Nurs 5463 Module 1 Study Guide Exam Questions Answered Correctly.
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Module
Nurs 5463
Institution
Nurs 5463
Fentanyl (Sublimaze) - Answer class: Opioid Analgesic
-producing CNS depression
- use caution with increased ICP, head trauma, adrenal insufficiency:
-can be used with hypotension, renal issues and labor and delivery
- avoid use with MAOIs
- may cause apnea, laryngospasm, decreased respir...
What are the indications for admission to ICU level of care? - Answer -advanced respiratory support,
-requiring support of two or more organ systems,
, -chronic impairment of one or more organ systems who also require support for an acute reversible
failure of another organ.
What are the effects of norepinephrine (Levophed) on preload and after load? - Answer -Minor beta-
adrenergic activity producing myocardial stimulation
-Stimulates alpha-adrenergic receptors located in the blood vessels to produce vasoconstriction
increasing preload and after load
What are the effects of milrinone on preload and after load? - Answer -increases myocardial
contractility
-decreases preload and after load by a direct dilating effect on vascular smooth muscle
Initial workup for delirium should include? - Answer basic labs such as cbc, cmp, UA and CXR
Differential diagnosis for pancreatitis - Answer -angina
-chest pain
-dissecting aortic aneurysm
Concurrent use of what two medication will enhance post operative pain management? - Answer -
Opioid
-Tylenol
With delirium, what class of drugs should be avoided? What is the exception? - Answer -
Benzodiazepine should be avoided
-Benzodiazepines are first line treatment for GABAergic-withdrawl-related delirium states like ETOH
withdraws
Dyspnea: Name two mechanisms that affect breathing? - Answer -ventilatory pump (motor efferent-
outgoing): muscles of ventilation, skeletal airways; increase airway resistance and decrease compliance;
increased work of breathing
-Respiratory controller (sensory afferent-incoming) stimulation of chemoreceptors in response to
hypoxemia, hypercapnia, academia or bronchospasm, interstitial edema; air hunger (inability to catch a
breath)
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