STUVIA 2024/2025
NUR 2990 Exam 2 Review
- Intermittent claudication to sharp, unrelenting constant pain.
-Diminished or absent pulses
-Pallor of foot
-Dry, shiny skin
-Cool temp. of skin
-Hair loss over toes and dorsum of foot.
-Nails are thick and rigid - ✔✔arterial insufficiency
- most accurate to assess area obstruction
-determines extent of dysfunction, response to therapy & as screening test
-maesures lung capactiy
-do not smoke or use bronchodilator 6hr before test - ✔✔Pulmonary Function (PF) studies
-"Diet: low salt, low fat, low calorie
DASH diet rich in fruits, vegetables, low fat dairy, low in total fat, saturated & cholesterol no more than
2 servings of meat, fish and poultry
-Follow up with opthamologist because of papilledema (swelling of optic disk)
%
-Reduced smoking lowers BP and risk of CV events
-Reduced alcohol intake limit 2 glasses a day excessive alcohol increase BP
-Weight loss lowers BP
-Exercise
-maintenance of potassium & calcium intake (adequate amounts lower BP) - ✔✔Lifestyle
modifications for HTN
-2 RN verification
-prime with normal saline to prevent blood clotting & use screen out fibrin
-check type and cross match
-check vitals prior to infusion, 15 min after
-reactions: fever, chills, hives, nausea, flushing, SOB, vomitting - ✔✔Blood Transfusions
-alveoli sac loses elastcity
-weight loss, cough, fatigue, SOB, chest discomfort, mucus
-causes: smoking, air pollutants, genetics
-complications: Cor Pulmonale (pulmonary hypertension, respi failure, pneumonia, atelectasis -
✔✔COPD
stuvia
, STUVIA 2024/2025
-always check for circulation (most important)
-assess for infection
-measure swelling
-vitals every 15min then every hour - ✔✔Bypass surgery care
-anticoagulant effect 12-24hrs after first dose
-antithrombotic effect 2-7 dayst after first dose
-narrow therapeutic window
-safe to send home when INR stabilzes
-contraindicated in pregnancy
antidote: VITAMIN K - ✔✔Warfarin (coumadin) for DVT
-B12 deficiency
vitamin b aka Cobalamin
-diagnosed by Schilling test
- Nursing care: advise patient to not take oral B12 if they do not have intrinsic factor, diet, skin
assessment, monitor cardiac rhythm, daily weight, O2 as needed, blood transfusion
%
-Assessment: mood swings, confusion, loss of appetite, SOB, fatigue, swollen tongue, hair loss,
dizziness, neuropathic pain, vitglio (white spots on skin)
-Meds: make sure they do not have any type of neurological problems, Erythropoietin (protein
injection), Vitamin B12, iron & folic acid supplements, Cyanocobalamin (IM of nasal spray) -
✔✔Pernicious Anemia
-CAD
-HTN
-DM
-Lipids
-Obesity
-Age
-Family hx - ✔✔Risk factors for atherosclerosis
-calf or groin tenderness
-positive homan's
-redness
-sudden onset of unilateral swelling of legs
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