Nursing considerations before med
A provider prescribes digoxin (Lanoxin) 0.25 mg PO daily. Available is digoxin (Lanoxin) 0.125 mg/tablet. How many tablets should the nurse administer?
2 tablets
What kind of diuretic is spironolactone (Aldactone)?
potassium-sparing diuretic
Therapeutic uses for nitroprusside (Nitropress)
Moderate to severe hypotension, and hypertensive crisis (IV form)
A patient is taking Captopril (Capoten/ Captoril)for the first time. Do you administer a low or high dose?
Low dose
Medication effectiveness of spironolactone (Aldactone) can be evaluated when the potassium levels are within what normal range?
3.5-5.0
What medications decreases the effectiveness of lisinopril (Prinivil/ Zestril)?
NSAIDs
Is atenolol (Tenormin) a 1st or 2nd generation Beta blocker?
2nd generation
Therapeutic uses for captopril (Capoten/Captoril)
Hypertension, Heart failure (HF), and Diabetic nephropathy
Do you give digoxin (Lanoxin) with or without food.
Can be given with or without food
What do you monitor after administering atenolol (Tenormin)?
Heart rate and report rate slower than 60 bpm
What are the available forms of atenolol (Tenormin)?
Oral and IV
What drug classification does enalapril (Vasotec) belong to?
ACE Inhibitor
What pump is needed for digoxin (Lanoxin)?
sodium pump
True or False: Spironolactone (Aldactone) can be given with other antihypertensive drugs.
True (may be given alone or combined)
What is a reversal drug for angioedema when Lisinopril is given (Zestril)?
Epinephrine
What are the available forms of nitroprusside (Nitropress)?
IV infusion
What drug class is nitroprusside (Nitropress)?
Vasodilator
What natural chemical in your body is blocked during the pharmacological action of atenolol (Tenormin)?
Epinephrine
What solution should nitroprusside (Nitropress) be diluted in?
sterile 5% dextrose injection
List some warning signs of digoxin overdose
- Nausea, vomiting, loss of appetite, diarrhea, confusion, vision problems, palpations, and dysthymias
What labs are you monitoring before administering spironolactone (Aldactone) to a client at risk for hyperkalemia?
BUN and Creatinine
What group classification is digoxin (Lanoxin)?
Inotropic agents
What part of the body does spironolactone (Aldactone) act on?
Distal portion of the nephron
A patient comes in with acute myocardial infarction how do you administer atenolol (Tenormin)?
By IV initially then orally
What do you advise the client can occur after taking the nitroprusside (Nitropress)?
Headache and tachycardia