19 hours ago Which finding does the nurse report while monitoring a patient receiving an antidysrhythmic drug? Narrowing pulse pressure. A patient is prescribed adenosine (Adenocard) for the treatment of paroxysmal supraventricular tachycardia. Which common adverse effect might the nurse observe when assessing this patient? >> Go To The Portal
Deficient knowledge related to lack of experience with medication therapy is a potential nursing diagnosis for a patient receiving antidysrhythmics. The other options are incorrect. 4. A patient will be discharged on quinidine sulfate (Quinidex) extended-release tablets for the treatment of ventricular ectopy.
The patient who is receiving antidysrhythmic drugs exhibits increased cardiac output, increased activity tolerance, blood pressure 130/75, pulse 86, and has voided 400 mL of urine during the past 8-hour shift. What is the nurse's best action? Document the findings in the patient's medical record.
A 100-mg IV bolus of lidocaine is prescribed for a patient experiencing ventricular dysrhythmias. Which available lidocaine medication should the nurse use to prepare this bolus? Which medication increases the duration of the action potential by prolonging repolarization in phase 3?
These are vital nursing interventions done in patients who are taking antiarrhythmics: Titrate the dose to the smallest amount enough to manage arrhythmia to decrease the risk of drug toxicity. Monitor cardiac rhythm closely to detect potentially serious adverse effects and to evaluate drug effectiveness.
The most common adverse effects that patients report are headache, chest pain, and light-headedness. Complications from these class IV drugs are covered in Calcium Channel Blocker Toxicity. Transient adverse effects are common and include headache, flushing, chest pressure, and dyspnea.
Antiarrhythmic drugs are grouped into four main classes:Class I, sodium-channel blockers;Class II, beta-blockers;Class III, potassium-channel blockers;Class IV, calcium-channel blockers; and.miscellaneous antiarrhythmics or unclassified antiarrhythmics.
Common side effects of Cordarone IV (amiodarone hydrochloride) include:low blood pressure (hypotension),slow heart rate,cardiac arrest,nausea,fever,congestive heart failure,abnormal heart rhythm,cardiogenic shock, and.More items...
Beta-blockers continue to increase their role in cardiology, and subsequently their use in managing dysrhythmias. Class III agents, including amiodarone, sotalol, ibutilide, and dofetilide, are among the most widely used antidysrhythmics.
AdvertisementCough.dizziness, lightheadedness, or fainting.fever (slight)numbness or tingling in the fingers or toes.painful breathing.sensitivity of the skin to sunlight.trembling or shaking of the hands.trouble with walking.More items...•
Antidysrhythmics, also known as antiarrhythmics, are drugs used to prevent abnormal cardiac rhythms such as atrial fibrillation, atrial flutter, ventricular tachycardia, and ventricular fibrillation.
Therefore, in addition to using the lowest possible dose, it is recommended that patients on long-term amiodarone therapy should regularly undergo the following monitoring1,2,4-6: lung function assessment (including six-monthly chest x-ray) ECG and serum potassium levels (ideally every 6-12 months)
In addition to being an antiarrhythmic medication, amiodarone also causes blood vessels to dilate (enlarge). This effect can result in a drop in blood pressure. Because of this effect, it also may be of benefit in patients with congestive heart failure.
In addition, Cordarone has caused symptomatic bradycardia or sinus arrest with suppression of escape foci in 2 to 4% of patients.
Assess your patient's apical pulse rate and rhythm before administering an antiarrhythmic. Monitor his cardiac rate and rhythm continuously when therapy starts or any time the dosage is adjusted.
Amiodarone should only be used if you have a life threatening arrhythmia or irregular heart rate. This medication has the risk of serious side effects. These include serious lung problems, liver problems, and a worsening of your irregular heart rate. These problems can be fatal.
These are vital nursing interventions done in patients who are taking antiarrhythmics:Titrate the dose to the smallest amount enough to manage arrhythmia to decrease the risk of drug toxicity.Monitor cardiac rhythm closely to detect potentially serious adverse effects and to evaluate drug effectiveness.More items...•