Pharmacology
Pathophysiology
Diagnostic Tests
Nursing Management
Anything Goes
100
Name 2 adrenergic blocking agents
Ergotamine Tartate, phenotolamine, prazosin (alpha), acebutolol, atenolol, carvedilol, esmolol, labetalol, metoprolol, propranolol, sotalol
100
Does primary hypertension have an unknown cause or a known cause?
Unknown cause but many risk factors
100
A urine test is a diagnostic test. True or False
True! Any test that can help to diagnosis
100
Are nursing managers the only people allowed to perform nursing care?
Noooo!
100
Beta-Blockers suppress which hormone?
Renin
200
Name two indications (uses) for beta-blockers.
Angina, MI More commonly used: Hypertension, Cardiac dysrhythmias , Essential tremor Most effective:Exertional angina (chest pain caused by exercise)
200
What 4 types of receptors are present in the sympathetic nervous system?
Alpha 1, Alpha 2, Beta 1, Beta 2
200
Was Jack's Pro-Brain Natriuretic Peptides levels high or low?
High
200
Name an assessment for the foci of chest pain.
Assess chest pain: Pain Scale, Vital Signs
200
Name two courses we take in semester four?
Pathophysiology 2240, Praxis 2200, Healing Lab 2210, Healing seminar 2210
300
What is a common outcome of drug interactions with Beta-Blockers?
Hypotension
300
What cell undergoes necrosis in a MI?
Myocardial cell
300
What is creatinin kinase?
Enzyme found in muscle and brain tissue and reflects tissue breakdown as a result of cell trauma.
300
Why must caution be exercised when using beta-blockers when patients have bronchial asthma?
Any blockade of B2 receptors may promote bronchoconstriction
300
Name two drugs Jack is on for his heart issues and their classes.
ASA- NSAID, Ramipril- ACE inhibitor, Metoprolol- Beta-blocker, Nitrospray- Vasodilator
400
Name a side effect of the CNS regarding Circadian Rhythm
Unusual Dreams
400
Name an effect when the SNS is stimulated.
-↑ Heart Rate -Vasoconstriction --> ↑ Blood Pressure -Bronchodilation -↑ Blood Glucose
400
What are two types of troponins and state how they differ
Troponin T and Troponin I. Troponin I is cardiac specific while Troponin T levels can be influence by skeletal muscle damage and renal disease
400
Name 2 nursing actions for a client with fluid volume excess.
Resp assessment (RR, crackles, use of accessory muscles, etc), HOB high fowlers, DB and C, vital signs, admin diuretics, admin O2.
400
Name the 3 comorbitities Jack experienced
Angina, Hypertension, CHF
500
Name the toxicity management for overdosing of alpha-blockers.
Activated Charcoal to be administered?-> binds to the drug and remove it from stomach and circulation?-> first dose given with a cathartic to hasten elimination , such a sorbitol ?(to purge the bowels, laxative) Symptompatic and Supportive Treatment BP support with fluids, volume expanders, and vasopressor agents Anticonvulsants to control seizures
500
Define pathophysiology?
The study of the changes of normal mechanical, physiological, and biochemical functions, either caused by a disease, or resulting from an abnormal syndrome The study of the biological and physical manifestations of disease as they correlate with the underlying abnormalities and physiological disturbance
500
Name the common diagnostic test that gives a record of the electrical activity of the heart.
ECG or electrocardiogram
500
Name 4 Immediate nursing interventions for a patient who is experiencing chest pain.
Bed rest, semi fowlers, Oxygen therapy, Nitroglycerin tab/spray x 3 doses Q 5min, morphine,monitor VS/chest pain/rhythm before and after admin of medication.
500
How often did the internist order for the Troponin, CK, and BNP to be done?
12 hrs, 24 hrs, 48 hrs