GI Drugs
This medication is used for acute management of heart burn
Famotidine, Antacids, Calcium Carbonate
Beta Blockers have two types. What are they?
Cardioselective
Metoprolol
Non-Cardioselective
Propranolol, Labetolol, Carvedilol
Protamine Sulfate is reserved for what use?
Treatment of Heparin over use(HIT)
Heparin Induced Thrombocytopenia is a < in PLATELETS.
A patient experiencing muscle aches, and dark colored urine is likely having an adverse reaction to these medications.
STATINS (HMG-COA reductase inhibitors)
It is not advisable to combine these two drug classes together as they can potentiate their side effects. (Commonly taken drugs used in erectile dysfunction) _________ + __________
Nitrates and PDE
Which drug would an asthmatic patient use for an ACUTE exacerbation?
Albuterol (SABA)
Pernicious anemia is a deficiency of...
Vitamin B12
An example of an H2RA is ____________ and an example of a PPI is ________________
1. famotidine, cimetidine, rinatidine
2. Omeprazole, pantoprazole, Esomeprazole, Dexlansoprazole
Major Side Effects of ACE Inhibitors are
1. Hyperkalemia
2. Angioedema
3. Dry Cough (What do you do?)
When monitoring Heparin therapy, the nurse should anticipate monitoring what lab test(s)
PTT for therapeutic dosing
CBC (Platelets) for HIT
Iron supplements are best given how?
1. With something acidic - Orange Juice
2. On an empty stomach (but more side effects)
3. Not with meals
This medication is first line for management of outpatient heart failure due to the benefit of preventing ventricular remodeling
Lisinopril - ACE Inhibitors
A patient with congestion is taking benadryl. Which side effects should the nurse warn the patient about?
Anticholinergic Effects
(dry/red/hot)
1. can't pee, decreased urination
Ferrous sulfate is used to treat which type of anemia?
Iron Deficiency Anemia
This medication blocks H+ ions in the stomach and reduce gastric secretion of stomach acid over time.
Proton pump inhibitors - Lansoprazole
Side effects of Hypertension drugs have the potential to cause... (don't overthink it)
Hypotension
Warfarin has a mechanism of action that acts on ___________ which is also used as the antidote for this medication
Vitamin K
A patient with diagnosed angina should take which medication at the first sign of anginal symptoms?
Nitroglycerin
in acute systolic heart failure, metoprolol is recommended? True or False
False
In acute heart failure this could worsen acute symptoms
Medications for a productive cough are called ___________ and the drug is ______________
EXPECTORANT
GUAIFENESIN
In a patient who is anemic what is the first thing that needs to be done?
Identify the TYPE of anemia
Long term use of this medication can result in Hypomagnesemia
PPI inhibitors - Ex Pantoprazole
ACE Inhibitor -
ARB
Calcium Channel Blocker -
Diuretic -
How is a patient transitioned from Heparin to Warfarin?
Continue Heparin
Start Warfarin
Once Warfarin is Therapeutic (What blood test?)
Then you can d/c Heparin (takes a few days)
2. Hyperkalemia
Re-watch my video if you missed it!
A patient in acute heart failure would benefit from what type of drugs to decrease symptoms?
Diuretics
1. Loop Diuretics - Furosemide
A patient experiencing anaphylaxis with respiratory compromise needs which of the following?
Diphenhydramine 50 mg IV
Dexamethasone 10mg IV
Epinephrine 0.3 mg IM
Albuterol 2.5 mg 2 puffs
Epinephrine
an ESRD (end stage renal disease) patient who is anemic may benefit from all of the following except which medication?
Epogen
Blood Transfusion
IV Iron
Vitamin B6
Patients who have end stage renal disease will have chronic anemia due to decrease erythropoietin secretion. Epogen is synthetic erythropoietin which will help, a blood transfusion may be required in these patients, IV iron may be necessary to improve epogen effect.
To enhance the absorption of calcium antacids, the patient should do what?
Take the medication with water
A patient who is diabetic and Hispanic should be started on which of the following medications?
Metoprolol
Hydrochlorothiazide
Amlodipine
Benazepril
Benazepril because it is an ACE!.
Remember our jingle
"Regardless of RACE, if the patient is DIABETIC, the patient gets ACE."
A 34 yo M presents to the ER with 2 hours of facial droop, weakness. The patient is diagnosed with an ischemic stroke. Which intervention should the nurse anticipate?
Administering Alteplase!!
When transfusing blood to a patient, it is important to monitor.
1. Vital signs
2. Assess for allergies (anaphylaxis, TRALI)
DAILY DOUBLE!
A patient taking Digoxin for heart failure benefits from the positive ___________ effects of this medication. The nurse should monitor the patients by checking the _________ pulse for _________
APICAL PULSE
1 full minute
When taking Theophylline, the patient should avoid taking.... which could potentiate side effects
Caffeine
How will the nurse evaluate the effectiveness in iron supplementation?
increase in Hemoglobin, patient reports increased exercise tolerance, patient reports decreased fatigue, patient mucous membranes pink and moist and skin color is appropriate for ethnicity.