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NUR 210 EXAM 2 (GALEN) QUESTIONS AND ANSWERS / LATEST
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NUR 210 EXAM 2 (GALEN) QUESTIONS AND ANSWERS / LATEST
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NUR 210 EXAM 2 (GALEN)Duration of cyclobenzaprine use
3 weeks with tapering down over 1 week to avoid rebound spasms
Precautions with cyclobenzaprine
No driving, operating machinery, or life-changing decisions
Digoxin
Cardiac glycoside used to treat CHF
Positive inotropic properties
Properties of digoxin that increase contractility and cardiac output
Negative chronotropic properties
Properties of digoxin that decrease heart rate
Negative dromotropic properties
Properties of digoxin that decrease conduction velocity
Edema
Swelling caused by fluid accumulation
Fluid excretion
Process of removing excess fluid from the body
,MOA of digoxin
Inhibits the NA-K ATPase pump, increasing calcium in heart cells for increased force of contraction
Digoxin toxicity
Symptoms include anorexia, N/V/D, bradycardia, PVC's, headaches, blurred vision, visual illusions,
confusion
Hypokalemia
Electrolyte imbalance that can cause digoxin toxicity
Apical pulse requirements for Digoxin toxicity
Apical pulse should be taken for 1 full minute. If the HR is < 60 BPM or if the HR is irregular, the RN
should hold the medication and call the PCP
Angina pectoris
Acute cardiac pain caused by inadequate blood flow to the myocardium
Anti-Anginal Drugs
Drugs that increase oxygen supply or decrease oxygen demand by the myocardium
3 types of antianginal drugs we need to know?
NItrates
BB's
CCB's
, Increasing O2 supply
One way anti-anginal drugs increase blood flow
Decreasing oxygen demand
Another way anti-anginal drugs increase blood flow
Nitrates
Type of anti-anginal drug that causes generalized vascular and coronary vasodilation
BB's
Type of anti-anginal drug that decreases the effects of the sympathetic NS, HR, and BP
CCB's
Type of anti-anginal drug that decreases the influx of calcium, decreasing the workload of the heart
Major systemic effect of nitrates
Coronary vasodilation to increase blood flow and reduce myocardial ischemia
Nitro
Anti-anginal drug that decreases cardiac PRELOAD and AFTERLOAD to reduce myocardial O2 demand
Nitro headache
Common side effect of nitro, treated with acetaminophen
Tapering nitro therapy
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