100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NRSG 3420 FINAL EXAM REVIEW EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED £7.80   Add to cart

Exam (elaborations)

NRSG 3420 FINAL EXAM REVIEW EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

 0 view  0 purchase
  • Module
  • Institution

NRSG 3420 FINAL EXAM REVIEW EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Priority nursing diagnoses for cardiac and respiratory patients - hemodynamic instability - impaired gas exchange - fluid/electrolyte imbalance - ineffective airway clearance Cardiac index cardiac outpu...

[Show more]

Preview 3 out of 30  pages

  • October 12, 2024
  • 30
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
avatar-seller
NRSG 3420 FINAL EXAM REVIEW EXAM QUESTIONS

AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED


Priority nursing diagnoses for cardiac and respiratory patients

- hemodynamic instability

- impaired gas exchange

- fluid/electrolyte imbalance

- ineffective airway clearance

Cardiac index

cardiac output per body surface area

normal 2.5-4.0L/min/m2

Central venous pressure (CVP)

- Pressure in the SVC, measures right sided heart function

- Normal = 2-8mmHg

- >6 = excessive volume/right sided HF

- <2 = hypovolemia, dehydration

Pulmonary artery wedge pressure (PAWP)

evaluation of LV filling pressure

normal = 6-12mmHg

Mean arterial pressure (MAP)

,- average pressure in arteries during 1 cardiac cycle

- normal is >65mmHg, ideal 70-100

- calculation: (SBP + 2DBP)/3

Beta blockers

- BLOCK beats

- dampen sympathetic nervous system response, improves LV remodeling, decreases

reoccurrence of ventricular arrhythmias

- do not use in pts with asthma/other pulmonary diseases. bradycardia, heart block

- slows HR, reduces BP, reduced contractility

Calcium channel blockers

- lowers HR and reduce strength of contraction to reduce workload

- increases O2 supply by dilating arteries and reduces O2 demand by decreasing LV

workload

- ex. amlodipine, diltiazem

HMG-CoA Reductase Inhibitors

- "statins"

- inhibits enzyme involved in lipid synthesis --> decreased LDL, triglycerides, total

cholesterol and increased HDL

ACE inhibitors

- inhibits conversion of angiotensin I to II --> lowers peripheral resistance and decreases

BP/afterload

- reduces preload, afterload, and ventricular remodeling

, - indicated for tx of HF, not recommended for initial dx of ADHF

- ex. prils: captopril, lisinopril, enalapril

Angiotensin II Receptor Blockers (ARBs)

- blocks effects of angiotensin II to reduce peripheral resistance --> decreases BP and

afterload

- sartans: losartan, valsartan

Digoxin

- positive inotrope= improved cardiac contractility--> increased CO

- decreases HR, withhold if HR <60

treatment algorithm for CP/MI

MONA - morphine, oxygen, nitroglycerin, aspirin

Inotropic

- force of heart contraction

- positive: digoxin, dobutamine --> improve contractility, increased SV, CO, and O2

demand

- negative: beta blockers, CCBs --> weaken/decrease force of heart contraction

chronotropic

- rate of heart contraction

- positive: epi, atropine

- negative: beta blockers

dromotropic

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller NurseAdvocate. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for £7.80. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

76800 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now

Start selling
£7.80
  • (0)
  Add to cart