Chamberlain College of Nursing
I I I
NR293 Final Review Sheet
I I I I
Cardiovascular IDrugs
• Antianginals: INitroglycerin
▪ 3 Itablets Ievery I5 Iminutes Ix15 Iminutes
▪ Call I911 Iafter I1st Itab
▪ Do Inot Itake Iwith IED Idrugs I(sildenafil=Viagra)
• Antidysrhythmics: IDigoxin IIncluding Inorm Idigoxin Ilevels Ias Iwell Ias Isigns Iand Isymptoms Iof
IDigoxin IToxicity
▪ Therapeutic I0.5-2.0
▪ Toxicity: Iaffects Icolored Ivison, Ihalos, Ilow Ipotassium I(hypokalemia)
▪ Always Icheck Ipulse, Ihold Iif IHR Ibelow I60
▪ Antidote: Idigibind
• Antihypertensive: ICalcium IChannel IBlockers, IACE Iinhibitors, INonselective IBeta IBlockers,
IBetaIBlockers I(Metoprolol, IAtenolol) IIncluding Ipathophysiology Iindications
▪ Calcium IChannel IBlockers
▪ ACE Iinhibitors
▪ Beta Iblockers I-LOL
▪ Non Iselective Ibeta Iblockers: ITimolol
• Glaucoma
• Decreases Iaqueous Ihumor Iproduction, Idecrease IIOP
• Hold Igentle Ipressure Ion Ithe Inasolacrimal Iduct I30-60 Iseconds Iafter
Iapplication I Ioverdose Ican Icause Isystemic Ieffects
• Antilipemics: IStatins
▪ Cholesterol, Ilowers ILDL
▪ Diet Iand Iexercise Ifirst I Imedication
▪ Adverse Ieffects: IRhabdomyolysis I= Imuscle Iweakness, Itea Icolored Iurine
▪ Take Ithem Iin Ithe Ievening Ifor Inatural Irhythm
▪ No Iwarfarin Ior Igrapefruit
• Diuretics:
o Loop: IFurosemide I“Furiously Igetting Irid Iof Isodium Iand Iwater”
▪ Lasik/Bumex
▪ Quick Iacting I Iemergency
▪ Lithium Itoxicity I(low Isodium)
▪ Hypokalemia I(low Ipotassium)
▪ Push Islowly I Iototoxicity
▪ Give Iearly Iin Ithe Imorning
, Chamberlain College of Nursing
NR 293 Final Study Guide
▪ Check Iweight Idaily, Isame Itime, Isame Iclothes
•
o Potassium ISparing: ISpironolactone
▪ Aldactone
▪ Hyperkalemia I- Iavoid Ifoods Ihigh Iin Ipotassium/salt Isubstitutes I(licorice)
▪ Interferes Iwith Ilithium, INSAIDS, IACE
▪ Irregular Imenses, Ipost-menopausal Ibleeding, Iimpotence
o Thiazide: IHydrocholorthiazide
▪ Similar Ito ILOOP I but INOT IQUICK Iacting
▪ Hypokalemia/ Ihypoglycemia
▪ Blurred Ivision, Iimpotence
o Mannitol I(Osmitrol) IIV Ionly
▪ Intracranial Ipressure
▪ Increased Iocular Ipressure
▪ Adverse: Iconvulsions, Ipulmonary Icongestion
▪ Contraindications: IIC Ibleeding
• Antiemetics I– Inausea/vomiting
o Ondansetron I- IZofran
▪ Before Ichemo, Iradiation, Ipost Iop, Ipregnant Imorning Isickness
▪ Sudden Icardiac Ideath
▪ Extra Ipyramidal Imovements I– Itardive Idyskinesia I(excessive Imovements Iof
eyes, Ilips Ior Iface)
▪ IV Ior IPO I(dissolves Iunder Itongue)
o Metoclopramide I– IReglan
▪ Facilitates Iperistalsis
▪ Extra Ipyramidal Isymptoms I– Itardive Idyskinesia I(excessive Imovements Iof
eyes, Ilips Ior Iface)
▪ Causes Idrowsiness/sedation I– Idon’t Idrive
• Laxatives:
o Docusate
o Bisacodyl
o Lactulose– ICephulac
▪ Decrease Iammonia Ilevels Iand Iimprove Imental Istatus
▪ For Ipeople Iwith Iliver Ienlargement/liver Ifailure
▪ Take Iwith Ifull Iglass Iof Iwater
▪ Increase Imotility Iand Ifiber
I I I
NR293 Final Review Sheet
I I I I
Cardiovascular IDrugs
• Antianginals: INitroglycerin
▪ 3 Itablets Ievery I5 Iminutes Ix15 Iminutes
▪ Call I911 Iafter I1st Itab
▪ Do Inot Itake Iwith IED Idrugs I(sildenafil=Viagra)
• Antidysrhythmics: IDigoxin IIncluding Inorm Idigoxin Ilevels Ias Iwell Ias Isigns Iand Isymptoms Iof
IDigoxin IToxicity
▪ Therapeutic I0.5-2.0
▪ Toxicity: Iaffects Icolored Ivison, Ihalos, Ilow Ipotassium I(hypokalemia)
▪ Always Icheck Ipulse, Ihold Iif IHR Ibelow I60
▪ Antidote: Idigibind
• Antihypertensive: ICalcium IChannel IBlockers, IACE Iinhibitors, INonselective IBeta IBlockers,
IBetaIBlockers I(Metoprolol, IAtenolol) IIncluding Ipathophysiology Iindications
▪ Calcium IChannel IBlockers
▪ ACE Iinhibitors
▪ Beta Iblockers I-LOL
▪ Non Iselective Ibeta Iblockers: ITimolol
• Glaucoma
• Decreases Iaqueous Ihumor Iproduction, Idecrease IIOP
• Hold Igentle Ipressure Ion Ithe Inasolacrimal Iduct I30-60 Iseconds Iafter
Iapplication I Ioverdose Ican Icause Isystemic Ieffects
• Antilipemics: IStatins
▪ Cholesterol, Ilowers ILDL
▪ Diet Iand Iexercise Ifirst I Imedication
▪ Adverse Ieffects: IRhabdomyolysis I= Imuscle Iweakness, Itea Icolored Iurine
▪ Take Ithem Iin Ithe Ievening Ifor Inatural Irhythm
▪ No Iwarfarin Ior Igrapefruit
• Diuretics:
o Loop: IFurosemide I“Furiously Igetting Irid Iof Isodium Iand Iwater”
▪ Lasik/Bumex
▪ Quick Iacting I Iemergency
▪ Lithium Itoxicity I(low Isodium)
▪ Hypokalemia I(low Ipotassium)
▪ Push Islowly I Iototoxicity
▪ Give Iearly Iin Ithe Imorning
, Chamberlain College of Nursing
NR 293 Final Study Guide
▪ Check Iweight Idaily, Isame Itime, Isame Iclothes
•
o Potassium ISparing: ISpironolactone
▪ Aldactone
▪ Hyperkalemia I- Iavoid Ifoods Ihigh Iin Ipotassium/salt Isubstitutes I(licorice)
▪ Interferes Iwith Ilithium, INSAIDS, IACE
▪ Irregular Imenses, Ipost-menopausal Ibleeding, Iimpotence
o Thiazide: IHydrocholorthiazide
▪ Similar Ito ILOOP I but INOT IQUICK Iacting
▪ Hypokalemia/ Ihypoglycemia
▪ Blurred Ivision, Iimpotence
o Mannitol I(Osmitrol) IIV Ionly
▪ Intracranial Ipressure
▪ Increased Iocular Ipressure
▪ Adverse: Iconvulsions, Ipulmonary Icongestion
▪ Contraindications: IIC Ibleeding
• Antiemetics I– Inausea/vomiting
o Ondansetron I- IZofran
▪ Before Ichemo, Iradiation, Ipost Iop, Ipregnant Imorning Isickness
▪ Sudden Icardiac Ideath
▪ Extra Ipyramidal Imovements I– Itardive Idyskinesia I(excessive Imovements Iof
eyes, Ilips Ior Iface)
▪ IV Ior IPO I(dissolves Iunder Itongue)
o Metoclopramide I– IReglan
▪ Facilitates Iperistalsis
▪ Extra Ipyramidal Isymptoms I– Itardive Idyskinesia I(excessive Imovements Iof
eyes, Ilips Ior Iface)
▪ Causes Idrowsiness/sedation I– Idon’t Idrive
• Laxatives:
o Docusate
o Bisacodyl
o Lactulose– ICephulac
▪ Decrease Iammonia Ilevels Iand Iimprove Imental Istatus
▪ For Ipeople Iwith Iliver Ienlargement/liver Ifailure
▪ Take Iwith Ifull Iglass Iof Iwater
▪ Increase Imotility Iand Ifiber
