Relier Pairs Cardiac and Hematology reviewVersion en ligne review for pharm par Cristeen Shepard 1 Sulfa allergy, hypokalemia, and hyperglycemia are all contraindications or side effects of this diuretic med 2 What are two signs of rhabdomyolysis that would occur with HMG-CoA reductase inhibitors (Statin drugs) 3 You know this medication has been effective when the pt has increased urinary output 4 The patient taking clopidogrel should be told this prior to surgery 5 Bradycardia, unusual vivid dreams, and bronchospasms can occur with what medication 6 What is the priority intervention for a patient taking alteplase immediately following a STEMI 7 This medication causes dilatation of coronary arteries resulting in reduced heart contractility through the blocking of calcium access to the cells 8 Digoxin should be held in a pt with this assessment 9 Adverse effect of Beta-Blockers 10 Captopril reduces blood pressure through this effect 11 Bradycardia, hallucinations, and confusion are adverse effects caused by 12 Which anti-hypertensive class should you take at bedtime to reduce the risk of orthostatic hypertension 13 Sodium Channel Blockers are what class of medication 14 Anorexia, headaches, and yellow/green halo's are a sign of 15 A patient with this health condition should not take atorvastatin hydrochlorothyazide digoxin toxicity Alpha-Blockers propanolol Class I anti-arrhythmiac's hepatic failure monitor for signs of bleeding furosemide/lasix Stop medication 1 week before Low cardiac output muscle pain and dark yellow urine Nifedipine bradycardia Lidocaine inhibiting conversion of angiotenison I to angiotension II 1 What is a rare adverse effect of iron dextran 2 What priority assessment by the nurse would indicate that a patient has high levels of uric acid 3 What is the therapeutic range of digoxin 4 What is the priority for a pt taking erythropoetin with a hemoglobin level of 13 5 What action should be taken by the nurse with a patient who is on heparin and warfarin when the therapeutic effect is not being acheived 6 What is the priority assessment needed before starting digoxin 7 What food should be avoided while taking calcium channel blockers due to the possibility of increasing medication levels in the blood stream 8 What class of medication increases the chance of hyperkalemia when taken in combination with potassium-chloride 9 This diuretic is effective in treating mild to moderate hypertension 10 Nitroglycerin and Calcium channel blockers together can cause 11 What education would the nurse provide to the patient who is concerned about starting warfarin while on a heparin drip 12 When taking ACE inhibitors, what adverse effect is caused by accumulating bradykinins, usually causes the med to be stopped 13 Monitor a patient taking Beta-Blockers and Nitrates for this comorbidity 14 rotate sites, monitor skin for irritation, and avoid getting on the skin of others 15 Take this medication before bed angioedema Contact the provider and inquire if the heparin can be adjusted. (warfarin dose stays) joint redness and swelling COPD kidney function 0.5-1.9 full therapeutic effect of warfarin takes 4-5 days grapefruit/grapefruit juice thiazide topical nitroglycerin dry cough hypotension Atorvastatin ACE inhibitors question the order 1 Beta Blockers end in 2 What teaching would you provide a patient taking enoxaparin about hygiene 3 severe side effect in a patient taking enoxaparin 4 Development of expiratory wheezes is a potential adverse effect of 5 What is the priority action when a patient presents with nausea and general weakness 6 ACE inhibitors end in 7 ARB's end in 8 How long will a patient need to take vitamin B12 injections 9 This medication is contraindicated in a patient with hyponatremia 10 What are 2 potential adverse effects of Calcium Channel blockers 11 Which medication should be taken by sublingual route, 1 tablet at a time, every 5 minutes, up to three tablets, for chest pain 12 What should you tell a patient who is taking liquid iron 13 What medication when taken in conjunction with warfarin increases the risk of bleeding 14 What blood test is given to detect clotting factors present in a patient with hemophilia 15 What is the priority concern for a patient taking doxazosin 16 Calcium Channel blockers end in 17 Medication given to a client with a high INR level check vital signs -ipine, -amil, Vitamin K use a straw to prevent staining of teeth headache and dizziness monthly for life -lol aPTT Furosemide Dark stools (GI Bleed) Propanolol (Beta-Blockers) use a soft toothbrush Gemfibrozil -tan, -zem, -pril nitroglycerin safety