Questions4

Question 1

Digoxin: cardiac glycoside with a narrow therapeutic range

Answer 1

1. Don’t give if HR is less than 60
2. S/S of toxicity include loss of appetite, bradycardia, halo
3. Therapeutic level is below 2.0

Question 2

How to administer Potassium SAFELY:

Answer 2

(NEVER IVP). The heart can only handle 10 mEq/ hr. The time is important.

1. PO is safe
2. 20 mEq in 4 hours

Question 3

Correct statements regarding glaucoma meds:

Answer 3

1. Don’t instill eyedrops into the center of the eye {use punctal occlusion aka the pocket}
2. Don’t touch any part of the eye with the eyedrop bottle
3. Wait 10 min between drops
4. We administer drops in the eye that is stated in the order

Question 4

HYPOthyroidism meds: {thyroid hormone agonists}

Answer 4

Synthroid

Travostat

Question 5

Tapazole is a thyroid suppressing med:

Answer 5

The big problem with these meds is bone marrow suppression. Any signs of an immune issue, bleeding issue, anemia issue, they need to be addressed.

Question 6

LevoTHYroxine (Synthroid) is a HYPOthyroidism med. If the dose is too high we need to be able to recognize the S/S of hyperthyroidism -

Answer 6

+ When you’re getting too much, everything is sped up; like your metabolism = they would be skinny

1. HR would be high
2. Would not feel cold because feeling cold is an S/S of hypothyroidism
3. They would have difficulty sleeping
4. Would have diarrhea

Question 7

Women on HRT:

Answer 7

1. Hormones if taken put the pt at risk for hormone-related cancer (breast, ovarian, etc )
2. DONT smoke
   3.

Question 8

Correct statements about diabetic therapy:

Answer 8

1. The goal is euglycemia
2. Not all drugs have the same MOA
3. Insulin is the preferred drug during pregnancy
4. Oral meds are not effective for Type 1 diabetics (because they need insulin)
5. There are NO peaks in long-acting insulin

Question 9

A pt is taking Phenytoin (Dilantin), in the discharge teaching we want them to:

Answer 9

1. Take meds exactly a prescribed
2. Keep good oral hygiene and visit a dentist (related to gingival hyperplasia)
3. Contact prescriber if the pt notices any rash or blisters (the concern is Steven-Johnson Syndrome)
4. S/E can include dizziness (all seizure meds have sedation, so dizziness goes hand-in-hand with sedation)

Question 10

Recognize the potential issue between loop diuretics and digoxin: (common meds that would be given alongside each other for heart failure)

Answer 10

Loop Diuretics - the pt is going to be excreting a lot of potassium, an issue, and an issue while taking digoxin because the lower a person’s potassium goes the higher the risk for digoxin toxicity

Anytime that we give digoxin we have to recognize any other med that could be affecting a persons potassium level because that is going to affect the safety of the digoxin