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NRNP 6560 Midterm exam 2024/2025 Questions With Correct Answers $11.99   Add to cart

Exam (elaborations)

NRNP 6560 Midterm exam 2024/2025 Questions With Correct Answers

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  • NRNP 6560
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  • NRNP 6560

NRNP 6560 Midterm exam 2024/2025 Questions With Correct AnswersNRNP 6560 Midterm exam 2024/2025 Questions With Correct AnswersNRNP 6560 Midterm exam 2024/2025 Questions With Correct AnswersNRNP 6560 Midterm exam 2024/2025 Questions With Correct AnswersNRNP 6560 Midterm exam 2024/2025 Questions With...

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  • May 7, 2024
  • 158
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • NRNP 6560
  • NRNP 6560
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DoctorKen
NRNP 6560 Midterm exam 2024/2025

Questions With Correct Answers


1. Surgery risk classes - ANS -Class 1: benefits outweigh risk, should

be done

Class 2a: reasonable to perform

Class 2b: should be considered

Class 3: rarely appropriate




2. General rules for surgery: testing - ANS -ECG before surgery only

if coronary disease, except when low risk surgery

Stress test not indicated before surgery

Do not do prophylactic coronary revascularization

, 3. Meds before surgery - ANS -- Diabetic agents: Use insulin therapy

to maintain glycemic goals(iii) Discontinue biguanides, alpha

glucosidase inhibitors, thiazolidinediones, sulfonylureas, and GLP-

1 agonists

- Do not start aspirin before surgery

- Stop Warfarin 5 days before surgery. May be bridged with Lovenox.

- Do not stop statin before surgery

- Do not start beta-blocker on day of surgery, but may continue




4. Assessment of surgical risk - ANS -- Unstable cardiac condition

(recent MI, active angina, active HF, uncontrolled HTN, severe

valvular disease), concern with CAD, CHF. arrhythmia, CVD

- patient stable or unstable?

- urgency of the procedure (oncology will be time sensitive)

- risk of procedure

,- nutritional status

- immune competence

- determine functional capacity (need to be more than 4 METS, more

than 10 METs makes low risk)




5. Low risk surgeries - ANS -cataracts

breast biopsy

cystoscopy, vasectomy

laparoscopic procedures

Plastic surgery




6. intermediate risk surgeries - ANS -Head/ neck surgery

thyroidectomy

Intraperitoneal

, Prostate

Laminectomy

Hip/ knee

Hysterectomy

cholecystectomy

nephrectomy

non-major intrathoracic




7. High risk surgeries - ANS -aortic/ cabg

transplants

spinal reconstruction

peripheral vascular surgery




8. Lee's revised cardiac risk index - ANS -6 points:

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