Silvestri, 3/e, ISBN 1-1460-0052-6Chapter 051 (edited file)—"Cardiovascular Medications"10/14/08, Page 3 of 17, 0 Figure(s), 0 Table(s), 21 Box(es)
References: Lehne, R. (2004).
Pharmacology for nursing care
(5th ed.). Philadelphia: W.B.Saunders, p. 409. Nix, S. (2005).
basic nutrition and diet therapy
(11th ed.). St. Louis: Mosby, p. 137.5. A 51-year-old client is admitted to the hospital with a diagnosis of myocardial infarction andis started on streptokinase (Streptase) therapy. The nurse determines that the client’s wifeunderstands the purpose of the medication if she states that it is used to:1. Thin the blood.2. Slow the clotting of the blood.3. Dissolve any clots in the coronary arteries.4. Prevent further clots from forming in the coronary arteries.Answer: 3Rationale: Streptokinase converts plasminogen in the blood to plasmin. Plasmin is an enzymethat digests or dissolves fibrin clots wherever they exist. Option 1, 2, and 4 describe mechanismsof action of heparin sodium (Liquaemin) and warfarin sodium (Coumadin).Test-Taking Strategy: Focus on the name of the medication, recalling that it is a thrombolytic.Remember that streptokinase dissolves clots. This will direct you to option 3. Review thismedication if you had difficulty with this question.Level of Cognitive Ability: ComprehensionClient Needs: Physiological IntegrityIntegrated Process: Nursing Process/EvaluationContent Area: PharmacologyReference: Hodgson, B., & Kizior, R. (2005).
Saunders nursing drug handbook 2005
.Philadelphia: W.B. Saunders, p. 989.6. A client is being treated for moderate hypertension and has been taking diltiazem (Cardizem)for several months. The client is seen by the physician, and Prinzmetal's angina is diagnosed.The nurse planning care for the client understands that which action of the medication will provide a therapeutic effect for this new diagnosis?1. Increases oxygen demands within the myocardium2. Prevents influx of calcium ions in vascular smooth muscle3. Leads to an increase in calcium absorption in the vascular smooth muscle4. Increases the force of contraction of ventricular tissuesAnswer: 2Rationale: Diltiazem is a calcium channel blockers that inhibits calcium influx through the slowchannels of the membrane of smooth muscle cells. Calcium channel blockers decreasemyocardial oxygen demands and blocks calcium channels, thereby decreasing the force of contraction of the ventricular tissue.Test-Taking Strategy: Focus on the name of the medication and recall that it is a calcium channel blocker. Note the relation of the medication classification and option 2. Review the action of calcium channel blockers if you had difficulty with this question.Level of Cognitive Ability: ComprehensionClient Needs: Physiological IntegrityIntegrated Process: Nursing Process/PlanningContent Area: PharmacologyReference: Hodgson, B., & Kizior, R. (2005).
Saunders nursing drug handbook 2005.