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Hondros NUR 176 Test 2|97 Questions and Answers
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Hondros NUR 176 Test 2|97 Questions and Answers
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Hondros NUR 176 Test 2|97Questions and Answers
ARF Causes - -Hemorrhage, trauma, infection, decreased cardiac output,
medications
- ARF S/S - -mimics dehydration s/s, anorexia, h/a, edema, vomiting,
nausea, lethargy,
- Malignan hypertension - -Is the most severe
- S/S of Malignant hypertension - -- Diastolic >120
- Blurred vision
- Severe h/a
- High cholesterol
- Dyspnea
- History of hypertension
- Beta blockers - -medication used to treat several different types of
conditions, including hypertension (high blood pressure), angina, some
abnormal heart rhythms, heart attack (myocardial infarction)
- Beta blockers actions - -Decreases BP and HR blocking epinephrine and
nonepinephrine
- Side effects of Beta blockers - -SOB (asthma like symptoms)
Weakness
Dry mouth
Dizziness
H/A
Upset stomach
- Common Beta blockers - -Metoprolol (Lopressor, Toprol-XL)
Propranolol (Inderal LA, InnoPran XL)
- Atenolol (Tenormin) - -Medication for MI
- Digoxin (Lanoxin, Digox) - -medication used for heart failure (hf)
- Nursing consideration for Digoxin - -assess hr, if it's <60 hold the medicine
and call doctor
- Nitroglycerin - -opens blood vessels, is used for chest pain (antiangina)
, - Administration of glycerin - -Sublingual, 1 pill q5min, maximum of three
pills, if pain continues call doctor, possible HA
- PTCA - -Percutaneous
Transluminal
Coronary
Angioplastic
- Pt teaching before PTCA - -- Explain procedure: a balloon is inflated to
reduce the constriction in the artery
- Contrast is used, normally in femoral
- Pt is gonna feel a flush/warm everywhere when contrast is injected
- Pt should lay flat
- Pt will be sedated but awake
- Pt should sign Informed consent for PTCA and a future CABG (Coronary
Artery Bypass Grafting)
- S/S of left heart failure - -Lungs (Respiratory problems)
Dyspnea, paroxysmal nocturnal dyspnea, cough, frothy-blood-tinged sputum,
orthopnea, pulmonary crackles, radiographic evidence of pulmonary vascular
congestion with pleura effusion
- S/S of right heart failure - -Body (everything not related to lungs)
Distended jugular veins, anorexia, nausea, abdominal distention, liver
enlargement, ascites (peritoneal edema), edema in feet, ankles, sacrum
- Test for heart failure - -- CXR
- BNP (Brain Natriuretic Peptide)
- Cardiac rehabilitation orders - -- Low Na+ diet
- Lifestyle education (all that pt is doing wrong and have to correct)
- Use of medications (Metoprolol -Lopresol
- Exercise
- Non-pharmacological treatment for hypertension - -- Diet (low Na+, low
fat, high K+, CA+, and Mg+) fruits and vegetables
- Moderate aerobic exercises (walk 20 min/day/3 times/wk
- High Blood Pressure - ->140/90, is called the silent killer because it
doesn't show symptoms until is tissue damage
- S/S of high blood pressure - -- Blurred vision
- Unexplained nose bleeding
- S/S of MI for males - -- Heavy severe chest pain, usually radiates to left
arm, neck, jaw
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