(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.
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Bradycardia, HF, pulmonary edema, erectile dysfunction, fatigue, and weakness
Digoxin increases the force of myocardial contraction; prolongs refractory period of AV node; decreases conduction through the SA and AV nodes; thus, increases CO and slows HR.
Coreg or Coreg CR
Lanoxin
Serum digoxin levels may be drawn 6-8hrs after a dose is administered and is usually drawn immediately before the next dose
Antianginals, antihypertensives
Review fall prevention strategies
Administer w/meals or immediately afterward and at bedtime to prolong effect
arrhythmia, bradycardia, anorexia, nausea, vomiting, and fatigue.
antiulcer
Block stimulation of beta 1 and beta 2 adrenergic receptors, also block alpha 1 activity, which may result in orthostatic hypotension.
Take apical pulse before administering. If <50bpm or if arrhythmia occurs, withhold med and notify HCP.
Metoprolol Tartrate
HTN, HF on digoxin, and left ventricular dysfunction after MI.
Decrease in severity of HF, decrease in ventricular response, increase in CO and termination of paroxysmal atrial tachycardia
monitor apical pulse for a full min, withhold dose and notify HCP if pulse rate is less than 60bpm
Arrhythmias, constipation, diarrhea, nausea, decrease in sperm count, agranulocytosis, aplastic anemia, and confusion.
Blocks stimulations of beta 1 adrenergic receptors
HTN, angina pectoris, prevention of MI
bradycardia, HF, pulmonary edema, stevens johnson syndrome, and toxic epidermal necrolysis, hyperglycemia, diarrhea, erectile dysfunction, dizziness, fatigue, and weakness.
antiarrhythmic and inotropic
HF, afib and atrial flutter, paroxysmal atrial tachycardia
Digitalis glycoside
inhibit action of histamine at the H2 receptor site in the gastric parietal cells, resulting in inhibition of gastric acid secretion.
PO/IV
Instruct pt to take med at same time each day, take missed doses as soon as possible up to 4hr before next dose
Digoxin
IV, IM, and PO
Histamine H2 antagonist
Assess elder pts routinely for confusion. Report promptly. Monitor CBC.
Instruct pt to take med at same time each day, take missed doses as soon as possible up to 8hr before next dose b/c abrupt withdrawal may precipitate life threatening arrhythmias, HTN, or MI.
Assess for orthostatic hypotension when assisting pt up from supine position. If heart rate decreases below 55bpm, decrease dose.
Monitor I&O and daily weights. Assess for peripheral edema and auscultate lungs for rales/crackles throughout therapy
Pepcid
Antihypertensive
PO
Lopressor
Decrease BP w/o appearance of detrimental side effects and severity of HF.
Famotidine
Decrease in BP, frequency of anginal attacks, increase in activity tolerance, and prevention of MI.
initial daily dose should not exceed 0.125mg
Digoxin has a narrow therapeutic range. Have a 2nd practitioner check original order and dose cal.
Monitor bp and pulse frequently during dose adjustment period and periodically. Monitor I&O and daily weigh and assess pt routinely for fluid overload.
Monitor BP, ECG, and pulse frequently during dose adjustment and periodically during therapy.
Instruct pt to take med at same time each day, take missed dose as soon as possible up to 4hr before next dose b/c abrupt withdrawal may precipitate life thretening arr
Carvedilol
Treatment of active duodenal ulcers, benign gastric ulcer, GERD, heartburn, acid indigestion, and sour stomach.
Instruct pt to take med at the same time each day, take missed doses within 12hr of scheduled dose or omit, do not double doses/ dc med w/o consulting HCPs.
Teach pt to take pulse, contact HCP before taking med if pulse is <60 or >100bpm
Monitor I&O and daily weights. Assess routinely for S/S of HF.
