« previous next »

Author Question: A patient with atrial flutter is admitted to the unit and remains in atrial flutter for 24 hours. ... (Read 45 times)

HudsonKB16

  • Hero Member
  • *****
  • Posts: 535
on: Jul 23, 2018
A patient with atrial flutter is admitted to the unit and remains in atrial flutter for 24 hours. Which drug does the nurse anticipate will be given to attempt conversion to sinus rhythm?
 
  a. Ibutilide (Covert)
  b. Warfarin (Coumadin)
  c. Verapamil (Calan)
  d. Diltiazem (Cardizem)

Question 2

The nurse is caring for a patient who has been taking amiodarone (Cordarone) for several months. The patient begins to exhibit dyspnea and coughing and complains of chest pain. The nurse is correct to suspect
 
  a. cardiovascular toxicity.
  b. pulmonary toxicity.
  c. heart failure.
  d. an impending myocardial infarction.


mcarey591

  • Sr. Member
  • ****
  • Posts: 365
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Ibutilide (Covert) is the drug of choice for pharmacologic conversion from atrial flutter to sinus rhythm.
If the patient stayed in atrial flutter, warfarin would be instituted to reduce the risk of stroke.
Verapamil and diltiazem might be given to control the ventricular rate if the patient remained in atrial flutter.

Answer to Question 2

ANS: B
Lung damage is the most serious adverse effect of amiodarone (Cordarone).
Cardiovascular toxicity is evidenced by a paradoxical increase in dysrhythmic activity.
The patient's symptoms (dyspnea, cough, chest pain) are similar to those of heart failure and pneumonia; however, these symptoms are associated with the prolongation of amiodarone in the system.
No evidence indicates an impending MI.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Less than one of every three adults with high LDL cholesterol has the condition under control. Only 48.1% with the condition are being treated for it.

Did you know?

Sperm cells are so tiny that 400 to 500 million (400,000,000–500,000,000) of them fit onto 1 tsp.

Did you know?

Approximately one in four people diagnosed with diabetes will develop foot problems. Of these, about one-third will require lower extremity amputation.

Did you know?

About 3% of all pregnant women will give birth to twins, which is an increase in rate of nearly 60% since the early 1980s.

Did you know?

About 60% of newborn infants in the United States are jaundiced; that is, they look yellow. Kernicterus is a form of brain damage caused by excessive jaundice. When babies begin to be affected by excessive jaundice and begin to have brain damage, they become excessively lethargic.

Forms of primary adult glaucoma: (a) in chronic open-angle glaucoma, the anterior chamber angle rema Forms of primary adult glaucoma: (a) in chronic open-angle glaucoma, the anterior chamber angle rema
All messages must be documented and placed in the patient's chart. All messages must be documented and placed in the patient's chart.
Instructing a Patient on Breast Self-Examination Instructing a Patient on Breast Self-Examination
A factory replacement unit for a CSFI unit that has individual injectors at the ends that go into ... A factory replacement unit for a CSFI unit that has individual injectors at the ends that go into ...
Indirect enzyme immunoassay. A patient's antibody reacts with the antigen, which is detected ... Indirect enzyme immunoassay. A patient's antibody reacts with the antigen, which is detected ...
Tumor marker analysis of a patient with no evidence of disease monitored for tumor recurrence. The ... Tumor marker analysis of a patient with no evidence of disease monitored for tumor recurrence. The ...
Video: Insulin (glucose uptake by body cells), glycogenesis and lipogenesis

For a complete list of videos, visit our video library