Congestive Heart Failure
What is the most common diuretic given to CHF patients?
Lasix/Furosemide
A patient is exhibiting s/sx of a stroke. What would you expect to see?
Facial droop
Arm drift
Speech impairment
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Time-onset of stroke
How can nurses prevent DVTs in a hospital/subacute/nursing home setting?
Getting patients OOB to chair/ambulate.
Compression stockings
What must be assessed prior to giving beta blockers to patients?
BP and HR
What organ is responsible for diabetes mellitus disease?
Pancreas
How much weight would a patient have to gain in one day that would raise concern and would need to be report to the MD.
3 pounds
What diagnostic test would determine the treatment path for a stroke?
CT of head
What medication would you expect to see on the MAR?
Heparin/anticoagulant/coumadin/blood thinner
What are the nursing considerations when giving Lasix?
Monitor BP and HR before administration
Monitor daily weight
Intake and output
Electrolytes
What are the 3 P's associated with Diabetes Mellitus?
Polydipsia, polyphagia, Polyuria
What laboratory data would indicate a patient is in severe congestive heart failure?
BNP (Brain natriuretic peptide) is a specific diagnostic test.
If the patient has an embolic stroke, what medication dissolves the clot?
tPA (Tissue plasminogen activator)
What is the most serious complication of deep vein thrombosis DVT?
PE (pulmonary embolism)
What must be assessed prior to giving Digoxin?
Apical pulse for a full minute
Which type of insulin acts most quickly?
Rapid Acting Insulin (Aspart, Lyspro, Glulisine)
When giving a diuretic what are some nursing interventions?
Monitor for hypotension/BP
Monitor intake and output
Monitor electrolytes
A patient is having an embolic stroke why are the brain cell dying?
Due to lack of oxygen
A patient is Dx DVT. What lab value indicates a blood clot?
D-dimer
Your patient is scheduled for a coronary angiogram tomorrow. Metformin is to be administered at 0900. Why should this medication be held?
It is contraindicated with any dye procedures.
What are the 2 emergency situations in diabetes?
Hypoglycemia and Hyperglycemia
What s/sx would you expect to find in a patient with CHF?
Short of breath
Tachycardia
Edema
Lung congestion/adventitious lung sounds
JVD
Why is thrombolytic therapy time-sensitive?
It decreases ischemic damage by improving blood flow
A patient is Dx DVT and is being admitted to the MS/TELE unit. What s/sx would you expect to see?
Leg swelling Edema
Leg pain, cramping often in the calf
Change in color (red/purple/cyanosis)
Warmth on the affected leg
Tenderness on the affected leg
At 0800 the nurse administered 8 units of Regular Insulin. At what time will the nurse watch for hypoglycemia?
1000
A pt. is Dx type 2 diabetes and has been ill with PNA. The pt's appetite is poor, blood sugar is high, and low UO. What is the most likely problem with this pt.?
HHNS Hyperglycemic hyperosmolar nonketotic syndrome