Skip to document
Welcome to StudocuSign in to access the best study resources
Guest user
0followers
HomeMy LibraryAsk AI
  • You don't have any recent items yet.
My Library
  • You don't have any courses yet.
  • You don't have any books yet.
  • You don't have any Studylists yet.
Premium
This is a Premium Document. Some documents on Studocu are Premium. Upgrade to Premium to unlock it.

Pharm II study guide Exam 3

exam 3
Course

Pharmacology II (NUR 354)

409 Documents
Students shared 409 documents in this course
Academic year: 2021/2022
Uploaded by:
Anonymous Student
This document has been uploaded by a student, just like you, who decided to remain anonymous.
Arizona Christian University

Recommended for you

Comments

Please sign in or register to post comments.

Students also viewed

Related documents

Related Studylists

pharm

Preview text

NUR354 Pharm II

Exam 3 Review Guide

Modules 5 & 6; Chapters 23, 27, 30, 31 (Adams, et. 2020); Chapters 21, 24, 23, 25 (ATI: Pharmacology 8)

**very little on dysrhythmias

 Angina o Steps to assessing an apical pulse  5 th intercostal space, on the heart, and you listen for 1 full minute.  Measuring the rate, rhythm, and Quality, document findings, IF < than 60 BPM, hold dosage and notify HCP o Action of antianginal medications  Dilate veins, relieves O2 demands to alleviate pain  Nitrates: dilate veins-reducing blood to heart. Dilate arteries-more blood to myocardium  Beta: decrease HR, reduce cardiac output and workload  Calcium Channel: reduce BP/cardiac workload, some decrease HR/reduce workload on heart o Treatment for unstable angina (happens during exercise/activity and can stop during no activity  Nitroglycerin o Drugs to treat angina  **Nitrates (first ones used for acute angina episode)  Nitroglycerin (Nitrostat)  Given sublingual or paste  Beta blockers (first used for long term prevention of angina pain)  Atenolol (Tenormin)  Calcium channel blockers (used when beta blockers are not tolerated well by pt)  Diltiazem (Cardizem)  ATI: Ranolazine o Nitroglycerin  Common side effect:  headache  1 st line of treatment  Nitrates  Long term use beta blocker  Lat resort Calcium channel  Hypertension- o Drugs used for both HTN and HF  ACE inhibitors “pril”  Captopril

 Lisinopril (Prinivil, Zestril)  Avoid prego, Angioedema, Cough, Elevated K  ARB’s “sartan”  Losartan (Cozaar)  Beta blocker  Metoprolol (Lopressor)  Direct vasodilator: Hydralazine o Secondary causes of o Vasopressors- Norepinephrine (Levophed)-reversed HTN  IV administration teaching  Start infusion only after ensuring patency of the IV-will cause necrosis  Need to be on pump, NOT on a drip o ACE  Primary use: lower BP, increase cardiac output, vasodilator  black box warning:  fetal demise  Patient teaching  Do not take with potassium sparing diuretics  Avoid foods high in potassium and avoid salt  Heart Failure o First line drug  ARB-Losartan (Cozaar) o Drugs used for both HTN and HF  ACE- Lisinopril (Zestril, Prinivil)  Diuretics o Patient lifestyle changes  Sodium restriction, limit alcohol, reduce intake of fats o Furosemide (Lasix)-Loop diuretics-works on ascending limb of nephron loop  Excretes K, helps get rid of fluid in body  Nursing interventions  Daily weights, monitor K, VS, ototoxicity  Expected outcome  Labs/electrolytes to monitor for IV administration  Don’t push fast for IV, can be toxic to kidneys, can get extravrogation, HPO o Cardiac Glycoside  Digoxin (Lanoxin)-2nd line HF  Assessment before administering o Check apical and pulse for 1 full min (rate, rhythm, quality) before giving med o Hold if pulse less than 60 o Decreases aldosterone so increases cardiac output-takes 2- 3weeks for therapeutic level o Cant take if prego

 Side effects  HA, fatigue, Rhabdomyolysis**** o “Statins”  Assess the patient’s ability to learn  Patient teaching  Hepatoxic, effect liver  Interfere with contraceptives so another form of BC  Do not take with grapefruit juice  How to take  Interactions  Adverse effect  GI: gas, bloating, cramping, diarrhea, nausea  Serious adverse effect  Rhabdo, atrophy  Consulting departments  Dietitian/ nutrition o Cholestyramine (Questran)  Side effect teaching  Increase fluid intake  Will have fatty stools  GI: nausea, bloating, cramping, diarrhea  Dosing schedule  2hr prior or 4hr after any other meds  Make sure you mix with 60mL of water because the med is a powder  Anticoagulation o Dietary recommendations/limitations  Don’t increase green leafy veggies, brussels sprouts, kale, spinach o Heparin  How to administer-  subQ, tummy, do not pull back on plunger  Lab values - aPTT  25 – 35 seconds (not on hep)  120 – 140 seconds (on hep) o Warfarin  Lab values – PT/INR  INR 2 – 3 therapeutic range  Toxicity treatment / antidote  Vitamin K  Patient teaching  No prego  Avoid ginger, ginko, green tea over counter meds  Bleeding precaution  Use electric razors and soft bristle tooth brushes o LMWH

 Administration route and site  subQ, lower quadrants o Direct Thrombin Inhibitor  Prototype – Agratroban !!  Lab values to assess effectiveness  PTT o Factor Xa inhibitor  Eliquis (apixaban)  Contraindications o Active bleeding, no ginko, ginger, green tea, no prego  Given orally  Specific use: stroke and DVT post-surgery  Antiplatelets o Clopidogrel (Plavix)  Side effects  Dizzy, cough, pruritus/rash, bleeding  Assessment findings   Patient teaching   Dysrhythmias o Potassium Channel Blockers  Expected outcome  Duration of use  50 days  Pregnancy risk  Black Box warning  Pneumonia like syndrome  Electrolytes to monitor  K, Na o Calcium Channel Blockers  Prototype – Proapolmil  Action  Dietary restrictions  No grapefruit  Diseases/disorders/race they treat  African American  HTN, dysrhythmias, last line is CCB for angina o Beta Blockers  Nursing follow up  Patient teaching  Don’t abruptly stop  Don’t operate heavy machinery, lethargic feeling  Pregnancy risk

Was this document helpful?
Premium
This is a Premium Document. Some documents on Studocu are Premium. Upgrade to Premium to unlock it.

Pharm II study guide Exam 3

Course: Pharmacology II (NUR 354)

409 Documents
Students shared 409 documents in this course

University: Arizona College of Nursing

Was this document helpful?

This is a preview

Do you want full access? Go Premium and unlock all 6 pages

  • Access to all documents

  • Get Unlimited Downloads

  • Improve your grades

Upload

Share your documents to unlock

Already Premium?
NUR354 Pharm II
Exam 3 Review Guide
Modules 5 & 6; Chapters 23, 27, 30, 31 (Adams, et.al. 2020); Chapters 21, 24, 23, 25 (ATI:
Pharmacology 8.0)
**very little on dysrhythmias
Angina
oSteps to assessing an apical pulse
5th intercostal space, on the heart, and you listen for 1 full minute.
Measuring the rate, rhythm, and Quality, document findings, IF < than 60 BPM,
hold dosage and notify HCP
oAction of antianginal medications
Dilate veins, relieves O2 demands to alleviate pain
Nitrates: dilate veins-reducing blood to heart. Dilate arteries-more blood to
myocardium
Beta: decrease HR, reduce cardiac output and workload
Calcium Channel: reduce BP/cardiac workload, some decrease HR/reduce
workload on heart
oTreatment for unstable angina (happens during exercise/activity and can stop during
no activity
Nitroglycerin
oDrugs to treat angina
**Nitrates (first ones used for acute angina episode)
Nitroglycerin (Nitrostat)
Given sublingual or paste
Beta blockers (first used for long term prevention of angina pain)
Atenolol (Tenormin)
Calcium channel blockers (used when beta blockers are not tolerated well by pt)
Diltiazem (Cardizem)
ATI: Ranolazine
oNitroglycerin
Common side effect:
headache
1st line of treatment
Nitrates
Long term use beta blocker
Lat resort Calcium channel
Hypertension-
oDrugs used for both HTN and HF
ACE inhibitors “pril”
Captopril

Why is this page out of focus?

This is a Premium document. Become Premium to read the whole document.

Why is this page out of focus?

This is a Premium document. Become Premium to read the whole document.

Students also viewed

Related documents