1
what should you monitor for with a pt taking a spironolactone
hyperkalemia
4 yr old pt - what pulse rate indicates digoxin toxicity
below 70
what are the therapeutic levels for digoxin
0.8-2
what should you monitor for in a pt who is taking nitroprusside for a hypertensive emergency
hypotension
a pt is taking digoxin and they develop edema what should you monitor
I & O
pt with cerebral edema who is taking mannitol what should you check for
check pupils for light reaction
pt is taking Amlidipine and they get dizzy what do we tell them to do
lay down
warfarin + diuretic=
decreases the effectiveness of the warfarin
what do we teach a pt about nitro paste
use an applicator
if a pt is on an antiarrhythmic drug what assessment should we watch for
altered mental status
if a pt is taking an asthma drug what RR would have the nurse holding the medication
less than 10
what assessments are we going to prioritize for a pt taking dobutamine
BP, pulse, RR, LOC
a pt has a BP of 220/180 what should we be watching for
stroke/ monitor BP
pt is taking antitussives what should you ask your pt during the preassessment
sputum presence, type of cough, any fever
pt taking an antitussive- what are we going to educate the pt on
swallow the pill whole, stay away from respiratory irritants
what med is a monoclonal asthma drug
Omalizumab
(the first monoclonal antibody therapy approved for asthma, it targets IgE, a component of the asllergic cascade)
if you are giving a pt potassium what should you watch for
hyperkalemia
you should avoid administering fat emulsions in a pt with ?
pulmonary disorders
an adverse reaction of fat emulsions therapy is difficulty breathing (dyspnea)
what adverse reaction should you watch for with IV dobutamine
cardiac arrhythmias
What assessment findings are indicative of fluid overload
high RR, JVD
pt receiving ammonium chloride- what should we monitor for
metabolic acidosis
(it is used in the treatment of metabolic alkalosis so the adverse reaction is metabolic acidosis)
pt is receiving NS IV. What disorders in their medical record would indicate to not give NS IV
impaired renal function, edema, hypoproteinemia (low level of protein in the blood)
what ongoing assessments should you prioritize for a pt who is getting antitussive therapy
frequency of cough, lung sounds, pain check, check for therapeutic effect
pt is receiving aminoglycoside what type of toxicities should we monitor for
nephrotoxicity, ototoxicity, neurotoxicity
what should we educate our pt on while taking sulfa drugs
take full dose with food
pt is taking amantadine what AR should we watch for
hypotension, insomnia
(used in the prevention and treatment of influenza A and parkinsons)
what should we teach our pts about doxycycline
causes photo sensitivity
avoid sunlight, wear protective clothing
Quinine+warfarin=
increased risk for bleeding
Trimethoprime+ sulfa=
Gi upset, rash, glossitis
what pt education should we give for NSAIDS
take with food
what will every pt be put on for new onset of unstable angina
asprin
A pt takes an opioid antagonist (NARCAN) what should we be on the look out for
diaphoresis (sweating)
what should we do during the preadministration assessment before giving opioids
pain level
pt taking a diuretic what adverse reaction will you monitor for
increased edema
How often do when get vitals on a pt with respiratory depression after taking opioids
5-15 minutes
what education should we teach a pt about who has an opioid patch before application
clean the site with water
what can cause an electrolyte imbalance
vomiting, SX, drug administration, diagnostic testing