Matching Pairs Cardiac and Hematology reviewOnline version review for pharm by Cristeen Shepard 1 What are two signs of rhabdomyolysis that would occur with HMG-CoA reductase inhibitors (Statin drugs) 2 Anorexia, headaches, and yellow/green halo's are a sign of 3 The patient taking clopidogrel should be told this prior to surgery 4 This medication causes dilatation of coronary arteries resulting in reduced heart contractility through the blocking of calcium access to the cells 5 Which anti-hypertensive class should you take at bedtime to reduce the risk of orthostatic hypertension 6 You know this medication has been effective when the pt has increased urinary output 7 Digoxin should be held in a pt with this assessment 8 A patient with this health condition should not take atorvastatin 9 What is the priority intervention for a patient taking alteplase immediately following a STEMI 10 Bradycardia, hallucinations, and confusion are adverse effects caused by 11 Sodium Channel Blockers are what class of medication 12 Captopril reduces blood pressure through this effect 13 Sulfa allergy, hypokalemia, and hyperglycemia are all contraindications or side effects of this diuretic med 14 Adverse effect of Beta-Blockers 15 Bradycardia, unusual vivid dreams, and bronchospasms can occur with what medication propanolol Alpha-Blockers Stop medication 1 week before hepatic failure digoxin toxicity Class I anti-arrhythmiac's bradycardia furosemide/lasix Nifedipine monitor for signs of bleeding muscle pain and dark yellow urine inhibiting conversion of angiotenison I to angiotension II hydrochlorothyazide Low cardiac output Lidocaine 1 What education would the nurse provide to the patient who is concerned about starting warfarin while on a heparin drip 2 Nitroglycerin and Calcium channel blockers together can cause 3 Monitor a patient taking Beta-Blockers and Nitrates for this comorbidity 4 What is the therapeutic range of digoxin 5 What class of medication increases the chance of hyperkalemia when taken in combination with potassium-chloride 6 What is the priority for a pt taking erythropoetin with a hemoglobin level of 13 7 rotate sites, monitor skin for irritation, and avoid getting on the skin of others 8 This diuretic is effective in treating mild to moderate hypertension 9 When taking ACE inhibitors, what adverse effect is caused by accumulating bradykinins, usually causes the med to be stopped 10 What food should be avoided while taking calcium channel blockers due to the possibility of increasing medication levels in the blood stream 11 What is the priority assessment needed before starting digoxin 12 What action should be taken by the nurse with a patient who is on heparin and warfarin when the therapeutic effect is not being acheived 13 Take this medication before bed 14 What priority assessment by the nurse would indicate that a patient has high levels of uric acid 15 What is a rare adverse effect of iron dextran 0.5-1.9 Contact the provider and inquire if the heparin can be adjusted. (warfarin dose stays) hypotension grapefruit/grapefruit juice kidney function COPD Atorvastatin ACE inhibitors topical nitroglycerin joint redness and swelling question the order angioedema dry cough full therapeutic effect of warfarin takes 4-5 days thiazide 1 Development of expiratory wheezes is a potential adverse effect of 2 ARB's end in 3 What is the priority concern for a patient taking doxazosin 4 severe side effect in a patient taking enoxaparin 5 Medication given to a client with a high INR level 6 What is the priority action when a patient presents with nausea and general weakness 7 What are 2 potential adverse effects of Calcium Channel blockers 8 This medication is contraindicated in a patient with hyponatremia 9 What blood test is given to detect clotting factors present in a patient with hemophilia 10 ACE inhibitors end in 11 What should you tell a patient who is taking liquid iron 12 What teaching would you provide a patient taking enoxaparin about hygiene 13 Which medication should be taken by sublingual route, 1 tablet at a time, every 5 minutes, up to three tablets, for chest pain 14 Beta Blockers end in 15 Calcium Channel blockers end in 16 What medication when taken in conjunction with warfarin increases the risk of bleeding 17 How long will a patient need to take vitamin B12 injections use a straw to prevent staining of teeth monthly for life safety Furosemide check vital signs Dark stools (GI Bleed) aPTT Vitamin K -lol Propanolol (Beta-Blockers) -ipine, -amil, -pril Gemfibrozil nitroglycerin -tan, -zem, use a soft toothbrush headache and dizziness