Name: Score:
96 Multiple choice questions
Term 1 of 96
rhabdomyolysis
know the HR before giving monitor rate and rhythm. ask if they are taking furosemide
because that can worsen hypokalemia frequent alb draws them med has a narrow margin of
safety
fatigue, pallor, hypotension, SOB, HA, insomnia, tachycardia, difficulty concentration, dizzy
potential adverse effect of statins. breakdown of m. tissue do to trauma or ischemia, and
contents of muscle cells spill into circulation and can cause kidney injury and failure. CAN
BE FATAL!
-Potassium diuretics are prescribed
-Glucose and insulin (hypertonic)may be prescribed to lower potassium levels because
they force potassium into the cells
Definition 2 of 96
know the HR before giving monitor rate and rhythm. ask if they are taking furosemide because
that can worsen hypokalemia frequent alb draws them med has a narrow margin of safety
lanoxin nursing assessment
heparin nursing care
cardioversion rationale
rhabdomyolysis
,Term 3 of 96
what medication ends in "sartan"
ace inhibitors
angiotensin converting enzyme inhibitors (aceis)
calcium channel blocker
angiotensin receptor blocker (ARBs)
Term 4 of 96
gemfibrozil (Lopid) patient teaching
Take the medication with food to decrease GI side effects. It can increase effectiveness of
blood thinners
Take the medication with dairy products to mask the taste. it can reduce the absorption of
blood thinners
Take the medication on an empty stomach for faster absorption. it can decrease the
effectiveness of blood thinners
Take the medication with alcohol to enhance its effects. it can lead to reduced blood
thinning
Term 5 of 96
how to manage medication administration of nephrotoxic drugs
It is safe to administer nephrotoxic drugs at full dose in patients with kidney issues
In renal failure dose reduction is necessary as these medication are excreted by the
kidneys or you can discontinue the med
Mixing nephrotoxic drugs with other medications can enhance their effects
Increasing the dose in renal failure can help improve the drug's effectiveness
,Term 6 of 96
epoetin alfa (Epogen) Pt teaching
given IV or SUBQ
usually tolerated well by most patients
HA, GI upset (abdominal cramping, diarrhea, heartburn), m. weakness which could progress
into rhabdomyolysis.
check BP prior to administration black box warning: risk for cardiovascular and
thromboembolic evens are increased when taking this medication
watch BP, teach how to check BP, Watch for foods high in potassium, watch for angioedema
Definition 7 of 96
bradycardia, exercise intolerance, ortho hypo
Ace inhibitors side effects
Mydriatics side effects
All hypertension drugs can cause
Beta blockers side effects
Definition 8 of 96
-Vitamin c helps absorption
-Take with food for GI upset unless you can handle it without because it is absorbed best on an
empty stomach
-Drug interaction with calcium which can impair absorption
-It takes up to 6 months to alleviate anemia
iron administration teaching
Ace inhibitors common side effects
Nitroglycerin Pt teaching
colloid MOA and indication
, Term 9 of 96
Thiazide diuretics SE
ortho hypo, dizziness, n/v, diarrhea, hypotension, hf, hyperkalemia. can cause angioedema
but less likely than ace
ortho hypo, some K+ loss
hydrate without causing Fluid shift
hypokalemia, ortho hypo, ototoxicity
Term 10 of 96
gemfibrozil (Lopid) SE:
Skin rash, itching, hives, swelling, redness
Muscle pain, joint stiffness, backache, chest tightness, leg cramps
GI upset, abdominal cramping, diarrhea, N/V, dyspepsia
Headache, dizziness, blurred vision, dry Mouth, fatigue
Definition 11 of 96
need to hydrate a patient without causing a fluid shift (no edema or HF)
Isotonic IVF indications
Arbs indication
Hypotonic Iv solution
Anticoagulant Therapeutic indication