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CAPA/CPAN Exam 2 with Complete Solutions/ Correct-Verified Answers
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CAPA/CPAN Exam 2 with Complete Solutions/ Correct-Verified Answers
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CAPA/CPAN Exam 2 with Complete Solutions/Correct-Verified Answers
Physostigmine - ANSWER Useful in reversing the disorientation or somnolence caused by drugs
such as diazepam, phenothiazines, tricyclics antidepressant, antiparkinsonian drugs,
promethazine and droperidol
What can you give to help with the side effects of physostigmine? - ANSWER Glycopyrrolate
(Robinul), because it does not cross the blood brain barrier
Treatment w/ physostigmine - ANSWER Patient should remain in PACU for at lea 1 hour
after being administered this medication
Beta 1 - ANSWER Affects the heart
Beta 2 - ANSWER Affects the lungs
First line of treatment in hypotension - ANSWER Return the patient's condition to
normovolemia and administer crystalloid solution of 300 -500 ml. Anticholinergics are indicated
if sinus bradycardia accompanies the hypotension.
Hypertension therapy - ANSWER
Common cause of postoperative hypertension - ANSWER Hypovolemia with hypercarbia from
hypoventilation
, Nursing intervention to prevent hypoventilation - ANSWER Stir up regimen
Signs of hypertension crisis - ANSWER Blurred vision, diastolic blood pressure from 120 to
140 diastolic, headache, papilledema along w/ disorientation
What should be determined first if suspect hypertension crisis - ANSWER Check the equipment
used to determine blood pressure
Second evaluation during hypertension crisis - ANSWER Pre-existing disease or may be
normal for that patient (i.e. History of hypertension)
Increased sympathetic nervous system activity causes post-op hypertension. What are the
clinical phenomenon that lead to hypertension - ANSWER Post-op pain, stimulation w/
endotracheal tube, bladder dissension, and preeclampsia
Hypothermia - ANSWER May be a cause of hypertension in a post op patient
For severe postoperative hypertension, what is the drug of choice most probable - ANSWER
SNF (sodium nitroprusside)
SNF (sodium nitroprusside) - ANSWER This drug needs to be protected from light, must be
administered in a bottle and tubing that are wrapped and protected from light, must be
given w/in 4 hours of preparation and must have central venous catheter access.
Administration of SNF for longer than 24 hours may cause thiocyanate poisoning, what are the
symptoms of this - ANSWER Fatigue, nausea, anorexia, muscle spasms, and disorientation
70% to 80% of morbidity and mortality is associated to this - ANSWER Respiratory dysfunction
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