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Author Question: A patient will be taking amiodarone (Cordarone). Which baseline tests are necessary before this ... (Read 74 times)

fnuegbu

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on: Jul 23, 2018
A patient will be taking amiodarone (Cordarone). Which baseline tests are necessary before this medication is started? (Select all that apply.)
 
  a. Chest radiograph and pulmonary function tests
  b. Complete blood count with differential
  c. Ophthalmologic examination
  d. Renal function tests
  e. Thyroid function tests

Question 2

A patient is taking digoxin (Lanoxin) and develops a dysrhythmia. The nurse reports this finding to the prescriber, who will most likely order what? (Select all that apply.)
 
  a. Amiodarone
  b. Diltiazem
  c. Phenytoin (Dilantin)
  d. Quinidine
  e. Serum electrolytes


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nhea

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A, C, E
Amiodarone has many potential toxic side effects, including pulmonary toxicity, ophthalmic effects, and thyroid toxicity, so these systems should be evaluated at baseline and periodically while the patient is taking the drug. A complete blood count is not indicated. Renal function tests are not indicated.

Answer to Question 2

ANS: C, E
Phenytoin is an antiseizure medication used to treat digoxin-induced dysrhythmias. Because digoxin-induced dysrhythmias can be caused by hypokalemia, it is appropriate to evaluate the serum electrolyte levels. Amiodarone, diltiazem, and quinidine increase digoxin levels.


fnuegbu

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Reply 2 on: Jul 23, 2018
Wow, this really help

diana chang

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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