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