Antihypertensive
A patient who has asthma is diagnosed with hypertension. The nurse understands that ____ drug will be safe to give this patient.
Propranolol, timolol maleate, epinephrine, or Metoprolol
What is Metoprolol?
A patient is experiencing a heparin overdose. The medication would the nurse prepare to administer is:
vitamin K; antihistamine; protamine sulfate; factor VIII
what is protamine sulfate?
salmeterol (Serevent) Not to be used as a rescue inhaler
What is a maintenance bronchodilator?
the antagonist for Coumadin
What is Vitamin K
-Dizziness, Bradycardia, Depression, Fatigue
-Weakness
What are Beta Blockers Side Effects?
A patient is receiving dobutamine for shock and is complaining of feeling more “skipping beats” than yesterday. The nurse knows the next step is:
Monitor for other signs of a therapeutic response to the drug; Assess the patient’s vital signs and cardiac rhythm; Discontinue the dobutamine immediately; Titrate the drug to a higher dose to reduce the palpitations.
What is assess the patient's vital signs and cardiac rhythm?
a clot that breaks loose and travels through the bloodstream. When it causes sudden closure of a blood vessel, this dangerous event is an embolism
What is an embolus?
albuterol (Proventil)
What is Prototype of bronchodilator?
decreases platelet's ability to stick together in the blood and form a clot, beneficial in preventing heart attacks and strokes
What are Antiplatelet drugs?
Cough, Dizziness
-Fatigue, Insomnia
-Hyperkalemia
-Tachycardia
What are ACE Inhibitors side effects?
A therapeutic effect that would be expected to be observed in a client who was recently administered an adrenergic agonist: Decreased heart rate, Bronchodilation, Constricted pupils, Increased intestinal peristalsis
What is bronchodilation?
A client is to receive Lovenox to prevent deep vein thrombosis following an elective hip surgery. The nurse administers this drug:
Subcutaneous; IV; Oral; IM
What is Subcutaneous?
bronchodilator that is given during an acute asthma attack to dilate bronchioles and increase airway potency
What is epinephrine (Adrenalin)?
blockage of the pulmonary artery by foreign matter or by a blood clot
what is Pulmonary embolism?
the most used methylxanthine
What is theophylline (Aminophylline, Theo-Dur, SloBid?
A client is taking an alpha blocker as treatment for benign prostatic hyperplasia. The nurse will monitor for this potential drug effect:
Increased blood pressure; Orthostatic hypotension; Decreased urine flow; Discolored urine
What is orthostatic hypotension?
A patient is being discharged on anticoagulant therapy. The nurse will include in the patient-education conversation that it is important to avoid herbal products that contain this:
St. john's Wort; Saw palmetto, Soy. Valerian
What is St. John's Wort?
Avoid caffeine, nicotine, chocolate, and other stimulants.
What is the nursing care of methylxanthines?
The process of blood clotting
What is Coagulation?
-Captopril (Capoten)
-Enalapril (Vasotec)
-Lisinopril (Zestril and Prinivil)
-Ramipril (Altace)
What are ACE Inhibitors examples?
>140/90
-most common
-contributing Factors: family hx, hyperlipidemia, African American background, diabetes, obesity, aging, stress, excessive ETOH (high blood ethanol) & smoking.
What is the Essential Hypertension?
The nurse recognizes what absolute contraindication to the administration of a thrombolytic to a patient having an acute myocardial infarction?
Presenting BP of 180/110 mm Hg
Pregnancy, History of intracranial hemorrhage
Active peptic ulcer disease
What is a history of intracranial hemorrhage?
Nervousness, tremor, tachycardia, palpations, dysrhythmias, angina, elevated BP, and hyperglycemia.
What are the side effects of bronchodilator?
The term used to describe the series of events that occur in the process of blood clotting
What is Coagulation casade
Act to dilate bronchioles in patients with COPD who have daily symptoms
What is the mechanism of action of anticholinergics?