Medication Notes

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Questions and Answers

A patient with a history of unstable angina is prescribed nitroglycerin. Which instruction should the nurse emphasize regarding the administration of this medication?

  • If chest pain is not relieved after the first dose, take up to two more doses at 5-minute intervals, and seek immediate medical attention if pain persists. (correct)
  • Apply the nitroglycerin ointment to the inside of the wrist for optimal absorption.
  • Swallow the tablet whole with a full glass of water to ensure proper absorption.
  • Administer the medication only when chest pain is severe (8/10 or above).

A patient is prescribed spironolactone for management of heart failure. Which of the following dietary instructions is most important for the nurse to provide?

  • Avoid foods high in vitamin K.
  • Increase intake of potassium-rich foods such as bananas and oranges.
  • Maintain a consistent intake of sodium-rich foods to prevent hyponatremia.
  • Avoid excessive intake of potassium-rich foods like spinach and potatoes. (correct)

A patient with hyperthyroidism is being treated with radioactive iodine. Which of the following instructions is most important for the nurse to include in the patient's discharge teaching plan?

  • Increase consumption of iodized salt to enhance thyroid function.
  • Use a separate toilet and thoroughly flush twice after each use. (correct)
  • Limit fluid intake to prevent exacerbation of thyroid function.
  • Discontinue antithyroid medications immediately.

A patient is started on warfarin (Coumadin) therapy while still receiving heparin. What is the primary rationale for this 'bridging' approach?

<p>Warfarin has a delayed onset of action, and heparin provides immediate anticoagulation. (B)</p> Signup and view all the answers

A patient is prescribed ferrous sulfate for iron deficiency anemia. What education should the healthcare provider offer this patient to maximize the absorption of the medication?

<p>Take the medication on an empty stomach with orange juice. (C)</p> Signup and view all the answers

Flashcards

Nitrates (Nitroglycerin)

Medications that dilate blood vessels, improving blood flow and reducing chest pain (angina).

Amiodarone

A potent antiarrhythmic drug used to treat both ventricular and supraventricular tachycardias.

Adenosine

An antiarrhythmic drug that slows electrical conduction in the heart, often used to treat supraventricular tachycardia (SVT).

Diuretics

Medication that causes the kidneys to remove excess water and sodium from the body, reducing blood volume and blood pressure.

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Spironolactone

Potassium-sparing diuretic that blocks aldosterone, increasing sodium and water excretion while retaining potassium.

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Study Notes

  • Medication notes.

Cardiovascular Medications

  • Nitrates like Nitroglycerin are used to treat cardiovascular issues.
  • Antiarrhythmics include Amiodarone and Adenosine.
  • Digoxin treats heart conditions.
  • Diuretics include Furosemide and Spironolactone.
  • Antihypertensives include ACE Inhibitors, ARBs, and Metoprolol.
  • Statins include Atorvastatin and Rosuvastatin.

Endocrine & Metabolic Medications

  • Diabetes medications include Glucagon and Insulin.
  • Note any dietary teaching and herbs to avoid with diabetes medications.
  • For hyperthyroidism, medications include Methimazole, Propylthiouracil, and Radioactive Iodine.
  • Hypothyroidism is treated with Levothyroxine.
  • Steroids include Prednisone and Dexamethasone.

Hematologic & Anticoagulant Medications

  • Heparin is a hematologic medication, there is an antidote and teaching aspects.
  • Warfarin (Coumadin) is an anticoagulant, there is an antidote, important labs and dietary teaching, herbs, and foods to avoid.

Other

  • Warfarin includes bridging therapy.
  • Iron (Ferrous Sulfate) includes dietary teaching herbs or foods to avoid and how to take.
  • Antidiuretic Hormones: Desmopressin is an antidiuretic hormone medication.
  • Erythropoiesis-Stimulating Agents include Epoetin Alfa.

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