Final answer:
A nurse must monitor for adverse effects in a patient who has received Amiodarone for VT/VF, including cardiac function, liver and thyroid function, pulmonary function, vision changes, skin changes, and electrolyte imbalances.
Step-by-step explanation:
A nurse who is monitoring a patient who has received Amiodarone for ventricular tachycardia (VT) or ventricular fibrillation (VF) must be vigilant for various adverse effects. Amiodarone is an antiarrhythmic medication that can cause several side effects. Some of the key clinical parameters to monitor include:
- Cardiac function, such as heart rate and rhythm, to detect any new or worsening arrhythmias.
- Liver and thyroid function tests, as Amiodarone can affect both the liver and thyroid gland.
- Pulmonary function, since the drug can cause pulmonary toxicity, which may manifest as breathlessness or a non-productive cough.
- Vision changes, as Amiodarone can lead to optic neuropathy or deposits in the cornea.
- Skin monitoring is important as well, due to the potential for Amiodarone-induced photosensitivity and blue-gray skin discoloration.
It's also essential to observe for signs of electrolyte imbalance and to conduct periodic electrocardiograms (ECGs) to monitor the electrical activity of the heart.