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NUR 100 PHARMACOLOGY EXAM 3 STUDY GUIDE 2024/ ACTUAL EXAM WITH VERIFIED ANSWERS-FORTIS COLLEGE
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NUR 100 PHARMACOLOGY EXAM 3 STUDY GUIDE 2024/ ACTUAL EXAM WITH VERIFIED ANSWERS-FORTIS COLLEGE
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NUR 100 PHARMACOLOGY EXAM 3 STUDY GUIDE2024/ ACTUAL EXAM WITH VERIFIED ANSWERS-
FORTIS COLLEGE
1.Priority lab value for digoxin- Serum level, potassium (k levels), magnesium.
treatment for heart failure, monitoring of serum electrolytes is important, signs of
toxicity: bradycardia, tachypnea, headache, dizziness, confusion, nausea, and
visual disturbances. Therapeutic range: .5-2ml *magnesium or potassium (k levels)
*
2.*Amiodarone contraindications- Patients are at greater risk for hypo and hyper
thyroidism. Slows down heart rate. Adverse effects: photosensitivity, can treat
dysrhythmia but can also cause it, and pulmonary fibrosis.
3.Beta-adrenergic blocker effect on heart- Causes heart to beat slower with less
force which lowers the blood pressure. * Check apical pulse for one minute
because it decreases heart rate. * Cannot give to people with asthma or COPD.
4.Risk for taking both warfarin and gemfibrozil- also known as coumadin and
lopid, gemfibrozil would enhance warfarin and make it work too well (bleed more)
5.*Nitroprusside IV nursing interventions- monitor blood pressure and heart rate,
contact doctor if does not have desired effect within 10mins, always dilute per
manufacture guidelines, never infuse for more than 10 mins, used in ICU settings
for hypertensive crisis emergency
6.Contraindications for sildenafil- nitroglycerin (nitrate) coronary vasodilator, men
with major cardiovascular disorders can cause severe hypotension that may not
respond to treatment, use of finasteride is contraindicated in women especially
pregnant women and children
, 7.Sublingual nitroglycerine storage education- It must be stored in original
container, brown container (light sensitivity), discard after 30 days. Do not take
Viagra with this, can cause dramatically low blood pressure.
8.Reasons a physician would prescribe 2 diuretics- Their condition is worsening
9.How to prevent niacin adverse effects- aspirin, take 30 minutes before to reduce
flushing
10.Before starting a statin, what lab values do you want to know- lipid panel, AST,
ALT liver problems or liver failure, liver panel
11.Ace inhibitor adverse effects- dry persistent cough
12.Priority assessment for a loop diuretic- watch potassium levels and labs, assess
patient’s skin (severe skin reactions), full head-to-toe, fluid volume, *serum
electrolyte level*
*Assessment before giving digoxin- Assess patient’s past and present medical
history, drug allergies, family medical history (especially any history of
cardiac, hypertensive, or renal diseases). *heart rate should be over 60, if not
hold it*
Purpose for digoxin immune Fab- (Digifab) antidote for severe digoxin overdose
(you know it has worked by lessening of side effects)
*Nesiritide adverse effects- cardiac dysrhythmia and hypertension
*Common occurrence when giving adenosine IV- Commonly causes asystole for a
period of seconds (doesn’t seem like heart is beating). Short half-life. Antidote is
Atropine.
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