Question

ATI active learning templates for the following medication for ECG: lisinopril, carvedilol, furosemide, potassium chloride, aspirin,dobutamine, milrinone

Answer 1

Lisinopril  

Monitor patient closely in any situation that may lead to a decrease in BP secondary to reduction in fluid volume (excessive perspiration and dehydration, vomiting, diarrhea) because excessive hypotension may occur. Arrange for reduce dosage in patients with impaired renal function.

Dobutamine

Explain to patient the dobutamine and the need for frequent monitoring. Advise patient to inform nurse immediately if, chest pain, dyspnoea, numbness, tingling or burning of extremities occur.

Aspirin

Asess patient for signs of bleeding (petichea, ecchymosis, bloody or black stools, bleeding gums.) Drink adequate fluids while taking aspirin. Advice patient to avoid alchol when prescribed high doses of aspirin.

Furosemide

Asess fluid status, monitor daily weight, intake and output ratios, lung sounds, skin turgor and mucus membrane. Notify that if dry mouth, thirst, lethargy, weaknesses, hypotension or oliguria occurs. Monitor BP and pulse before and during administration.

Potassium chloride.

Arrange for serial serum potassium levels before and during therapy.

Administer liquid form to any patient with delayed GI emptying.

Administer oral drug after meals or with food and a full glass of water to decrease GI upset.

Patient not to chew or crush the tablets.

Carvedilol

Monitor BP and pulse frequently during dose adjustment period and periodically during therapy. Assess for orthostatic hypotension when assisting patient up from supine position. If heart rate is below 55b/minute decrease the dose. Monitor intake and output ratios and daily weight.