with this erectile dysfunction drug can result in severe, life-threatening hypotension.
What is sildenafil?
Aspirin is strictly contraindicated in children during or following a febrile illness due to the risk of this serious syndrome
lWhat is Reye syndrome?
Antibiotics ending in "-thromycin," known as macrolides, carry a risk for this dangerous cardiac conduction abnormality
What is QT prolongation?
A patient on methimazole or PTU who develops a fever and sore throat should be evaluated immediately for this dangerous blood disorder.
What is agranulocytosis (or severely low WBC count)?
To avoid first-dose syncope and orthostatic hypotension, the initial dose of prazosin or tamsulosin should be taken at this time
What is at bedtime?