A hospitalized patient complains of acute chest pain. The nurse administers a 0.3 mg sublingual nitroglycerin tablet, but the patient continues to complain of pain. Vital signs remain stable. What is the nurse’s next step? a. Apply a nitroglycerin transdermal patch. b. Continue dosing at 10-minute intervals. c.
Test 2 Practice Questions Ans: A Feedback: The main effect of nitrates seems to be related to the drop in blood pressure that occurs. The vasodilation causes blood to pool in veins and capillaries, decreasing preload, while the relaxation of the vessels decreases afterload. The combination of these effects greatly reduces the cardiac workload and the demand for oxygen, thus bringing …
a. I will apply the patch as needed when I experience anginal pain. b. I will remove the old patch and replace it with a new one at bedtime each day. c. I should rotate sites when changing the patch to prevent skin irritation. d. When I am symptom-free, I may stop using the patch on a …
Apr 11, 2020 · EXAM 2 PHARM O If get chest pain or SOB doing your ADL’s , you’re going to have a very difficult time eating and brushing your teeth b/c of all the ischemia-Nitrates: Mechanism of Action O Cause vasodilation because of relaxation of smooth muscles O Potent dilating effect on coronary arteries - both large and small coronary vessels O Vasodilation results in reduced …
Amiodarone is a potassium channel blocker that treats ventricular fibrillation and ventricular tachycardia. Verapamil is a calcium channel blocker that treats supraventricular tachycardia and atrial fibrillation or flutter. You are caring for a patient who is taking oral amiodarone (Cordarone) to treat atrial fibrillation.
Propranolol is a beta adrenergic blocker that controls atrial and ventricular tachycardia. Amiodarone is a potassium channel blocker that treats ventricular fibrillation and ventricular tachycardia. Verapamil is a calcium channel blocker that treats supraventricular tachycardia and atrial fibrillation or flutter.
Capsules and tablets are used for maintenance therapy, injections are used for rapid digitalization, and digoxin patches and ointment do not exist. A 70-year-old woman has experienced peripheral edema and decreasing stamina in recent months and has sought care from her primary care provider. The patient's subsequent diagnostic workup has resulted ...
Explanation: A patient who has nausea and visual changes while taking digoxin will most likely be administered digoxin immune fab (Digibind). Acetylsalicylic acid is not administered for digoxin toxicity.
Teach patients to take their digoxin in divided doses with each meal. Assess the patient's heart rate and hold administration if it is less than 60. Teach patients the signs and symptoms of heart failure. Monitor therapeutic effects based on echocardiogram results.
Without prescriptive authority, the nurse cannot change medication dosages. After teaching a class of students about heart failure and drug therapy, the instructor determines that the teaching has been successful when the students identify which drug as most often used as treatment? Digoxin.
Explanation: Patients should be taught to hold their digoxin if their heart rate is less than 60 (or some other defined heart rate). Divided doses are not normally used and an awareness of heart failure does not preclude adverse effects of digoxin. The nurse is to administer digoxin to a client with heart failure.
If you have any questions about the use, efficacy, or safety of pain patches, please discuss these concerns with your physician. Although pain patches can be effective, they need to be used safely, properly, and under the guidance of your doctor. Take safety warnings seriously to protect both yourself and others.
Pain-relief patches are prescribed by physicians for patients with various medical conditions. For minor injuries, such as muscle sprains and strains, a physician may prescribe a patch with diclofenac epolamine, an NSAID in the same group of medicines as aspirin and ibuprofen.
Pain-relief patches should only be used on skin that is not broken, cut, or scraped. Do not use a pain-relief patch that has been cut, torn, or damaged unless directed to do so by your physician. Store all pain patches at room temperature and away from excess heat. Like all medicines, pain-relief patches should also be stored away from children ...
The best way to dispose of a patch is to fold it in half so the adhesive side sticks to itself. A used patch should be thrown away where children and pets won’t come into contact with it.
It’s often prescribed for patients suffering from the pain of shingles (postherpetic neuralgia), which can last for months or years after an infection. 2 .
The topical lidocaine 5% patch starts acting quickly, usually in less than four hours, and is generally well-tolerated, other than mild skin reactions at the application site. 3 .
As such, tell your physician if you or anyone in your family has abused alcohol, street drugs, or prescription medications, or if you have ever had depression or another mental illness. Fentanyl patches should only be used by patients who have previously taken and tolerated opioid medications.