Question

what is the nursing action for? 1. warfarin 2. digoxin 3. nitroglycerin 4. hydrochlorothiazide 5. nifedipine 6. atenolol 7. Carvedilol 8. Captopril

why do they give Warfarin for perfusion problems?

Answer 1

Ans) 1) Nursing considerations for Warfarin include: monitor PT/INR level (therapeutic INR level 2-3), assessing for signs and symptoms of bleeding, being familiar with the antidote (Vitamin K), administering the medication at the same time every day, avoiding intramuscular IM injections etc.

2) Digoxin: Monitor apical pulse for 1 full min before administering. Withhold dose and notify health care professional if pulse rate is <60 bpm in an adult, <70 bpm in a child, or <90 bpm in an infant. Also notify health care professional promptly of any significant changes in rate, rhythm, or quality of pulse.

3) Nitroglycerin:
Nursing Implications: Check blood pressure and pulse before each administration of NTG–blood pressure can drop precipitously after a single dose. NTG is highly unstable and should be stored in light resistant container in cool environment (not the refrigerator).

4) Hydrochlorothiazide: Nursing Considerations
May cause dizziness, hypokalemia, hyponatremia, hypophosphatemia, hypomagnesemia, dehydration.
Hypokalemia can increase risk for digoxin toxicity.
Monitor blood pressure and intake and output.
Monitor electrolyte levels.
Patient should take medication at the same time each day even if feeling better.