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Nurs 5463 Module 1 Study Notes Study Guide
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Nurs 5463 Module 1 Study Notes Study Guide
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Nurs 5463 Module 1 Study Notes Study GuideFentanyl (Sublimaze) Correct 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 respirations, bradycardia,
hypotension
- do not consume grapefruit while taking this medication
Morphine Sulfate Correct Answer-class: Opioid Analgesic
-should not be used with renal issues
-accumulates and causes toxicities
Dilaudid (hydromorphone) Correct Answer-class: Opioid Analgesic
-can be used with renal issues
-causes hypotension
Toradol (ketorolac) Correct Answer-NSAID (non-steroidal anti
inflammatory)
-should not be used with renal issues
Pulmonary hypertension Correct Answer--have issues with diffusion that
leads to hypoxia
, -Idiopathic, heritable, left heart disease (e.g. HF), lung disease (e.g.
COPD), hypoxemic vasoconstriction (e.g. OSA), thromboembolic (e.g.
PE)
What are the indications for admission to ICU level of care? Correct
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? Correct 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? Correct
Answer--increases myocardial contractility
-decreases preload and after load by a direct dilating effect on vascular
smooth muscle
Initial workup for delirium should include? Correct Answer-basic labs
such as cbc, cmp, UA and CXR
Differential diagnosis for pancreatitis Correct Answer--angina
-chest pain
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