Norepinephrine levophed - Study guides, Class notes & Summaries

ATI FINAL EXAM VERSION B 1. A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is pending an escharotomy. The client’s spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate? a. “large incisions will be made in the eschar to improve circulation” b. “ I can call the doctor back here if you want me to” c. “a piece of skin will be removed and grafted ov...

Norepinephrine (Levophed) CORRECT ANSWER Naturally occurring alpha/beta-1 stimulating catecholamine - Primary agent used in distributive shock because it's ability to recruit venous volume and augment preload, while increasing arterial tone, and increasing cardiac output. - Alpha-stimulation causes peripheral, renal, splanchnic and pulmonary vasoconstriction. -Beta-1 stimulation increases myocardial contractility, with less tachycardia produced than with adrenaline. - The beta-1 adrenergic ...

Blood or blood products - ANS What drugs are administered to restore fluid volume when more than 30% of fluid volume is lost? replace plasma volume and supply red blood cells - ANS MOA of blood/blood products whole blood, plasma protein fraction, fresh-frozen plasma, packed red blood cells - ANS What are the components of blood/blood products? maintain plasma osmotic pressure; transport substances through blood - ANS MOA of colloid agents Plasm...

1. Following A. Electrolyte inephrine (Levophed) administration, it is essential to the nurse to assess: A. Electrolyte status. B. Color and temperature of toes and fingers. C. Capillary refill. D. Ventricular arrhythmias. Correct Answer: B. Color and temperature of toes and fingers. Because decreased perfusion is a side effect of norepinephrine (Levophed), the nurse must check circulation frequently. Vasoconstriction secondary to alpha1 stimulation can result in reflex bradycardia via ...

Hyperthyroidism/Grave's Disease/Thyrotoxicosis/"Thyroid Storm" (pg.111) Correct Answer Patient presents with weight loss, palpitations, nervousness, heat intolerance Exophthalmos (AKA proptosis) 'bulging of the eye' AVOID Aspirin (ASA) - Prevents binding of thyroglobulin, making the situation worse Treatment: IV Fluids 1st, Beta Blockers (Propanolol), Steroids (Dexamethasone), and Tylenol for fever. Septic Shock (pg.113) Correct Answer Someone who is in shock second degree to se...

A nurse has administered corticosteroids to a patient with multiple organ dysfunction syndrome (MODS). In what order should the results of this medication occur in this situation. a. Renal excretion of potassium b. Increased intravascular volume c. Improved capillary permeability d. Enhanced renal artery perfusion C, B, D, A (Corticosteroids are administered to patients who have MODS to suppress the inflammatory response. If the patient responds positively to the corticosteroids, capil...

CNS (central nervous system) correct answers Includes the brain and spinal cord which contain billions of neurons Peripheral nervous system correct answers consists of the somatic (voluntary) and autonomic (involuntary) nervous systems Autonomic nervous system correct answers involuntary; controls our internal organs; broken down further and consists of two parts: the sympathetic nervous system, which controls the body's "fight or flight" response, and the parasympathetic nervous system...

Hyperthyroidism/Grave's Disease/Thyrotoxicosis/"Thyroid Storm" (pg.111) - Answer Patient presents with weight loss, palpitations, nervousness, heat intolerance Exophthalmos (AKA proptosis) 'bulging of the eye' AVOID Aspirin (ASA) - Prevents binding of thyroglobulin, making the situation worse Treatment: IV Fluids 1st, Beta Blockers (Propanolol), Steroids (Dexamethasone), and Tylenol for fever. Septic Shock (pg.113) - Answer Someone who is in shock second degree to sepsis (in...

PCCN Exam Test Questions With Correct Answers epoetin alfa - ANSWER- anemia related to chronic kidney disease should be treated with ______________________. folic acid, Vitamin B12 - ANSWER- Name two treatments for megaloblastic anemia. infection - ANSWER- Glucose control (via insulin drip) in the post-CABG patient decreases the risk of ___________________. acidosis - ANSWER- In acute oliguric kidney injury, hyperkalemia leads to ____________________. right - ANSWER- Obstructive-s...

1. A patient is admitted to the emergency department in shock. Isoproterenol (Isuprel) is administered. What would the nurse expect the effect of the isoproterenol to be? a. Increased blood pressure b. Decreased blood pressure c. Increased body temperature d. Decreased heart rate Ans: A Feedback: Isoproterenol stimulates beta-adrenergic receptors. Blood pressure is increased and heart rate is increased. Body temperature should not be affected. 2. What action do sympathomimetic drugs ...