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procainamide (PRONESTYL) 1,000 mg/500 ml D5W at 2 mg per min, IV via continuous infusion pump. Which most important activity?
Place in supine position and monitor for shock. Procainamide, a class 1 antidysrhythmic, can cause severe hypertension and cardiac arrest when admin IV.
Calcium Channel blockers ____________ the ___________ of the heart as well as relaxing coronary arteries. Efficient against ___________.
Decrease, workload, Prinzmetal angina
disopyRamide (Norpace) report which side effect?
urinary Retention
MI w/ new, multiform PVCs. Safe nursing management includes which med on hand?
Lidocaine (Xylocaine), is a class-1 anti rhythmic used to treat dysrhythmias. Others include 1. procainamide (Pronestyl), 2. amiodarone (Cordarone), or 3. magnesium sulfate (generic)
Percutaneous transluminal coronary angioplasty (PCTA), what to watch for?
Report bleeding gums and extensive brusing. Anticoagulation therapy precautions.
Nicardipine (Cardene) is a ____________, that significantly reduces _______________.
Calcium channel blocker, Hypertension
Nitroglycerin (Nitrostat) IV- med prep?
Using a manufacturer specific tubing.
Standard protocol for administering nitroglycerin (Nitrostat).
Administer up to 3 doses of NTG 5 min apart as long as the vitals remInded stable.
What to avoid while taking propranolol (Inderal), which may aggravate Anginal and elevate the HR?
Pseudoephedrine (Actifed) otc cold tabs
Aluminum hydroxide gel with furosemide (Lasix) + nifedipine (Procardia). Best action?
Antacids such as aluminum hydroxide interfere w/ the absorption of other meds.. separate from meds by 1 hour.
Onset of relief of amiodarone (Cordarone) is ___________ in length and the class is ___________.
1-3 weeks, and class 111 antidysrhythmic med
sildenafil (Viagra) and ___________ when used together cause a precipitous drop in b/p.
Nitrates
amiodarone (Cordarone) by iv infusion should be monitored in which way?
continuous cardiac monitor
Nitrostat causes _____________. This can be soothed with ___________. And will disappear as pt builds ____________.
Headaches, acetaminophen, and tolerance.
furosemide (Lasix) and digoxin (Lanoxin) for heart failure reports anorexia, nausea, + green-yellow vision. Primary assessment?
Check am serum digoxin level. (pt exhibiting s+s of dig tox.) Low potassium might contribute info to support dig toxicity.
Frequent PVCs, received a bolus of lidocaine (XYLOCAINE). Monitor pt for?
ECG changes + neurological changes.
nitroglycerin paste (Nitro-Dur). Evaluation of effectiveness would be?
Anginal episodes
Diltiazem (Cardizem) for Angina. When should med be admin?
Calcium channel blocked, taken before meals (ac) and at bedtime (hs).
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Determine Lidocaine bolus administered is effective by documenting what?
Absence of ventricular ectopy + improvement in v/s.
hydralazine (Adrenaline) can cause ______________.
postural hypotension
client taking digoxin (Lanoxin) and hydrochlorothiazide (HydroDiuril, HCTZ)
Foods high in potassium,to avoid hypokalemia. With hypokalemia dig tox is more likely. Diuretics are taken in the am to avoid nocturia.
Pre admin of procainamide (Pronestyl), What assess for?
A baseline assessment pre admin. for any of the adverse effects including; diarrhea, vomiting, and heart failure.
For atrial Dysrhythmia, quiniDine gluconate (QuiniDex).. Important pt teaching?
Do not double dose.
To reduce preload + afterload for pulmonary edema.Which med expectantly ordered?
Sodium nitroprusside (Nipride); A potent vasodialtor that reduces both pre and afterload. Must be protected by light and admin via IV Pump.
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