Drug Test 1 Questions
*What if the heart failure patient's heart rate changes from 101 to 78?
Administer the medication (This leads to a reduction in heart rate. Blood pressure is minimally affected.)
*What if the client says that since I started this medication, "I feel tired but able to do my work without difficulty", What would be an appropriate nursing diagnosis?
Fatigue is one of the most common side effect. Decrease cardiac output (inadequate blood pumped by the heart to meet the metabolic demands of the body)
*What would some of the benefits of utilizing the combination of ARBSs and thiazide diuretics be for a client w/ uncontrolled HTN & DM?
Slowed progression of diabetic nephropathy in type 2 diabetes Increased excretion of fluid & sodium resulting in lower blood volume Improved control of blood pressure due to combination therapy
*Lidocaine Toxicity
S-lurred speech A-ltered cv system M-uscle twitching S-eizures 1.5-5 mcg/mL
*Renin-Angiotensin-Aldosterone System (RAAS)
When blood flows or pressure to the kidney decreases, renin is released, causing the conversion of angiotensin to angiotensin I, which is then converted to angiotensin II by ACE. Angiotension II acts directly on the nephrons of the kidneys, promoting sodium & water retention & release of aldosterone; it restores blood volume and renal perfusion through vasoconstriction & sodium & water retention .
