NR293 FINAL EXAM STUDY GUIDE
CORRECTLY VERIFIED
Cardiovascular Drugs
• Antianginals: Nitroglycerin
▪ 3 tablets every 5 minutes x15 minutes
▪ Call 911 after 1st tab
▪ Do not take with ED drugs (sildenafil=Viagra)
• Antidysrhythmics: Digoxin Including norm digoxin levels as well as signs and
symptoms of Digoxin Toxicity
▪ Therapeutic 0.5-2.0
▪ Toxicity: affects colored vison, halos, low potassium (hypokalemia)
▪ Always check pulse, hold if HR below 60
▪ Antidote: digibind
• Antihypertensive: Calcium Channel Blockers, ACE inhibitors, Nonselective Beta
Blockers, Beta Blockers (Metoprolol, Atenolol) Including pathophysiology indications
▪ Calcium Channel Blockers
▪ ACE inhibitors
▪ Beta blockers -LOL
▪ Non selective beta blockers: Timolol
• Glaucoma
• Decreases aqueous humor production, decrease IOP
• Hold gentle pressure on the nasolacrimal duct 30-60
seconds after application overdose can cause systemic
effects
• Antilipemics: Statins
▪ Cholesterol, lowers LDL
▪ Diet and exercise first medication
▪ Adverse effects: Rhabdomyolysis = muscle weakness, tea colored urine
▪ Take them in the evening for natural rhythm
▪ No warfarin or grapefruit
• Diuretics:
o Loop: Furosemide “Furiously getting rid of sodium and water”
▪ Lasik/Bumex
▪ Quick acting emergency
▪ Lithium toxicity (low sodium)
▪ Hypokalemia (low potassium)
▪ Push slowly ototoxicity
▪ Give early in the morning
, Chamberlain College of Nursing
NR 293 Final Study Guide
▪ Check weight daily, same time, same clothes
•
o Potassium Sparing: Spironolactone
▪ Aldactone
▪ Hyperkalemia - avoid foods high in potassium/salt substitutes (licorice)
▪ Interferes with lithium, NSAIDS, ACE
▪ Irregular menses, post-menopausal bleeding, impotence
o Thiazide: Hydrocholorthiazide
▪ Similar to LOOP but NOT QUICK acting
▪ Hypokalemia/ hypoglycemia
▪ Blurred vision, impotence
o Mannitol (Osmitrol) IV only
▪ Intracranial pressure
▪ Increased ocular pressure
▪ Adverse: convulsions, pulmonary congestion
▪ Contraindications: IC bleeding
• Antiemetics – nausea/vomiting
o Ondansetron - Zofran
▪ Before chemo, radiation, post op, pregnant morning sickness
▪ Sudden cardiac death
▪ Extra pyramidal movements – tardive dyskinesia (excessive
movements of eyes, lips or face)
▪ IV or PO (dissolves under tongue)
o Metoclopramide – Reglan
▪ Facilitates peristalsis
▪ Extra pyramidal symptoms – tardive dyskinesia (excessive
movements of eyes, lips or face)
▪ Causes drowsiness/sedation – don’t drive
• Laxatives:
o Docusate
o Bisacodyl
o Lactulose– Cephulac
▪ Decrease ammonia levels and improve mental status
▪ For people with liver enlargement/liver failure
▪ Take with full glass of water
▪ Increase motility and fiber
CORRECTLY VERIFIED
Cardiovascular Drugs
• Antianginals: Nitroglycerin
▪ 3 tablets every 5 minutes x15 minutes
▪ Call 911 after 1st tab
▪ Do not take with ED drugs (sildenafil=Viagra)
• Antidysrhythmics: Digoxin Including norm digoxin levels as well as signs and
symptoms of Digoxin Toxicity
▪ Therapeutic 0.5-2.0
▪ Toxicity: affects colored vison, halos, low potassium (hypokalemia)
▪ Always check pulse, hold if HR below 60
▪ Antidote: digibind
• Antihypertensive: Calcium Channel Blockers, ACE inhibitors, Nonselective Beta
Blockers, Beta Blockers (Metoprolol, Atenolol) Including pathophysiology indications
▪ Calcium Channel Blockers
▪ ACE inhibitors
▪ Beta blockers -LOL
▪ Non selective beta blockers: Timolol
• Glaucoma
• Decreases aqueous humor production, decrease IOP
• Hold gentle pressure on the nasolacrimal duct 30-60
seconds after application overdose can cause systemic
effects
• Antilipemics: Statins
▪ Cholesterol, lowers LDL
▪ Diet and exercise first medication
▪ Adverse effects: Rhabdomyolysis = muscle weakness, tea colored urine
▪ Take them in the evening for natural rhythm
▪ No warfarin or grapefruit
• Diuretics:
o Loop: Furosemide “Furiously getting rid of sodium and water”
▪ Lasik/Bumex
▪ Quick acting emergency
▪ Lithium toxicity (low sodium)
▪ Hypokalemia (low potassium)
▪ Push slowly ototoxicity
▪ Give early in the morning
, Chamberlain College of Nursing
NR 293 Final Study Guide
▪ Check weight daily, same time, same clothes
•
o Potassium Sparing: Spironolactone
▪ Aldactone
▪ Hyperkalemia - avoid foods high in potassium/salt substitutes (licorice)
▪ Interferes with lithium, NSAIDS, ACE
▪ Irregular menses, post-menopausal bleeding, impotence
o Thiazide: Hydrocholorthiazide
▪ Similar to LOOP but NOT QUICK acting
▪ Hypokalemia/ hypoglycemia
▪ Blurred vision, impotence
o Mannitol (Osmitrol) IV only
▪ Intracranial pressure
▪ Increased ocular pressure
▪ Adverse: convulsions, pulmonary congestion
▪ Contraindications: IC bleeding
• Antiemetics – nausea/vomiting
o Ondansetron - Zofran
▪ Before chemo, radiation, post op, pregnant morning sickness
▪ Sudden cardiac death
▪ Extra pyramidal movements – tardive dyskinesia (excessive
movements of eyes, lips or face)
▪ IV or PO (dissolves under tongue)
o Metoclopramide – Reglan
▪ Facilitates peristalsis
▪ Extra pyramidal symptoms – tardive dyskinesia (excessive
movements of eyes, lips or face)
▪ Causes drowsiness/sedation – don’t drive
• Laxatives:
o Docusate
o Bisacodyl
o Lactulose– Cephulac
▪ Decrease ammonia levels and improve mental status
▪ For people with liver enlargement/liver failure
▪ Take with full glass of water
▪ Increase motility and fiber
