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