Pharm chapter 15 evolve.txt

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Pharm chapter 15 evolve.txt
2012-03-09 11:46:23
Pharm Chpt 15

Pharm Chpt 15
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  1. Pt has symptoms of sweating and flushing of his face after recently being prescribed a nitrate. What should you tell him?
    These symptoms are temporary and should disappear within a few weeks.
  2. How does smoking interfere with taking a nitrate?
    May result in decreased action of nitrate.
  3. What is the most important part of a patient�s history who is going to be started on a nitrate?
    Patient�s description of her angina pain
  4. What guidelines are there in keeping a nitrate medication?
    Medication that is still active and potent will produce a throbbing headache; keep nitroglycerin in refrigerator
  5. How often should a new prescription for nitrate be given?
    Every three months and discard unused medication
  6. What symptom of nitroglycerin requires immediate intervention of the nurse?
    Blurred vision
  7. What symptom of quinidine required immediate intervention by the nurse?
  8. How is a bile acid sequestrant for hyperlipidemia mixed?
    Powder is dissolved without stirring (more stirring will make it more lumpy)
  9. What should you do before giving a cardiotonic drug?
    Take apical pulse for 60 seconds
  10. When on a cardiotonic medication, what is an additional nutritional requirement?
    Increase amount of potassium (by eating oranges)
  11. If you forget to take a hypertension med dose,
    take the next one at its scheduled time
  12. What is the highest priority question of a 52 year old male taking an antihypertensive medication?
    Are you experiencing any sexual side effects?
  13. What is not an expected side effect of Pyridium (treatment for UTI)?
  14. Pt has CAD, reports chest pain a 6. Murse gives nitroglycerin and looks for adverse reaction of
  15. Adverse reaction in nitrate administration
    rapid pulse rate
  16. What med, an oral calcium channel blocker would be prescribed for supraventricular tachycardia?
  17. What does disopyramide treat?
    Ectopic ventricular dysrhythmias
  18. What are adverse reactions of niacin?
    Flushing, which may be reduced by taking aspirin 30 minutes before
  19. Clofibrate may cause
    GI upset
  20. Cholestyramine and colestipol hydrochloride may cause
  21. Bile acid sequestrant preparations should be taken
    3 times a day before meals
  22. What is an appropriate beginning medication for an elderly African-American patient with osteoporosis?
    Chlorothiazide (Diuril)
  23. Symptoms of digitalis toxicity?
    Bradycardia, headache, depression, anorexia, nausea
  24. Home teaching regarding topical nitrate therapy
    throbbing headache is common after taking a nitrate, new sublingual meds should be obtained every 3 months, limit tobacco use, change positions slowly