PNM300 test 2 Questions and Correct Answers |
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Drugs of choice for EARLY treatment of HF? Ans: > ACE inhibs
> ARBs
> BBs; ie. bisoprolol, extended-release metoprolol tartrate, carvedilol
> Loop D. ie. furesemide
> Aldosterone inhibs ie. spirinolactone = as HF progresses.
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Class I HF Ans: No limitation of physical activity
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Class II HF Ans: regular activity results in fatigue, dyspnea or other
symptoms
Class III HF Ans: marked limitation of physical activity
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Class IV HF Ans: Symptoms @ rest or w/ no activity at all.
inotropic Ans: drugs that affect contractility
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dromotropic Ans: drugs that affect the conduction of electrical impulses
through the heart
chronotropic Ans: drugs that affect the heart rate
Adverse effects of Inotropic drugs: early signs Ans: -nausea
-vomiting
-anorexia
Adverse effects of inotropic drugs: late signs Ans: -arrhythmias
-AV heart block
-blurry yellow vision
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-HYPERkalemia
what drug class is Digoxin (Lanoxin)? Ans: cardiac glycoside
Digoxin antidote Ans: Digoxin immune Fab (Digibind)
T/F: Assess apical + radial pulses for a full minute before giving a BB or
Digoxin for HF? Ans: True.
why should a pt avoid taking high fibre foods (ie. Bran) when taking
digoxin? Ans: b/c fibre ie.bran binds to digoxin; lowers digoxin levels
what should you do if the (adult) pts HR is less than 60 or greater than
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100 before being given the HF drug? Ans: hold the dose & notify the
prescriber.
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effect of HYPOkalemia w/ digoxin? Ans: increases risk of toxicity
treatment for HYPERkalemia associated w/ digoxin toxicity? Ans: B.I.G.K
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- sodium BICARBONATE infusion
- INSULIN infusion
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- GLUCOSE/dextrose infusion
- KAYEXELATE
drug of choice for digitalis-induced arrhythmia?
**HINT: an antiepileptic Ans: Phenytoin (Dilantin)= antiepileptic
Positive inotropic drug classes? Ans: Phosphodiesterase inhibitors
Cardiac glycosides
B-type natriuretic peptides
Work by inhibiting the enzyme phosphodiesterase Ans:
phosphodiesterase inhibitors