Final Exam Study
Guide
Digoxin discharge teaching, what must a client know how to do? TAKE THEIR PULSE,
0.5-2.0 NORMAL THERAPEUTIC DOSE, HOLD MEDS IF PULSE IS UNDER 60, IF
LEVEL IS NOT THERAPUETIC ADJUST THE DOSE.
What is main thing you need to ‘assess’ while on digoxin? PULSE^^^
How to monitor and interpret labs for potassium wasting diuretics (HCTZ).
Know Normal potassium ranges. 3.5-5.0 IS NORMAL
Nursing interventions-should you give potassium wasting diuretic if K+ is out of
range? NO! BECAUSE IT CAN CAUSE DISRHYTHMIAS OR
HYPERKALEMIA. IF ITS TOO LOW IT CAN CAUSE DISRHYMIAS, TOO
HIGH CAN CAUSE LETHAL DISRHYTHMIAS
What are potassium rich foods? SPINACH, BANANAS, POTATOES, APRICOTS,
WHITE BEANS
CAUTION IF PATIENT GAINS 2 LBS IN 24 HOURS OR 5 LBS IN A WEEK.
THIS INDICATES MEANS HEART FAILURE (EDEMA).
HYDROCHLOROTHIAZIDE IS A POTASSIUM WASTING DIURETIC- MEANS
YOUR LOSING MORE POTATSSIUM WHEN YOU’RE TAKING IT. IF
POTASSSIUM IS LOW DON’T GIVE MEDS BECAUSE IT WILL MAKE IT
LOWER.
Actions of ACE inhibitors, think about chronotropic, inotropic etc.
Why is it given and what are it’s effects on the heart? –(reduces workload by
decreasing fluid volume) ACE INHIBITIOR IS A VASODILATOR. REDUCES
WORK LOAD AND DECREASES FLUID VOLUME. OPENS BLOOD VESSELS
SO BLOOD DOESNT HAVE TO WORK SO HARD TO PUSH THROUGH
SYSTEM
IT BLOCKS ANGIOTENSIN 2 AND CAUSES DIURESIS BECASUE IT BLOCKS
ELDOSTERONE. IT DECREASESS FLUID VOLUME.
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, what meds should you not take with grapefruit juice-
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Guide
Digoxin discharge teaching, what must a client know how to do? TAKE THEIR PULSE,
0.5-2.0 NORMAL THERAPEUTIC DOSE, HOLD MEDS IF PULSE IS UNDER 60, IF
LEVEL IS NOT THERAPUETIC ADJUST THE DOSE.
What is main thing you need to ‘assess’ while on digoxin? PULSE^^^
How to monitor and interpret labs for potassium wasting diuretics (HCTZ).
Know Normal potassium ranges. 3.5-5.0 IS NORMAL
Nursing interventions-should you give potassium wasting diuretic if K+ is out of
range? NO! BECAUSE IT CAN CAUSE DISRHYTHMIAS OR
HYPERKALEMIA. IF ITS TOO LOW IT CAN CAUSE DISRHYMIAS, TOO
HIGH CAN CAUSE LETHAL DISRHYTHMIAS
What are potassium rich foods? SPINACH, BANANAS, POTATOES, APRICOTS,
WHITE BEANS
CAUTION IF PATIENT GAINS 2 LBS IN 24 HOURS OR 5 LBS IN A WEEK.
THIS INDICATES MEANS HEART FAILURE (EDEMA).
HYDROCHLOROTHIAZIDE IS A POTASSIUM WASTING DIURETIC- MEANS
YOUR LOSING MORE POTATSSIUM WHEN YOU’RE TAKING IT. IF
POTASSSIUM IS LOW DON’T GIVE MEDS BECAUSE IT WILL MAKE IT
LOWER.
Actions of ACE inhibitors, think about chronotropic, inotropic etc.
Why is it given and what are it’s effects on the heart? –(reduces workload by
decreasing fluid volume) ACE INHIBITIOR IS A VASODILATOR. REDUCES
WORK LOAD AND DECREASES FLUID VOLUME. OPENS BLOOD VESSELS
SO BLOOD DOESNT HAVE TO WORK SO HARD TO PUSH THROUGH
SYSTEM
IT BLOCKS ANGIOTENSIN 2 AND CAUSES DIURESIS BECASUE IT BLOCKS
ELDOSTERONE. IT DECREASESS FLUID VOLUME.
Page 1 of 11
, what meds should you not take with grapefruit juice-
Page 2 of 11
