Herzing University NSG 223 Med Surg II Exam #1 Question and answer 2023 verified to pass What is the Action of Atropine? - correct answer blocks the effects of acetylcholine at muscarinic cholinergic receptors What classification is Atropine? - correct answer Anticholinergic What does atropine treat? - correct answer Cardiovascular effects such as bradycardia and syncope What are the side effects of an overdose of Atropine? - correct answer - Decreased secretions
- Increased HR
- Decreased GI and Genitourinary tone
- Hypersalivation
- Seizures
What is the antidote for Atropine? - correct answer Physostigmine at a slow rate of 1 mg/min What are the effects of rapid administration of Atropine? - correct answer - Bradycardia
How long does it take for the peak effects of Atropine IV and IM to take effect? - correct
answer IV: The peak effect occurs in 2 to 4 minutes
IM: 30 minutes
Nurse assesses for what with Atropine? - correct answer - HR for patients with bradycardia if Atropine administered
- Diminished secretions in preoperative patients
- Bowel Sounds- paralytic ileus
- Photophobia, mydriasis, blurred vision, and increased intraocular pressure
- Dry mouth
- Increased temperature
What are some adverse Effects from Atropine? - correct answer - Urinary retention
Elderly and children are prone to what when on Atropine? - correct answer hyperpyrexia due to suppression of perspiration and heat loss 1 / 2
What are some patient education for Atropine? - correct answer - Avoid excessively high temperatures
- Drink a lot of water
- Rinse mouth frequently
- Maintain good dental hygiene
- Use hard candy before taking medication
- Void before taking medication
- Visit ophthalmologist regularly
- Fever
- Weakness becomes severe
- Prevents further thrombus formation and embolization
- A-Fib
- / 2
When patient is on Atropine what signs/symptoms should you notify the MD about? - correct answer - If fluid intake is greater or less than urine output
After IV heparin injection how long does it taking to act? - correct answer immediatley After Sub Q heparin injection how long does it take to act? - correct answer 20-30 minutes What does Heparin treat? - correct answer - Prevents DVT and PE
It is essential to take a what count before heparin therapy begins and every 2-3 days during heparin therapy? - correct answer Platelet count If the platelet count falls below 100,000 or less than half the baseline, what do we do to the heparin therapy? - correct answer discontinue the heparin What is the goal of heparin? - correct answer prevent blood coagulation long enough for clotting factors to be replenished and thus control hemorrhage What is the action of Heparin? - correct answer Combines with antithrombin III to inactivate clotting factors to prevent thrombus formation What are contraindications for Heparin? - correct answer GI ulcerations, intracranial bleeding, dissecting aortic aneurysm, blood dyscrasias, severe kidney or liver disease What should be maintained at approximately 1.5-2.5 times the baseline value during heparin therapy? - correct answer aPTT Normal control value for heparin is how many seconds? - correct answer 25-35 seconds The theraputic range for heparin is what? - correct answer 45-70 seconds