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