Exam (elaborations)
NSG 318 Exam 3 | Questions And Answers Latest {} A+ Graded | 100% Verified
- Course
- Institution
NSG 318 Exam 3 | Questions And Answers Latest {} A+ Graded | 100% Verified
[Show more]
Content preview
NSG 318 Exam 3 | Questions And Answers Latest {2024- 2025} A+ Graded |100% Verified
acute HF - -heart muscle weakens and enlarges
-loses ability to pump blood adequately
-compensatory mechanisms fail
-lungs/periphery become congested
R sided heart failure - blood backs up in periphery
-peripheral edema & weight gain
L sided heart failure - blood backs up into lungs
-pulmonary edema, shortness of breath, dyspnea, cough
cardiomegaly is common with - heart failure
heart failure nonpharmacologic tx - -limit salt and saturated fat intake (limit to 2g/1tsp/day)
-limit/avoid alcohol intake (avoid/1 drink/day)
-stop smoking
-perform mild exercise
-fluid intake (may be dec)
Digoxin class - cardiac glycoside
digoxin use - HF, a-fib (oral/IV admin)
digoxin action - inhibits Na/K+ ATPase; inc cardiac contractility, CO and tissue perfusion
digoxin side effects/adverse effects - hypokalemia, blurred/yellow vision, green/yellow halos w toxicity
,Digoxin contraindications - V-fib, hypokalemia
caution w/ acute MI, AV block, HTN, older adults
digoxin drug interactions - -Diuretics and cortisone: inc risk for toxicity (diuretics may cause
hypokalemia)
-Antacids: dec digoxin absorption
digoxin CAM interactions - -Ginseng: inc digitalis levels
-St. John's wort and psyllium: dec absorption
-Hawthorn: inc effects
-Licorice, aloe, ephedra: inc risk of toxicity
digoxin interventions - -assess apical pulse before administering; DON'T ADMINISTER IF HR <60bpm
-advise client to eat foods high in K+
Antidote for digoxin toxicity - digoxin immune FAB
digoxin therapeutic serum level - 0.5-1ng/mL
digoxin effects on heart muscle - -inc. myocardial contractility and CO
-dec. HR and conduction
angina - acute cardiac pain caused by inadequate blood flow to myocardium
antianginal drugs - -nitrates
-beta blockers
-Ca channel blockers
, nitroglycerin class - antianginal (Nitrate)
nitroglycerin uses - control angina, acute MI and HF
nitroglycerin action - dec myocardial demand for O2 consumption (vasodilator)
Nitroglycerin Contraindications - inc intracranial pressure; heat and light dec potency of drug. keep in
dark bottle
nitroglycerin routes of administration - -SL spray: 1-3min onset. space out over 5mins and call 911
before taking 2nd dose
-Topical cream: wipe off old cream 1st (4-8hr duration)
-Transdermal: leave off for 12hrs to give break
nitroglycerin side effects/adverse effects - CNS effects, syncope, tolerance, GI distress, circulatory
collapse
nitroglycerin drug interactions - -alcohol, beta blockers, Ca channel blockers, antihypertensives, Aspirin,
benzos, vasodilators: inc effect
-heparin: dec effect
nitroglycerin CAM interactions - -Hawthorn: inc. levels
nitroglycerin interventions - -for SL spray, call 911 if 1st dose doesn't work
-proper storage of tabs
-administer SL tab if chest pain occurs
Atenolol class - beta 1 adrenergic blocker
atenolol use - tx of hypertension, prophylaxis, and acute MI
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 oneclass. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.48. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now