Pharm 2

A patient taking Digoxin is experiencing severe bradycardia, nausea and vomiting. A lab draw shows that their Digoxin level is 4 ng/mL. What medication do you anticipate the physician to order for this patient?

• • Naloxone

• Digibind

• • Angiotensin receptor neprilysin inhibitor (ARNI)

• • No medication needed, continue with Digoxin

A patient with a recent diagnosis of heart failure has been prescribed furosemide (Lasix) in an effort to physiologically do what for the patient?

• Reduce preload

• Increase contractility

• Decrease afterload

• Decrease cardiac output

After having an myocardial infarction, the nurse notes the patient has jugular distension, gained weight, developed peripheral edema and has a heart rate of 108/minute. What should the nurse suspect is happening?

• • Left-sided heart failure

• Right-sided heart failure

• • Congestive heart failure

• • Left-sided to right-sided heart failure

What is the formula for finding cardiac output (CO)?

• • CO = Stroke volume/Heart rate

• • CO = Ejection fraction/ Heart rate

• CO = Stroke volume x Heart rate

• • CO = Ejection fraction x Heart rate

Which of the following medications inhibit the degradation of atrial and brain natriuretic peptide by inhibiting the enzyme neprilysin that works mainly by reducing blood volume?

• • Digoxin

• Sacubitril/Valsartan

• • Milrinone

• • Dobutamine

Which among the following is the right sequence of flow of electric impulse in the conduction system of the heart?

• SA node - AV node - Purkinje fibers - Bundle of His

• AV node - SA node - Purkinje fibers - Bundle of His

• SA node - AV node - Bundle of His - Purkinje fibers

• AV node - SA node - Bundle of HIs - Purkinje fibers

Which among the following is the expected pharmacological action of cardiac glycosides like digoxin?

• Positive inotropic effect and positive chronotropic effect

• Positive inotropic effect and negative chronotropic effect

• Negative inotropic effect and negative chronotropic effect

• Negative inotropic effect and positive chronotropic effect

All of the following must be considered when administering digoxin , EXCEPT

• Administer with caution to elderly or clients with renal insufficiency.

• Instruct client to eat high potassium foods.

• Monitor for digitalis toxicity.

• Risk of digitalis toxicity increases if client is hyperkalemic.

The nurse is administering an intravenous infusion of a phosphodiesterase inhibitor to a patient who has heart failure. The nurse will evaluate the patient for which therapeutic effect, EXCEPT

• Positive inotropic effect

• Vasodilatation

• Decrease heart rate

• Positive chronotropic effects

Ventricular systole means

• Ventricular contraction

• Ventricular relaxation

• Ventricular dysrhythmia

• Ventricular preload and afterload