Exam (elaborations)
NRSG 533 MN adult exam 3 questions with complete solutions 2024
- Course
- Institution
NRSG 533 MN adult exam 3 questions with complete solutions 2024
[Show more]
Content preview
NRSG 533 MN adult exam 3 questions withcomplete solutions 2024
BP j- jANS✓✓--affected jby jcontractility, jpreload, jand jafterload j(strongest
jvariable)
-block jangiotensin jII j- jblock jvasoconstriction j
-angiotensin jII j- jpotent jvasoconstriction j
-epi j- jworks jon jheart j
-noripe- jvasoconstriction jof jvascular jsystem
primary jhypertension j- jANS✓✓-idiopathic, jmost jcommon, jno jcause
secondary jhypertension j- jANS✓✓-has ja jspecific jcause jthat jcan jbe jidentified
jcorrected
when jyou jthink jHTN jthink j- jANS✓✓-ischemia
HTN jischemia jeffects j- jANS✓✓--heart, jbrain, jkidney, jeyes, jlungs
# jfor jHTN j- jANS✓✓--proxy jof jtelling jus jhow jtight jthe jpressure jin jvessel j- jblood
jmoving jthrough jartery
higher jBP jmeans j- jANS✓✓-less jblood jflow jthrough jarteries
high jBP jis jnot jsymptomatic juntil j- jANS✓✓-you jhit jthe jorgan jfailure jstage
normal jBP j- jANS✓✓-Systolic j<120
and j
Diastolic j<80
elevated jBP j- jANS✓✓-S: j120-129 j
and j
D: j< j80
stage j1 jhypertension j- jANS✓✓-S: j130-139 j
or j
D: j80-89
,stage j2 jhypertension j- jANS✓✓-S: jgreater jthan jor jequal jto j140 j
or j
D: jgreater jthan jor jequal jto j90
HTN jemergency j- jANS✓✓->180/120 jwith jend jorgan jdamage
Treat jwith jIV jnitroprusside
reduce jby j25% jin jfirst jhour
HTN jurgency j- jANS✓✓--no jtarget jorgan jdamage j
-treat jwith jPO jmeds j- jclonidine j
-returns jto jtheir jnormal j
-reduce jby j25%
-dont jwant jto jdrop jBP jto jfast, jbc jit jcan jeffect jbrain, jpump jloosen, jpressure jnot
jenough jprofusion
how jto jcalculate jMAP j- jANS✓✓-MAP= j1/2SBP j+ j2/3DBP
calculating jreducing jMAP j- jANS✓✓-MAP= j180, jreduce jby j25% j
=180 jx j.25
=45
new jMAP j= j135
HF jsymptoms jdont jmanifest j- jANS✓✓-in jheart jbut jheart jis jmain jproblem
jbecause jits jnot jputting jout jenough jblood jto jmaintain jrest jof jbody jneeds
why jliver jis jnot jeffected jby jHF j- jANS✓✓-bc jof jhepatic jcirculation j- jblood jflow
jfrom jother jplaces
kidneys jand jHF j- jANS✓✓--kidneys jcan jcompensate jfor ja jshort jperiod jof jtime j
-kidneys jeffect jwater jretention jdue jto jlack jof jprofusion j-vasoconstriction j-
jincrease jblood jvolume jin jbody
left jsided jHF jsymptoms j- jANS✓✓--SOB j
-dyspnea j
-wheezing j
-moist jcough j
-confusion j
-crackles jin jlungs
right jsided jHF jsymptoms j- jANS✓✓--peripheral jedema, jpitting j
-JVD j(pulsating) j
-liver jtenderness j- jhepatomegaly j
-anorexia j- jloss jof jappetite j
-weight jgain j(2/3 jlbs jper jday jor j5 jlbs jper jweek j)
major jcauses jof jright jsided jheart jfailure j- jANS✓✓--smoking j
, -COPD j
-enphazemia
systolic jHF j(contractility jproblem) j- jANS✓✓--HFref j(reduced) j
-left jsided j
-ejection jfraction j< j40 j%
causes jof jHFref j- jANS✓✓--ischemic jCAD j(70%) j
-dilated jcardiomyopathy j(30% jfamilial) j
-myocarditis j- jviral j
-valvular jheart jdisease j- jaortic jstenosis j
-tachycardia j- jmetabolic, jthyroid j
-atrial jfibrillation j
-Adriamycin jfor jcancer jtreatment
diastolic jheart jfailure j(filling jproblem) j- jANS✓✓--HFpef j(perserved) j
-left jsided j
-EF jWNL jor j> j50% jor jhigher
causes jof jHFpef j- jANS✓✓--aging j
-thickening jof jheart jmuscle j- jHTN j
-diabetes j
-obesity j
-alcohol/substance jabuse j
-viral j
-cardiomyopathy
diagnosis jof jHF j- jANS✓✓--CXR j(cardiomegaly, jpulmonary jcongestion),
-BNP j(brain jnatriuretic jpeptide) j
-echocardiogram
stage jA jHF jtreatment jfocuses jon j- jANS✓✓--blocking jconversion jof jangiotensin
jI jto jangiotensin jII j( jACE jInhibitors) j
-block jangiotensin jII j(ARBS)
ACE jinhibitor jprototypes j- jANS✓✓--lisinopril j
-vasotec j
-altace j
-prinivil
ACE jinhibitor j- jANS✓✓--improves jsymptoms, jexercise jcapacity, jLVEF jand
jelectrolytes j
-recommended jfor jall jpatients junless jcontraindicated
ACEI jside jeffects j- jANS✓✓--cough j
-hypotension j
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 tuition. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79373 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now