NUR 265 EXAM 1 QUESTIONS & ANSWERS graded A
What is pericarditis?
- Inflammation/ infection of the periardial sac
What are S/S of pericarditis?
- Chest pain
-Sharp, stabbing
-Behind breast bone
-Left side of chest
-Elevated with tripod position
-SOB-oxygen
-Low grade temp
-Rel...
- Chest pain
-Sharp, stabbing
-Behind breast bone
-Left side of chest
-Elevated with tripod position
-SOB-oxygen
-Low grade temp
-Relieved with positioning
-worse on inspiration
-pericardial friction rub
What are S/S of endocarditis?
,-Fever- night sweats, malaise, chills, fatigue
-Anorexia and weight loss
-Cardiac murmur
-Heart failure development
-Petechiae
-Osler's nodes
-Splinter hemorrhage: black longitudinal lines on nails
What is endocarditis caused by?
- A bacterial infection: normally staph or strep
What long term antibiotic is the patient with endocarditis on?
- Usually Vanco for 6 wks
What are the S/S of abdominal aortic aneurysm (AAA)?
- gnawing pain in abdomen, flank, or back lasting for hours, pulsating in upper
abdomen. Listen for bruit
NEVER PALPATE PULSATING ABDOMEN!!!- RUPTURE
If pain worsens and moves down the leg it is an emergency!!!
What medication is given if the patient is in sinus bradycardia?
,What medications are given if the pt is in atrial fibrillation?
- Amiodarone, diltiazem, metoprolol, digoxin
What is the normal range for H&H?
- Hemoglobin:
M: 14-18 g/dL
F: 12-16 g/dL
Hematocrit:
M: 42%-52%
F: 37%-47%
What is the normal range for BUN?
- 10-20 mg/dL
, What is the normal range for creatnine?
- M: .06-1.2 mg/dL
F: 0.5-1.1 mg/dL
What is the normal PT range?
- 11-12.5 sec
**1.5-2.5 times the normal on Coumadin
What is the normal INR range?
- 0.9-1.2 sec
What is the normal PTT range?
- 60-70 sec
**1.5-2.5 times the normal on Heparin
What is the normal APTT range?
- 30-40 sec
**1.5-2.5 times the normal on Heparin
What is the normal range for specific gravity?
- 1.005-1.030
What is the therapeutic Digoxin range?
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