Summary
Summary NUR 324 Exam 2 Review
- Course
- NUR 324
- Institution
- Gwynedd Mercy University
This is a comprehensive and detailed Review on Exam 2 for Nur 324. *Essential!! *All for YOU!!
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Patho/Pharm Exam 2 Review➔ Beta Blockers
◆ Ending in -olol
◆ Pathophysiology
● Block sympathetic nervous system
● Decrease HR
● Decrease BP
● Decrease muscle contraction
● Increase blood flow to the kidneys
● Decrease renin release
◆ Indications
● HTN but not first line
● Decrease risk of sudden death after MI
● Used in everyone after MI and PCI
● HR reduction in AF
● Palpitations
● Also used in treatment of heart failure
● Migraines
● Performance Anxiety
● Hyperthyroidism
◆ Adverse Effects
● Fatigue
● Depression
● Sexual side effects
● Sleep issues
◆ Special Uses
● Metoprolol: Heart Failure and Post MI
● Propranolol: Social anxiety, headaches
◆ Cautions:
● Use in chronic lung disease, If on cardioselective, less likely to
have symptoms but higher doses can cause lung symptoms
● Use in those with bradydysrhythmias
● Never stop abruptly. Should always been weaned off over a
period of time
◆ Nursing Considerations
1
, ● Check heart rate before giving. If under 60BPM,confirm if med
to be given
● Make sure receive meds when NPO
➔ Beta blockers
◆ should be tapered off slowly to prevent reflex tachycardia and high
BP
◆ decrease heart rate and blood pressure
◆ should be avoided in patients with COPD
➔ To minimize the chances for developing Red Man Syndrome when giving
Vancomycin, the nurse should
◆ make sure it is infused over at least one hour
➔ What is the most serious adverse effect of Bactrim, which has a sulfa
component?
◆ Stevens Johnson Syndrome
➔ What is Stevens Johnson Syndrome
◆ Flu-like symptoms appear first. A painful rash that spreads and
blisters follows
➔ Mr. Jones has chest pain every time he walks to his mailbox. This is
known as
◆ stable angina
➔ Side effects of nitroglycerin include
◆ Headache
◆ Dizziness
➔ What do you need to teach your patient about the use of tetracycline?
◆ Use sunscreen before going outside
➔ CK started having chest pain one hour ago. If she is having an MI, when
would you expect the troponin level to rise?
◆ 2-4 hours from now
◆ Usually around 3 Hours
➔ Bacteriostatic means that an antibiotic
◆ Prevents the growth of bacteria
➔ Bactericidal
◆ Kills bacteria
➔ Broad Spectrum Antibiotics:
◆ Effective against gram-positive and gram-negative
◆ Examples: tetracycline, cephalosporins
2
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