What is the drug interaction between digoxin and furosemide quizlet?
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Patient taking diuretic, furosemide, and digoxin--which adverse effect is HCP concerned about? Show Furosemide Ototoxicity Digoxin Toxicity Hypoglycemia Digoxin toxicity Furosemide is loop diuretic and can cause hypokalemia, which increases risk for digoxin toxicity. Clients taking these 2 med should also take potassium supplements. Digoxin is effective in treating heart failure due to which pharmacological actions? (select all that apply) Exerts positive inotropic action Decreases cardiac output Decreases sympathetic tone Increases vascular constriction Increases myocardial contractility Exerts positive inotropic action Decreases sympathetic tone Increases myocardial contractility
Client starts drug therapy, but next day reports palpitation. HCP orders lidocaine 50 mg IV bolus. Client should be monitored for which adverse reaction to lidocaine? Metabolic alkalosis Hypertension Tachycardia Paresthesia Paresthesis High doses of lidocaine can lead to numbness and even seizures. HCP prescribes captopril to tx client's hypertension and also alleviate his heart failure. Client should avoid which OTC? ibuprofen acetaminophen calcium carbonate diphenhydramine Ibuprofen Taking an NSAID with an ACE inhibitor reduces an ACE inhibitor's effectiveness. HCP prescribes quinidine gluconate as an oral antidysrhythmic agent. Nurse should question use of quinidine for client taking Digoxin due to a possible drug interaction that can result in which adverse effect? Liver toxicity Quinidine toxicity Digoxin toxicity Cardiotoxicity Digoxin toxicity Quinidine may double digoxin levels by reducing the elimination of digoxin.
Client taking bumetanide and spironolactone. Using these drugs together may reduce the risk of which adverse effect? Hypokalemia Hyponatremia Hyperglycemia Hypochloremia Hypokalemia Spironolactone is potassium-sparing and causes the retention of potassium. This reduced risk of hypokalemia from bumetanide (loop diuretic with potassium loss) Client is taking HCTZ for hypertension. To monitor for adverse effects of this drug, you monitor for which? (select all that apply) Ototoxicity Hyponatremia Hypokalemia Dehydration Hypoglycemia Hyponatremia Client is taking losartan for hypertension. She asks about stopping contraception and starting a family. You inform her that losartan is unsafe to take during pregnancy due to which risk? Macrosomia Fetal injury Gestational diabetes Thromboembolic disease Fetal injury Client is about to start taking aliskiren to treat hypertension. Which of the following should you tell the client to avoid to ensure optimal absorption of this drug? Soy sauce Green, leafy vegetables Fatty foods Foods high in carbohydrates Fatty foods Fatty foods reduce absorption of aliskiren (Direct Renin Inhibitor) Aside: Green, leafy veggies can interfere with warfarin. While instructing a client about using isosorbide to treat angina, you advise the client to avoid which of the following? Milk Caffeine Alcohol Grapefruit juice Alcohol Alcohol increases hypotensive effects of isosorbide. Aside: Caffeine can worsen adverse effects of beta 2 adrenergic agonists. (albuterol) Grapefruit juice can interfere with many drugs, including calcium channel blockers. Sodium channel blocker that treats supraventricular and ventricular dysrhythmias Quinidine Potassium channel blocker that treats ventricular fibrillation and ventricular tachycardia Amiodarone Calcium channel blocker that treats supraventricular tachycardia and atrial fibrillation or flutter Verapamil Beta adrenergic blocker that controls atrial and ventricular tachycardia Propranolol You are caring for a client taking oral amiodarone to treat atrial fibrillation. You advise the client to watch and report which of the following? (select all that apply) Cough Blurred vision Dizziness Sore throat Fever Cough amiodarone is a potassium channel blocker--can cause pulmonary toxicity (dyspnea, cough, fever, and chest pain). Can also cause corneal microdeposits, causing blurred vision and photophobia. Also dizziness and ataxia. Unlikely to cause sore throat, but can cause dry cough. Client's atrial dysrhythmia fails to respond to other antidysrhythmia therapies. You anticipate the HCP might try which drugs whose off-label use includes refractory atrial dysrhythmias? Propranolol Lidocaine Flecainide Amiodarone Flecainide is a sodium channel blocker that treats serious ventricular dysrhythmias Aside: What is the drug interaction between digoxin and furosemide?Furosemide and digoxin are often used together but may require more frequent evaluation of your digoxin, potassium, and magnesium levels. You should notify your doctor if you have symptoms, such as weakness, tiredness, muscle pains or cramps, nausea, decrease appetite, visual problems, or irregular heartbeats.
Which medication can interfere with absorption of digoxin?Drugs which reduce digoxin absorption include the antacids aluminium hydroxide, magnesium hydroxide and magnesium trisilicate, the antidiarrhoeals kaolin and pectin, the hypocholesterolaemic agent cholestyramine and the chemotoxins cyclophosphamide, vincristine and bleomycin.
Which medication increases the likelihood of digitalis toxicity quizlet?You are more likely to have this condition if you take digoxin, digitoxin, or other digitalis medicines along with drugs that interact with it. Some of these drugs are quinidine, flecainide, verapamil, and amiodarone. If your kidneys do not work well, digitalis can build up in your body.
When teaching a client about digoxin which symptom will the nurse include?Signs and symptoms of digoxin toxicity are bradycardia (heart rate less than 60), nausea, vomiting, visual changes (halos), and arrhythmias.
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