Med Surg 4 Midterm - Part 2

Mixed Topics

100

This beta blocker works by decreasing SA and AV conduction and decreases HR

Timolol

200

What are some uses for BB timolol

Mild to moderate HTN, after MI

300

Positive symptoms of being orthostatic = 

1.  Dizziness

2.  Lightheadedness

3.  Syncope

400

Interventions for orthostatic patient

1.  Change positions slowly

2.  Dangle legs at the side of the bed

3.  Sit down immediately if dizzy or lightheaded

500

How would you take care of a pt who is taking  BB timolol

1.  Monitor HR

2.  Monitor BP

3.  Monitor breathing effort

Calcium Channel Blockers

100

Give an example of a CCB

Cardizem (diltiazem)

200

Explain the action of CCBs

Dilate coronary and peripheral arteries; slow HR

300

Name some uses for CCBs

1.  Angina due to coronary artery spasms

2.  HTN

3.  A-fib

4.  A-flutter

5.  SVT

400

These are some S/E of CCBs

1.  HOTN

2.  Bradycardia

3.  Headache

4.  Fatigue

5.  Drowsiness

6.  Edema

7.  Renal failure

500

Nursing considerations for CCBs

1.  Monitor BP

2.  Monitor HR

3.  Renal labs

Heparin

100

What drug class does heparin belong to and describe the mechanism of action

Anticoagulant; prevents conversion of fibrinogen to fibrin

200

What are some uses for heparin?

1.  Prophylactic for DVT, PE, MI

2.  A-fib

300

What are some S/E for heparin?

1.  Bleeding (gums, stool, urine, skin)

2.  HIT (heparin-induced thrombocytopenia)

400

This is the lab value you would monitor for a patient on heparin

Monitor aPTT (25 - 35)

500

What is the overdose treatment for heparin?

Protamine sulfate

ACE Inhibitors

100

What letters do ACE I's normally end with?

"pril" - lisinopril

200

Name some uses for ACE I's

1.  Mild to moderate HTN

2.  As an adjunct for HF and acute MI

300

Name some S/E of ACE I's

1.  Headache

2.  Fatigue

3.  Dizziness

4.  HOTN

5.  Hyperkalemia

6.  Angioedema

7.  Hepatic failure

8.  Renal insufficiency

400

How would you take care of a patient who is taking ACE I's

1.  Watch for angioedema

2.  Monitor renal/hepatic labs (BUN, creatinine, ALT, AST)

500

What are ACE I's and how do they work

1.  Anti-hypertensives

2.  Prevent conversion of angiotensin I to angiotensin II

Beta Blockers

100

What letters do beta blockers normally end with?

"olol" - metoprolol

200

Describe the mechanism of action of BBs

Lower BP by beta blocking effects of epi (adrenaline)

300

What are some uses for BBs

1.  Mild to moderate HTN

2.  Acute MI

3.  HF

4.  Cardiomyopathy

400

What are some S/E of BBs

1.  HOTN

2.  Bradycardia

3.  Dizziness

4.  Palpitations

5.  Bronchospasm

6.  Dyspnea

500

How would you monitor a patient on BBs

1.  Monitor HR

2.  Monitor BP

3.  Monitor breathing effort