Hondros Nur 185 Final Exam | with complete answer 2023

Hondros Nur 185 Final Exam | with complete answer 2023 Aspirin - - Anti-platelet, anti-pyretic, anti-inflammatory & analgesic - Overuse causes - tinnitus (ringing in the ears) - NO children - Reye syndrome - Can be enteric coated - Used to prevent strokes, MI Heparin Antidote - - Protamine sulphate Mucomyst (acetylcysteine) - acetaminophen antidote carbidopa/levodopa (Sinemet) - - Signs of Parkinson's disease: Shuffled gait, bradykinesia, tremors, muscle rigidity - Serious adverse effect: thoughts of suicide Duo-Nebulizer - - Aerosol treatment - side effects: tremors, shaking, headache, stuffy nose Flagyl - Antibiotic - side effects: dark urine, no alcohol, take with food • Epogen / Procrit (epoetin alpha) - - Increases RBCs ( 4-6 normal), ESRD Neupogen (filgrastim) - Increases WBCs (5-10), Chemo Furomeside (Lasix) - Diuretic = can lower potassium level, Take in am (normal 3.5-5.0) Lovenox (enoxaparin) - LMWH SUBQ Abdomen Warfarin (Coumadin) - Anticoagulant Monitor INR (2-3) IF INR elevated = hold med, call dr. watch for bleeding recheck INR in the am Give Vitamin K Have pt. use soft toothbrush Clopidogrel (Plavix) - Antiplatelet keep stents open give daily prevents recurrence of CVA or MI (med is effective) Side Effects: upper resp infection, chest pain, headache Viagra (sildenafil) - No Nitrates, vasodilators Methotrexate - Used for chemo, RA and Ectopic pregnancy Theophylline - Watch for low BP and dizziness Garamycin/vancomycin - Know 3 Toxicities - Nephro (Increase Cr and BUN) - Oto (ringing in the ears) - Neuro ( dizziness, spinning) Pyridium - (Phenazopyridine) Urinary tract analgesic Decrease burning Prinivil (Lisinopril) - Ace inhibitor decrease BP can cause cough for MI pts. GoLYTELY - Bowel Prep common for colonoscopy atropine/diphenoxylate (Lomotil) - Antidiarrheal Midozolam (Versed) - Assess respirations Silvadene (silver sulfadiazine) - Apply to 2nd degree burns Levothyroxine - treats hypothyroidism Cytomel - Treats hypothyroidism PTU (propylthiouracil) - treats hyperthyroidism Tapazole/methimazole - treats hyperthyroidism Do not give to pregnant women, give PTU Florinef - treatment for Addison's disease Hydrocortisone - Give IM and IV Pts. with addison's disease and addison's crisis Mitotane (Lysodren) - Chemo for adrenal cancer Care of a ventilated patient - SCDs suction for 10 secs only * No peroxide no normal saline instilled into endo tube or trach hyper-oxygenate before suctioning, apply suction pulling out If vent beeping and have done everything disconnect and ambu bag pt. * vital signs frequently Ventilate Associated Pneumonia (VAP) - - Keep HOB elevated to prevent VAP 30-45 degrees - mouth care - peptic ulcer prophylaxis ( decrease bacterial growth) use pepcid, zantac - Antibiotics respiratory acidosis - low pH, high CO2 COPD pts., (emphasema, chronic bronchitis, and asthma - Apply oxygen ( anxious,SOB, cyanotic, increased respirations) Colon cancer - -Signs are not apparent til late stages - Poor stage - Weight loss Risks for Colon Cancer - - Diverticulosis - Age - Low fiber diet - Smoking - Alcohol - Polyps - Limit red meat Ostomy - - Ascending colon= liquid- like stool - Transverse= mushy, soft - Sigmoid colon= more formed stoo