Final review Medsurg II
Morphine uses? - Pain & MI
First med option for sinus bradycardia? - Atropine
Patient education on cardiac rehabilitation? - It will help you, but it won't undo the damage.
Modifiable risk factors for atherosclerosis? - Smoking, exercise, Obesity, hyperlipidemia, hypertension.
Which medication is expected for complications of A. fib? - Heparin
Action taken for a complete heart block? - The external pacemaker
Hydrochlorothiazide, what to watch for? - Potassium levels
Common complication of MI? - arrhythmias
Indication on Adenosine administration? - Push fast, Flush fast IV.
Test used to determine an MI? - ECG, troponin
Test used to determine Heart failure (CHF)? - BNP
How to evaluate the improvement of orthopnea? - Elevate the HOB at least 30 degrees.
,Before using thrombolytic therapy, what would you ask the patient? - When did the chest pain start?
Purpose of heparin in MI? - To prevent the formation of new clots.
Diltiazem (Cardizem) works by...? - Decreases the spasms of the heart.
Manifestations of "Transposition of the great vessels"? - Tachypnea, Tachycardia, Cyanotic.
Characteristics of "Tetralogy of Fallot"? - Cyanotic, irritable, unresponsive.
Which disease state increases the risk of delivering a baby with a congenital heart defect? - diabetes
Teaching/recommendation for patients with pulmonary disease? - Energy conservation mode for lung
problems.
Manifestations of pneumothorax? - sudden chest pain, chest tightness, dyspnea, tachypnea, decreased
breath sounds over the affected area, asymmetrical chest movement, trachea and mediastinum
deviation, anxiety, tachycardia, pallor, and hypotension
Teaching for patients with broken ribs? - Deep breath and cough, IS, analgesics
Nursing action for a PE patient? - Place a IV asap
Manifestations of cor pulmonale? - -hypoxia (deficient perfusion) and hypoxemia (deficient oxygen in
blood)
-extreme dyspnea
, -cyanotic lips
-JVD
-dependent edema
-hepatomegaly (enlarged liver)
-pulmonary hypertension
How to confirm aspiration diagnosis - Swallow test (Speech therapy)
Plan of care to prevent atelectasis? - - Turn
- Cough
- Deep breath
- Early ambulation
- Incentive spirometer hourly
- Managed secretions
Describe Pleurisy? - -inflammation of the pleura
-often accompanies a bad case of pneumonia
What med class is Albuterol? - Bronchodilator
Treatment for RSV with stridor? - Ribavirin
Which patients are at risk for pressure ulcers? - • Older adults
• Burn patients
• Quadriplegic
Morphine uses? - Pain & MI
First med option for sinus bradycardia? - Atropine
Patient education on cardiac rehabilitation? - It will help you, but it won't undo the damage.
Modifiable risk factors for atherosclerosis? - Smoking, exercise, Obesity, hyperlipidemia, hypertension.
Which medication is expected for complications of A. fib? - Heparin
Action taken for a complete heart block? - The external pacemaker
Hydrochlorothiazide, what to watch for? - Potassium levels
Common complication of MI? - arrhythmias
Indication on Adenosine administration? - Push fast, Flush fast IV.
Test used to determine an MI? - ECG, troponin
Test used to determine Heart failure (CHF)? - BNP
How to evaluate the improvement of orthopnea? - Elevate the HOB at least 30 degrees.
,Before using thrombolytic therapy, what would you ask the patient? - When did the chest pain start?
Purpose of heparin in MI? - To prevent the formation of new clots.
Diltiazem (Cardizem) works by...? - Decreases the spasms of the heart.
Manifestations of "Transposition of the great vessels"? - Tachypnea, Tachycardia, Cyanotic.
Characteristics of "Tetralogy of Fallot"? - Cyanotic, irritable, unresponsive.
Which disease state increases the risk of delivering a baby with a congenital heart defect? - diabetes
Teaching/recommendation for patients with pulmonary disease? - Energy conservation mode for lung
problems.
Manifestations of pneumothorax? - sudden chest pain, chest tightness, dyspnea, tachypnea, decreased
breath sounds over the affected area, asymmetrical chest movement, trachea and mediastinum
deviation, anxiety, tachycardia, pallor, and hypotension
Teaching for patients with broken ribs? - Deep breath and cough, IS, analgesics
Nursing action for a PE patient? - Place a IV asap
Manifestations of cor pulmonale? - -hypoxia (deficient perfusion) and hypoxemia (deficient oxygen in
blood)
-extreme dyspnea
, -cyanotic lips
-JVD
-dependent edema
-hepatomegaly (enlarged liver)
-pulmonary hypertension
How to confirm aspiration diagnosis - Swallow test (Speech therapy)
Plan of care to prevent atelectasis? - - Turn
- Cough
- Deep breath
- Early ambulation
- Incentive spirometer hourly
- Managed secretions
Describe Pleurisy? - -inflammation of the pleura
-often accompanies a bad case of pneumonia
What med class is Albuterol? - Bronchodilator
Treatment for RSV with stridor? - Ribavirin
Which patients are at risk for pressure ulcers? - • Older adults
• Burn patients
• Quadriplegic
