Summary
Summary NUR 185 Final Exam-Study Guide
- Course
- Adult Health NUR 185 Hondros
- Institution
- Hondros College School Of Nursing
Detailed Final Exam-Study Guide for Nur 185.
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185 Final Exam/Study GuideProfessor Lisa Jouriles 185 Final Exam Review
Aspirin
- Antiplatelet & Analgesic
- Used to prevent strokes and MI
- Overuse can cause tinnitus (ringing in the ears)
- Children should not take because of Reye Syndrome
- Can be enteric coated
Heparin
- Antidote = Protamine Sulfate
- Watch for signs of bleeding
- Stop heparin drip if patient has hematemesis
Carbidopa/Levodopa (Sinemet)
- Used to treat Parkinson’s disease (shuffled gait, bradykinesia, tremors, and muscle rigidity)
- Adverse Effects:
Suicidal thoughts
Epogen/Procrit (Epoetin Alpha)
- Increases RBCs
- (4-6 normal)
Neupogen (Filgrastim)
- Increases WBCs
- (5-10 normal)
Furosemide (Lasix)
- Diuretic
- Can decrease K+ level (normal K+ = 3.5-5)
- Take in the morning because of increased urination
Potassium Chloride (K-Dur, K-Lyte)
- P.O.
- Used to replace low K+ levels
Narcan (Naloxone)
- Antidote for opioid overdose
- Used to treated respiratory depression
Insulin Sliding Scale
- Given Sub Q
- Humulin R for coverage
- No Lispro, Levemir, NPH
Warfarin (Coumadin)
, 185 Final Exam/Study Guide
- Anticoagulant
- Monitor INR (Therapeutic level: 2-3)
- If INR is elevated = hold the medication
- Recheck INR in the morning
- Antidote: Vitamin K
- Have patient use a soft toothbrush
- Watch for signs of bleeding (INR > 3):
Melena
Hematemesis (coffee ground emesis)
Hematuria
Epistaxis
Hemoptysis
Diphenhydramine (Benadryl)
- Antihistamine
- Taken for hives and itching (urticaria)
- LPN can administer IM
- Adverse Effects:
Thrombocytopenia (low platelet count < 140,000)
Tachycardia
Thirst
Hematuria
- Teachings:
No alcohol
No driving
No sleeping pills
Clopidogrel (Plavix)
- Antiplatelet
- Keeps stents open
- Prevents recurrence of CVA or MI
- Patient should take daily
- Side Effects:
Upper respiratory infection
Chest pain (should be reported)
Headache
Viagra (Sildenafil)
- Vasodilator
- No nitrates
Methotrexate
- Used for chemotherapy, rheumatoid arthritis, and ectopic pregnancy
, 185 Final Exam/Study Guide
Beta Blockers
- Metoprolol (Lopressor)
No COPD patients
Assess BP/HR
- Propranolol
Do not stop suddenly
Garamycin/Vancomycin
- 3 toxicities:
Nephrotoxicity (increases Creatinine & BUN)
Ototoxicity (ringing in the ears)
Neurotoxicity (dizziness & spinning)
Speed Shock
- Caused by too rapid I.V. infusion
- Example: Vancomycin & Garamycin
- Flushed face
- Red rash on neck
Epinephrine
- IM
- Used to treat anaphylaxis and angioedema
- Give STAT
Lovenox (Enoxaparin)
- LMWH
- Given Sub Q in the abdomen
Hydromorphone (Dilaudid)
- Opioid
- Used in a PCA pump
Prinivil (Lisinopril)
- ACE inhibitor
- Decreases BP
- Can cause coughing
- Given to MI patients
- Hold medication if patient has a low BP
Lab Values
- Calcium: 8.5 – 10
- Potassium: 3.5 – 5
- Sodium: 135 – 145
- Magnesium: 1.5 – 2.5
- INR: 0.8 – 1.2
- INR Therapeutic Level: 2 – 3
- Hematocrit:
Male: 42 – 52%
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