Nursing Pharmacology - CV

Your BP is High

100

These drugs lower BP by suppressing the SNS?

Beta-Blockers. When are they contraindicated? 

200

These diuretics work in the loop of henle and prevent reabsorption of sodium?

What are loop diuretics

300

Cough is a common side effect of these drugs?

What are ACE inhibitors

400

What is a priority assessment when infusing colloids to increase blood volume? 

Auscultate lungs for crackles

500

These drugs work by blocking calcium channels  and causing vasodilation; thus decreasing the workload of the heart.

What are calcium channel blockers. These drugs are also used for chest pain and dysrhythmias.

MISC

100

A heart rate under 60 would cause you to hold this medication 

lol's - beta blockers

200

What is the most common side effects of nitroglycerin 

Headache, hypotension

300

What type of shock would you anticipate giving albumin or colloids for and why?

Hypovolemic. Colloids are too large to cross plasma membranes and pull fluid inside the intravascular space, increasing BP.

400

Besides a bedside monitor that provides VS and heart rhythm, what piece of equipment will you need when administering dopamine (Intropin)?

IV Pump

500

Colony-stimulating factor drugs such as filgrastim (Neupogen) increase WHAT?

neutrophil production in the bone marrow

Your Blood is Thin

100

Patient education should be provided to patients on blood thinners to avoid these types of foods.

Dark leafy greens and some herbs.

200

INR is used to measure this drugs therapeutic range? Also, what is the therapeutic level?

What is warfarin (Coumadin). Therapeutic levels are between 2.0-3.0

300

You are the nurse caring for a patient with a PE who is receiving Heparin via IV gtt. What nursing assessment is priority.

Watching for sings and symptoms of bleeding. If you patient was bleeding, what would you see?

400

Your patients INR is 6.0. What medication order do you anticipate?

Administering Vit K

500

Administration of this anticoagulant is given subcutaneously in the abdomen

enoxaparin (Lovenox)

My Heart Hurts

100

These drugs work by decreasing the heart rate and contractility of the heart, thus decreasing myocardial oxygen demand?

beta-blockers

200

This acronym will help you remember the priorities of care for patients experiencing angina (CP)?

What is MONA

300

Palpitations, chest pain, weakness and fatigue are side effects from using these drugs and should be reported to the physician?

antidysrhythmics 

400

You have administered 0.4mg Nitro SL x3 and your patient is still having CP. What is likely going on?

myocardial infarction

500

This drug dissolves blood clots in the coronary arteries and is carefully given IV?

alteplase (Activase)

Your Labs are Jacked

100

Patients receiving diuretics need close monitoring of this electrolyte?

K (potassium)

200

Ferrous sulfate supplements can be taken orally to help treat iron deficiency anemia. What vitamin helps increase the absorption?

C - what foods have C?

Bonus: what patient education should you provide for patients taking oral Iron?

300

What is the best way to monitor the THERAPEUTIC EFFECTS of diuretics and what time of day should patients take diuretics?

Daily weights. Take in the AM.

400

epoetin alfa (Procrit) is used to increase a patients RBC's (HGB/HCT). What vital sign needs to be assessed prior to administration?

BP

500

Your patient has hyponatremia (serum Na+ <135). What IV solution will the provider likely order?

NS or LR - Isotonic