NURS 615 EXAM 3 – MARYVILLE WITH CORRECT ANSWERS AND QUESTIONS RATED A+ ()
0 view 0 purchase
Course
NURS 615
Institution
NURS 615
NURS 615 EXAM 3 – MARYVILLE WITH
CORRECT ANSWERS AND QUESTIONS
RATED A+ ()
corticosteroid drugs - ANS-prednisone, methylprednisolone, dexamethasone, topical such as
hydrocortisone, and then joint injections for pain
MOA of corticosteroids drugs - ANS-drugs that suppress inflammation by mi...
NURS 615 EXAM 3 – MARYVILLE WITH
CORRECT ANSWERS AND QUESTIONS
RATED A+ (2024-2025)
corticosteroid drugs - ANS-prednisone, methylprednisolone, dexamethasone, topical such as
hydrocortisone, and then joint injections for pain
MOA of corticosteroids drugs - ANS-drugs that suppress inflammation by mimicking glucocorticoid
hormones
Patient teaching in CCB - ANS-Teach patients to change positions slowly, avoid exercise in hot weather,
and stay hydrated; teach patients to check pulse and report if <50bpm or irregular; teach patients to
report s/sx of hf:dyspnea, dizziness, nausea, swelling, decreased UO;
amlodipine has long half-life-skip missed dose
do not stop suddenly as fatal arrhythmia s may happen
* do not drink with grapefruit juice as it will increase the levels in your system
Thizaides MOA - ANS-•Act on distal tubule to inhibit sodium reabsorption
,•Deplete sodium and fluid through urination
causes vasodilaiton
Inhibit interleikin one, tumor necrosis factor and other cytokines, impairs phagocytosis, impairs
lymphocytes, and inhibits tissue repair
indications for cortocosteriod use - ANS-Allergy or hypersensitivity, respiratory, shock, rheumatology,
neurology, hepatic, neoplastic... basicly every organ is covered if there is an issue.
withdrawal from corticorsteriod symptoms - ANS-malaise, myalgia, headache, nausea, fevers,
hypotension and relapse of symptoms (pain, inflammation, ashtma)
what must you do with corticosteriods to prevent withdrawal - ANS-Must taper them down, you can
have possible adrenal crisis if you do not.
corticosteriod considerations - ANS-suppression patients response to infections- no live viral vaccines,
and have increased susceptibility to disease.
If used over 6 months: Increase blood glucose, impair immune function (get vaccines) , impair wound
healing, GI complaints (report black tarry stools) , osteoporosis (decreases calcium), anxiety/insomnia,
sodium & fluid retention 9monitor weight and fluid retention)
If on 1gram or more also prescribe PPI (omeprazole) to prevent PUD
contraindicated with active infection and hypersensitivity
What are the adverse effects of corticosteroids if administered for six months or more? - ANS-The main
thing you want to worry about is osteoporosis
It can also worsen diabetic control
Patients should report any tarry black stools or abdominal pain.
Black box warning for NSAIDS - ANS-May cause an increased risk of serious cardiovascular thrombotic
events:
•Patients with cardiovascular disease or with risk factors for cardiovascular disease may be a greater
risk. **
•Myocardial-infarction
•Stroke which can be fatal.**
•This risk may increase with duration of use.
NSAIDs can also cause an increased risk of serious gastrointestinal adverse effects including
•Bleeding**
•Ulceration
•Perforation the stomach or intestines which can be fatal.
•These events can occur at any time during use and without warning symptoms.
•Elderly patients are at greater risk for serious GI events.
Tylenol - ANS-non opioid, non NSAID analgesic
treatment for mild pain and fever, has no anti- inflammatory properties
The main mechanism is performed a proposed is the inhibition of cox.
And recent findings suggest that it's highly selective cox-2.
Because of its selectivity for cox-2 it does not significantly inhibit the production of pro clotting
thromboxanes.
Tylenol warnings - ANS-Acute overdoses of acetaminophen can cause potentially fatal liver damage.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Shimwai126. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.99. You're not tied to anything after your purchase.
