NSG-318 Exam 3-Questions with Correct Answers/ Verified/ 100% Pass
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Course
NSG 318
Institution
NSG 318
acute HF -️️-heart muscle weakens and enlarges
-loses ability to pump blood adequately
-compensatory mechanisms fail
-lungs/periphery become congested
R sided heart failure -️️blood backs up in periphery
-peripheral edema & weight gain
L sided heart failure -️️blood backs up into ...
Nitroglycerin Contraindications - ✔️✔️inc intracranial pressure; heat and light dec potency of drug.
keep in dark bottle
nitroglycerin routes of administration - ✔️✔️-SL spray: 1-3min onset. space out over 5mins and call
911 before taking 2nd dose
-Topical cream: wipe off old cream 1st (4-8hr duration)
-Transdermal: leave off for 12hrs to give break
nitroglycerin side effects/adverse effects - ✔️✔️CNS effects, syncope, tolerance, GI distress,
circulatory collapse
nitroglycerin drug interactions - ✔️✔️-alcohol, beta blockers, Ca channel blockers,
antihypertensives, Aspirin, benzos, vasodilators: inc effect
-heparin: dec effect
nitroglycerin CAM interactions - ✔️✔️-Hawthorn: inc. levels
nitroglycerin interventions - ✔️✔️-for SL spray, call 911 if 1st dose doesn't work
-proper storage of tabs
-administer SL tab if chest pain occurs
Atenolol class - ✔️✔️beta 1 adrenergic blocker
atenolol use - ✔️✔️tx of hypertension, prophylaxis, and acute MI
atenolol action - ✔️✔️blocks beta 1 adrenergic receptor sites (NE and Epinephrine), depress SNS,
suppress RAAS, dec workload and O2 demands of heart
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