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Nur 213 Final Exam With CompleteSolutions And Correct Answers Latest
Version
Warfarin (Coumadin): Serious side effects and their symptoms
hemorrhage, transient thrombocytopenia- symptoms are easy bruising, hematuria, bleeding gums,
prolonged bleeding times and increased PT/INR
What is Warfarin's antidote?
Vitamin K
What are some special considerations for patients on warfarin?
-important when it comes to trauma because it can increase serious hemorrhage risks and intracranial
hemorrhage so VERY important with TBI
-avoid foods high in vitamin K as they can interfere with its effectiveness
-Patient may be on Lovenox or heparin injections until the Coumadin therapy is effective as it takes 3-5
days to be therapeutic
Used as the main treatment for Torsade's de Pointes?
Magnesium Sulfate: as it is caused by low magnesium levels
Used as the main treatment for SYMPTOMATIC bradycardia?
Atropine Sulfate:
When should NSAIDs be avoided?
Avoid in use with clients that have liver failure due to inability to clot effectively and in long-term use for
chronic kidney disease because it damages the kidneys
Preferred treatment for when a patient first convert to AFIB/AFLUTTER?
synchronized defibrillated cardioversion
Used as a second option for cardioversion when patients first convert to AFIB/AFLUTTER-
Risks?
Adenosine: can cause dysrhythmias and stop the heart-
2024
,Metronidazole: Serious side effects:
Seizures
Leukopenia (infection, low white blood cell counts) Peripheral neuropathy (numbness and tingling in the
hands and feet)
Naloxone is used for what?
-Treat respiratory depression and other emergency side effects for narcotics like oxycodone, morphine,
and dilaudid
-Unintentional injury like poisoning with these substances nurses would prepare to administer this to
save their clients life-
What is one of the most serous side effects of Naloxone?
seizures
Methylprednisone: Serious side effects
Peptic ulcer (gnawing stomach pain especially between meals)
Hypocalcemia (muscle cramping)
Osteoporosis (easy bones breaking)
Muscle loss (muscle pain, weakness, and wasting)
Infection, (fever)
Piperacillin-Tazobactam: Serious side effects:
Angioedema (facial swelling especially around eyes and cough)
Circulatory collapse (severe hypotension followed by cardiac arrest)
Cardiac arrest (pulselessness, death)
Nephrotoxicity (oliguria and leg swelling)
What is used to help with chest pain in AMI as it opens the coronary arteries
Nitroglycerin:
What is a consideration for nitroglycerin?
- cannot be given to men that take ED drugs
What is used in AMI when nitroglycerin is either ineffective or unable to be given
Morphine
What can be given to a patient suspected of having an AMI onset to help thin blood for easier flow
through blockage and prevention of enlarging the blockage
2024
, Aspirin
Aspirin is given within --?-- minutes of AMI onset to help thin blood for easier flow through blockage and
prevention of enlarging the blockage
30
Interferon Alpha 2A: Serious side effects:
Seizures
Myelosuppression (muscle pain and weakness) Thrombocytopenia (easy bruising and bleeding)
Leukopenia (low WBCs and infection)
Anemia (low H&H), suicidal ideation
Severe depression
Seizures
Myasthenia gravis
Myocardial infarction
Hepatoxicity (jaundice, nausea, vomiting)
Corticosteroids: Serious side effects:
HYPOcalcemia
Immunosuppression (need vaccinations for prevention and need to teach proper hand hygiene as well
as infection symptoms)
Peptic ulcer
Hypocalcemia
Osteoporosis
Muscle loss
Immunosuppression
Lidocaine: Serious side effects:
Be very cautious in combination of?
Respiratory arrest (respirations less than 10 bpm)
Circulatory failure (pulselessness and death)- use very cautiously with other medications that also cause
respiratory depression- respiration rates less than 10 bpm
Oxycodone: Serious side effects:
Be very cautious in combination of?
Hepatoxicity (jaundice, nausea, vomiting, anorexia)
Respiratory depression (respirations less than 10 bpm)
Circulatory collapse (pulselessness and death)
Coma
2024
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