Exam (elaborations)
NUR 2407 Pharmacology Exam 3 Study Guide
- Course
- Institution
NUR 2407 Pharmacology Exam 3 Study Guide
[Show more]
Seller
Follow
solutions
Reviews received
Content preview
Pharmacology Exam 3 Study GuideCardiovascular
A. Digoxin
a. How does this medication work? Force of contraction in ventricles
b. What is it used for? Manage Cardiac dysrhythmias . Slows and strengthens the heart.
c. How do you know if the medication is working? What would you expect to see change in
the patient? Decreased heart rate –Normal heart rate and sound closer to base line
d. What category of medications does Digoxin belong in? antiarrhythmia
e. What priorities are there prior to administering medication? Apical pulse (60 seconds),
monitor digoxin level (symptoms of toxicity) Signs/symptoms
f. What patient teaching needs to be included? Check pulse, sign/symptom toxicity, follow
up with provider to check labs (bradycardia) >2 ng/ml
g. When should this medication be held? Pulse <60. Signs of toxicity. Swallowing difficulty.
h. What are signs of Digoxin Toxicity? Visual illusions, confusion, delirium, PVC’s, Cardiac
Dysrhythmias, fast heart beat, irregular pulse, loss of appetite, n/v,diarrhea
m
er as
co
eH w
o.
ANTIDOTE = digoxin immune Fab (Digibind)
rs e
**check apical pulse for a full minute before administering medication
ou urc
-hold for heart rate below 60 bpm
-does not affect blood pressure
-encourage patient to eat high potassium diet
o
***monitor for S/S of digoxin toxicity:
aC s
N/V vision changes(yellow/ green halo vision, bradycardia, dysrhythmias, confusion
vi y re
>>educate patients to have digoxin levels checked (toxic level= >2ng/ml)
B. Diuretics
ed d
a. What are the various reasons these medications are used? Hypertension, CHF, edema
ar stu
b. What lab values help to determine the need for these medications (think heart failure)?
BNP <100 is good lab value.
c. Thiazide diuretics
i. Example:
is
1. HCTZ
Th
ii. What are the indications for use? Edema, CHF, hypertension
iii. What needs to be monitored prior to administration of medication? Daily weight
iv. What labs do we monitor to determine if the patient is in renal failure? Creatin,
GFR
sh
v. What race responds well to this category of medication? African American
vi. For the elderly, what precautions need to be taken? Fall risk, renal function,
dehydration
d. Loop Diuretics
i. When is the best time to take these medications? Morning
This study source was downloaded by 100000805705997 from CourseHero.com on 05-11-2021 05:54:18 GMT -05:00
https://www.coursehero.com/file/27655731/Pharmacology-Exam-3-Study-Guidedocx/
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller solutions. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now