What are the nursing interventions of montelukast?
~ Monitor respirations and breath sounds
Encourage adequate hydration (fluids help loosen secretions)
Monitor LFTs
D/c use and notify HCP if allergic reaction develops
Which CAMs interact with Singulair?
~ St. John's wort and black or gre...
Which medication is in the cardiac glycoside drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix
✓~ b. Digoxin
What are the uses of Digoxin?
✓~ Used to treat heart failure and atrial fibrillation?
A patient's serum digoxin level is 1.1 ng/mL. What action should the nurse take?
a. Given the next dose
b. Retake the lab test
c. Split the dose in half
,d. Inform the HCP
✓~ D. The nurse should inform the HCP because this results indicates toxicity.
What is the therapeutic serum level of digoxin?
✓~ 0.5 - 1 ng/ml
The nurse is caring for a patient on digoxin therapy. The student nurse asks the
nurse what are signs of digoxin toxicity. What should the nurse teach the
student nurse?
a. Depression
b. Circulatory Collapse
c. Tachycardia
d. Green or yellow hallos
✓~ D. Green or yellow halos, cardiac dysrhythmias, bradycardia, vomiting, anorexia
and diarrhea
A patient on digoxin therapy reports having blurred vision and yellow halos and
respirations are 5 per minute. What action should the nurse take next?
,a. Administer protamine
b. Administer digoxin immune fab
c. Administer vitamin K
d. Nothing these are normal side effects
✓~ B. Administer Digoxin Immune Fab. This med reverses the side effect of
bradycardia
Which CAMs increase the risk of digitalis toxicity? SATA
a. Gingko
b. Ginseng
c. Cinnamon
d. Licorice
e. Aloe
f. Parsley
g. Green tea
h. Ephedra
, ✓~ Ginseng, Licorice, Aloe and Ephedra
A patient on digoxin therapy frequently takes CAMs. Which CAMs should the
nurse educate the patient to avoid?
✓~ Ginseng, St. John's Wort, Psyllium, Hawthorn, Licorice, Aloe, and Ephedra
What are 3 important things a nurse needs to watch for during digoxin therapy?
✓~ Apical pulse >60
Toxicity: 0.5-1.0 ng/mL
Potassium: Increases risk of digitalis toxicity
Which medication is in the antianginal drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix
✓~ a. Nitroglycerin
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