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NUR3128 Exam 3 Questions and Answers $12.49   Add to cart

Exam (elaborations)

NUR3128 Exam 3 Questions and Answers

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  • NUR3128

Tx of anaphylaxis ~ Prevention by knowledge of triggers, carrying EpiPen or Auvi-Q Sympathomimetics, antihistamines, glucocorticoids Therapy is symptomatic: To support cardiovascular system, To prevent further hyperreaction of immune system Give oxygen immediately Antihistamine—Prevents r...

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  • August 5, 2024
  • 31
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR3128
  • NUR3128
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NUR3128 Exam 3
Questions and Answers
ACE Inhibitors


✓~ • "pril"

• Reduce afterload

• Drugs of choice for heart failure

• Enhance excretion of sodium and water

• Lower peripheral resistance and reduce blood volume

• Increase cardiac output




Role of the Nurse: ACE Inhibitors


✓~ • Monitor C B C

• Assess for hypotension

• Monitor for impaired kidney function, hyperkalemia, autoimmune disease




Angiotensin II Receptor Blockers (ARBs)


✓~ • "sartan"

• Actions very similar to A C E inhibitors

• Usually used for patients who are unable to tolerate the adverse effects of A C E

inhibitors

,Diuretics


✓~ • Increase urine flow

• Reduce blood volume and cardiac workload

• Reduce edema and pulmonary congestion

• Prescribed in combination with other drugs




Role of the Nurse: Diuretics


✓~ • Assess renal function

• Monitor electrolyte levels

• Monitor vital signs. intake/output

• Monitor blood glucose and blood-urea nitrogen (B U N)




Beta-Adrenergic Blockers


✓~ • Slow heart rate and reduce blood pressure

• Inotropic effect

• Reduce workload of heart




Role of the Nurse: Beta-Adrenergic Blockers (HF)

,✓~ • Monitor for worsening symptoms

• Monitor liver function/hepatic toxicity

• Be aware of contraindications




Cardiac Glycosides


✓~ • Increase force of heartbeat. slow heart rate

• Improve cardiac output

• Second-line treatment for H F

• Narrow therapeutic range




Role of the Nurse: Cardiac Glycosides


✓~ • Evaluate for ventricular dysrhythmias

• Assess renal function

• Monitor for drug interactions

• Know restriction on use with antidiarrheals/antacids




Direct Vasodilators


✓~ • Minor role in H F treatment

• Lower blood pressure

• Relax blood vessels

, Phosphodiesterase Inhibitors


✓~ • Block enzyme phosphodiesterase

• Increase calcium for myocardial contraction

• Cause positive inotropic response and vasodilation

• Increase contractility and decrease afterload

• Short-term therapy only




Role of the Nurse: Phosphodiesterase Inhibitors


✓~ • Assess potassium levels

• Monitor for hypotension

• Assess for renal impairment

• Assess for dysrhythmias

• For I V: Monitor for ventricular dysrhythmias




Patient teaching for HF (a lot of info so probably just have an idea)


✓~ • Therapeutic response time: weeks or months

• Don't use HF meds with other medications. O T Cs. herbals. vitamins

• Monitor sodium intake

• Report weight loss• Report fatigue and muscle cramps

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