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