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1. Mr. Jones returns to the clinic and complains of having several anginal attacks. He has Nitroglycerin 1/150 sublingual tabs ordered to relieve the acute attacks and Metoprolol 25 mg twice a day has also been prescribed.
a) (1 point) Why is nitroglycerin effective for angina? Page #:
b) (1 point) What would you teach him regarding how many doses and how often he should take the Nitro before seeking emergency help? Page #:
c) (1 point) Discuss important side effects to warn Mr. Jones about. Page #:
d) (1 point) Why was the metoprolol prescribed? Be specific. Page #:
2. (3 points) Mr. Jones is sent to the ER with chest pain. His EKG shows ST segment elevation in the anterior leads which is a sign of an acute myocardial infarction. The ER physician orders a thrombolytic to be given stat. Discuss the action of this drug classification, administration concerns, and potential side effects: Page #:
3. (1 point) Mr. Jones develops right side heart failure. The physician adds dobutamine to the medical regime. Explain why this drug was added? Page #:
4. (2 points) His condition further deteriorates. His heart rate drops to 40 and the physician then orders atropine IV stat. Discuss why this medication was prescribed and the side effects of the medication? Page #:
5. (1 point) Mr. Jones is out of the ICU and is placed on telemetry. He will be discharged to home in 3 days. The cardiologist places Mr. Jones on Warfarin. What lab test needs to be done to evaluate Mr. Jones Warfarin dose? Page #:
6. (3 points) What patient teaching are you going to review with Mr. Jones regarding diet, drug interactions, and herbal interactions? Be specific. Page #:
7. (1 point) What is the antidote to warfarin? Page #:
SCIENCE
HEALTH SCIENCE
NURSING
NUR 317
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