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justaprogressive

(4,993 posts)
2. from Mosby 2024 A med with a black box warning needs careful consideration...
Thu Mar 20, 2025, 05:44 AM
Mar 2025

[excerpt]Black Box Warning: NYHA Class IV
heart failure or symptomatic heart failure with recent
decomposition requiring hospitalization doubles risk of
death



• ECG to determine product effectiveness; measure PR, QRS, QT intervals;
check for PVCs, other dysrhythmias,
B/P continuously for hypo/hypertension; report dysrhythmias, slowing
heart rate
•  Serum creatinine, potassium, magnesium
•  I&O ratio; electrolytes (potassium,
creatinine, magnesium)
•  Dehydration or hypovolemia
•  Rebound hypertension after 1-2 hr
•  Cardiac rate; respiration: rate,
rhythm, character; chest pain; start with
patient hospitalized and monitored up
to 1 w

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