( LATEST): PHARMACOLOGY
education for pt taking lisinopril - check BP daily
change position daily
dry cough
what order are inhalers given in - albuterol 1st
ipotropium second
corticisoteroid
steroid inhaler education - rinse and spit after each use
Nitroglycerin - sublingual (do not chew)
chest pain - SIT/LIE DOWN
take nitro (WAIT 5 MIN)
take second dose if pain persists(CALL 911&WAIT 5 MIN)
tale third dose
sildenafil (Viagra) contraindicated with nitro because they are both - vasodilators
if pt asks for script for sildenafil what must the nurse ask - have you taken any
nitroglycerin
what to medications are used to treat ventricular dysrhythmias - lidocaine & amiodarone
furosemide is best at which time of day - morning
Beta Blockers affect - BP & HR
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, Ace inhibitors affect only - BP
Digoxin education - check radial pulse
spironolactone - avoid foods high VIT K & salt substitutes
biggest side effect of statins - muscle weakness
liver failure
ace inhibitors side effect - dry cough
pt wihht osteoporosis and hx renal failure taking calcium carbonate & antacid has
increased risk of what - kidney stones
Warfarin food interactions - Vitamin K rich foods
Green vegetables
Leafy vegetables
Beef and pork liver
Many fruits, vegetables, legumes
Patients do not need to limit intake
Patients need to maintain consistent intake
when taking warfarin - keep diet normal, notify diet changes to pcp
3 T's of xanthines (theophyline) - tremors
tachycardia
tossing and turning
sucralfate education - take at bedtime
one hour before or after other meds
Example of bulk laxative - polyethene glycol (MIRALAX)
Why is a bulk laxative better than milk of mag - milk of mag may induce electrolyte
imbalance
Leukotrines - signaling chemicals that play a role in inflammation and allergies
Leukotrine blocker example - spiriva
luekotrine blockers are good for - stops asthma during the night
take before exercise to prevent asthma
some of the most serious side effects to promethazine - EPS (tremors, muscle rigidity,
puffy cheeks)
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