NUR 170 Concepts of Medical-Surgical Nursing
Exam 3
Question:
Do ACE inhibitors decrease preload, afterload, or both?
Answer:
Both
Question:
What lab values should be periodically monitored in a patient taking an ACE1 or ARB?
Answer:
Renal function needs to be monitored because in some patients these meds can induce renal failure. They also need potassium levels monitored because hyperkalemia can occur
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Question:
What is Buerger's Disease?
Answer:
Claudication in feet and lower extremities worse at night; increase sensitivity to cold; ulcerations and gangrene on digits; cause unknown but associated with male smokers. Leads to ischemia which leads to autoamputation
Question:
Treatment of Buerger Disease
Answer:
Cessation of smoking
Question:
S/S of Peripheral Arterial Disease (PAD)
Answer:
numbness, non-healing ulcers, diminished/absent peripheral pulses, delayed cap refill, cool and pale extremities, less hair growth on affected extremity.
Question:
Stage 1 of peripheral arterial disease
Answer:
Asymptomatic 2 / 4
Question:
Stage 2 of peripheral arterial disease
Answer:
Intermittent claudication: pain occurs with exercise and does not go away
with rest.
Question:
Stage 3 of peripheral arterial disease
Answer:
1. Ischemic rest pain: pain does not go away with rest and is relieved by
putting the leg in a dependent position
Question:
Stage 4 of peripheral arterial disease
Answer:
Necrosis and gangrene
Question:
MAWDS Teaching for HF
Answer:
Medications- take meds as directed and avoid NSAIDS because they cause salt and water retention. Activity- walk at least 3 days a week. Weight- weigh yourself at the same time every day wearing the same thing on the same 3 / 4
scale. Diet- Low sodium diet (2-3g/day), fluid restriction as prescribed.Symptoms to report- overnight weight gain, nocturia, dyspnea at rest, cold sx lasting more than a few days, exercise intolerance, increased swelling, angina.
Question:
When is a heparin gtt indicated?
Answer:
A-fib, DVT, & pulmonary embolism.
Question:
What baseline labs should be obtained prior to initiating a heparin gtt?
Answer:
PT, INR, PTT, baseline PLT
Question:
What monitoring is required during a heparin infusion?
Answer:
PTT Q4-6H, needs to lie b/w 50-70 , daily PLT count to make sure it is not trending down.
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