Diuretics
IV Lasix administration instructions require the nurse to push slowly over 2-5 minutes to avoid this complication that causes tinnitus.
What is Ototoxicity
This medication has a positive inotropic effect (increased contractility) and a negative chronotropic effect (decreased hear rate)
What is Digoxin
This medication is used to reverse the effects of heparin
Protamine
Change positions slowly, lie down if feeling dizzy, lightheaded or faint to manage this side effect
Orthostatic hypotension
Beta 2 (nonselective) blockers that affect both the heart and the lungs should be avoided in patients with this chronic condition?
What is Asthma
The nurse should teach the patient to consume nuts, spinach, oranges, potatoes, and bananas to avoid this complication of loop and thiazide diuretic use.
What is Hypokalemia
Heart failure and Dysrhythmias
What are Indications for Digoxin
Infusing this medication IV requires a second nurse to confirm the rate and requires obtaining an aPTT (activated partial thromboplastin time) blood draw every 3-6 hours
What is Heparin
Complication that involves facial swelling
What is Angioedema
The nurse will hold the Beat Blocker and notify the provider if the heart rate is less than what?
What is 50 bpm (per ATI)
Weight loss, reduced edema, decreased blood pressure, and increase urinary output
what is Diuretic effectiveness/desired effects
Increase fatigue, dysrhythmias, weakness, vision changes (blurred vision, yellow, green halos)
What is Digoxin toxicity
This drug is an example of a low molecular weight heparin given subcutaneously
What is Enoxaparin, fondaparinux, or Lovenox
Pregnancy, history of angioedema, renal impairment/insufficiency
What are contraindications/precautions for Ace Inhibitors
Primary hypertension, angina, tachydysrhythmias, heart failure, and MI
What are indications for Beta blockers
Spironolactone
What is a Potassium-Sparing Diuretic
Monitor and maintain a therapeutic digoxin serum level
What is nursing action to prevent complications/toxicity
Do not aspirate. Rotate sites. Do not expel the air bubble. Inject at a 90 degree angle. Administer the entire dose.
What are techniques/teaching points for subcutaneous administration
Vasodilation and excretion of sodium and water
What is mechanism of action/effective use of Ace Inhibitors
Fatigue, orthostatic hypotension, and bradycardia
What are side effects of beta blockers
Hirsutism, gynecomastia, impotence
What are (endocrine) side effects of Potassium-sparing diuretics?
Pregnancy, heart blocks, hypokalemia, and impaired kidney function
What is contraindications/precautions for digoxin
Vitamin K inhibitor drug
What is Coumadin
First dose orthostatic hypotension
This is the common suffix for beta blockers
What is "olol"