(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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monitor apical pulse for a full min, withhold dose and notify HCP if pulse rate is less than 60bpm
Digoxin has a narrow therapeutic range. Have a 2nd practitioner check original order and dose cal.
Digoxin
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
Review fall prevention strategies
Coreg or Coreg CR
Digitalis glycoside
IV, IM, and PO
Carvedilol
PO/IV
Lopressor
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.
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.
initial daily dose should not exceed 0.125mg
antiarrhythmic and inotropic
Serum digoxin levels may be drawn 6-8hrs after a dose is administered and is usually drawn immediately before the next dose
PO
Decrease BP w/o appearance of detrimental side effects and severity of HF.
Monitor BP, ECG, and pulse frequently during dose adjustment and periodically during therapy.
Monitor I&O and daily weights. Assess for peripheral edema and auscultate lungs for rales/crackles throughout therapy
Antianginals, antihypertensives
Assess elder pts routinely for confusion. Report promptly. Monitor CBC.
Metoprolol Tartrate
Instruct pt to take med at same time each day, take missed doses as soon as possible up to 4hr before next dose
Antihypertensive
Bradycardia, HF, pulmonary edema, erectile dysfunction, fatigue, and weakness
Take apical pulse before administering. If <50bpm or if arrhythmia occurs, withhold med and notify HCP.
Block stimulation of beta 1 and beta 2 adrenergic receptors, also block alpha 1 activity, which may result in orthostatic hypotension.
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.
HTN, HF on digoxin, and left ventricular dysfunction after MI.
antiulcer
Pepcid
Lanoxin
Treatment of active duodenal ulcers, benign gastric ulcer, GERD, heartburn, acid indigestion, and sour stomach.
Blocks stimulations of beta 1 adrenergic receptors
Monitor bp and pulse frequently during dose adjustment period and periodically. Monitor I&O and daily weigh and assess pt routinely for fluid overload.
Assess for orthostatic hypotension when assisting pt up from supine position. If heart rate decreases below 55bpm, decrease dose.
Arrhythmias, constipation, diarrhea, nausea, decrease in sperm count, agranulocytosis, aplastic anemia, and confusion.
Histamine H2 antagonist
arrhythmia, bradycardia, anorexia, nausea, vomiting, and fatigue.
Monitor I&O and daily weights. Assess routinely for S/S of HF.
HTN, angina pectoris, prevention of MI
Famotidine
HF, afib and atrial flutter, paroxysmal atrial tachycardia
inhibit action of histamine at the H2 receptor site in the gastric parietal cells, resulting in inhibition of gastric acid secretion.
Administer w/meals or immediately afterward and at bedtime to prolong effect
bradycardia, HF, pulmonary edema, stevens johnson syndrome, and toxic epidermal necrolysis, hyperglycemia, diarrhea, erectile dysfunction, dizziness, fatigue, and weakness.
Decrease in severity of HF, decrease in ventricular response, increase in CO and termination of paroxysmal atrial tachycardia
Teach pt to take pulse, contact HCP before taking med if pulse is <60 or >100bpm
Decrease in BP, frequency of anginal attacks, increase in activity tolerance, and prevention of MI.