« previous next »

Author Question: A patient with atrial flutter is admitted to the unit and remains in atrial flutter for 24 hours. ... (Read 58 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?

Only one in 10 cancer deaths is caused by the primary tumor. The vast majority of cancer mortality is caused by cells breaking away from the main tumor and metastasizing to other parts of the body, such as the brain, bones, or liver.

Did you know?

There are 60,000 miles of blood vessels in every adult human.

Did you know?

Women are two-thirds more likely than men to develop irritable bowel syndrome. This may be attributable to hormonal changes related to their menstrual cycles.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

People about to have surgery must tell their health care providers about all supplements they take.

Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r
The medical assistant often has to reassure and comfort the patient before effective communication c The medical assistant often has to reassure and comfort the patient before effective communication c
All messages must be documented and placed in the patient's chart. All messages must be documented and placed in the patient's chart.
Inspecting a patient’s ear during a physical examination. Inspecting a patient’s ear during a physical examination.
Patient Teaching Methods Cont. Patient Teaching Methods Cont.
(A) PET scan of a healthy patient. (B) PET scan of a patient with schizophrenia. This patient will ... (A) PET scan of a healthy patient. (B) PET scan of a patient with schizophrenia. This patient will ...
Video: The Krebs Cycle Animation

For a complete list of videos, visit our video library