MED SURG 2 MIDTERM REVIEW
EXAM QUESTIONS & VALID CORRECT
ANSWERS
coronary artery disease (CAD) - Correct Answer ✔✔ a condition affecting arteries of the
heart that reduces the flow of blood and the delivery of oxygen and nutrients to the
myocardium; most often caused by atherosclerosis
CAD meds - Correct Answer ✔✔ Antihyperlipidemic Meds
- statins
--lifelong medication
--take at night to avoid muscle pain
Blood Pressure meds
- ace inhibitors (-pril)
- beta blockers (-olol)
- calcium channel blockers (-pine)
Vasodilators
- Nitroglycerin
Blood thinners
-ASA
- Coumadin
Chronic Stable Angina Meds - Correct Answer ✔✔ Nitrates
- Nitroglycerin
-- Take one under tounge every 5 min x3 doses to reduce chest pain, if not relieved call
911
-- Watch for HA as reaction
Ace Inhibitors
- (prils)
-- Angio(edema) = got to go
-- Lifelong med
-- 1st therapy
Beta Blockers
- (-olol)
--Watch breathing
-- Watch for hypotension
, Calcim Channel Blockers
- (-pine)
-- Watch for constipation
-- Watch for edema
Antiplatelets
- ASA, plavix
-- Watch for increased bleeding or bruising
Management of Heart Failure - Correct Answer ✔✔ Gold standard of Care
Beta Blockers
Diuretics
Ace Inhibitors (or ARBs if cough develops)
NTG for anginal symptoms
Nursing Management of Heart Failure - Correct Answer ✔✔ The overall goals for the
patient with HF include a decrease in symptoms, an increase in exercise tolerance,
compliance with the medical regimen, and no complications related to HF.
Heart Failure Medications - Correct Answer ✔✔ - ACE inhibitors
- diuretics
- Digoxin
- beta blockers
- ARB's
- vasodilators
- blood thinners
Management of Dysrhythmias - Correct Answer ✔✔ -Improve underlying problem:
ischemia, HF, repair valve
-Drugs: Rate control, anticoagulate
-Pacemaker: electrical stimulation for heart beat: permanent, temporary
-Ablation: Burn out diseased foci
-Implanted defibrillator
Nursing Management of Dysrhythmias - Correct Answer ✔✔ Assess VS and monitor
closely during medication administration
Monitor for S/S of cardiac output
Educate patient on medication compliance and S/S of exacerbation
Thrombocytopenia Management - Correct Answer ✔✔ Medical mgmt.
-treat underlying condition
EXAM QUESTIONS & VALID CORRECT
ANSWERS
coronary artery disease (CAD) - Correct Answer ✔✔ a condition affecting arteries of the
heart that reduces the flow of blood and the delivery of oxygen and nutrients to the
myocardium; most often caused by atherosclerosis
CAD meds - Correct Answer ✔✔ Antihyperlipidemic Meds
- statins
--lifelong medication
--take at night to avoid muscle pain
Blood Pressure meds
- ace inhibitors (-pril)
- beta blockers (-olol)
- calcium channel blockers (-pine)
Vasodilators
- Nitroglycerin
Blood thinners
-ASA
- Coumadin
Chronic Stable Angina Meds - Correct Answer ✔✔ Nitrates
- Nitroglycerin
-- Take one under tounge every 5 min x3 doses to reduce chest pain, if not relieved call
911
-- Watch for HA as reaction
Ace Inhibitors
- (prils)
-- Angio(edema) = got to go
-- Lifelong med
-- 1st therapy
Beta Blockers
- (-olol)
--Watch breathing
-- Watch for hypotension
, Calcim Channel Blockers
- (-pine)
-- Watch for constipation
-- Watch for edema
Antiplatelets
- ASA, plavix
-- Watch for increased bleeding or bruising
Management of Heart Failure - Correct Answer ✔✔ Gold standard of Care
Beta Blockers
Diuretics
Ace Inhibitors (or ARBs if cough develops)
NTG for anginal symptoms
Nursing Management of Heart Failure - Correct Answer ✔✔ The overall goals for the
patient with HF include a decrease in symptoms, an increase in exercise tolerance,
compliance with the medical regimen, and no complications related to HF.
Heart Failure Medications - Correct Answer ✔✔ - ACE inhibitors
- diuretics
- Digoxin
- beta blockers
- ARB's
- vasodilators
- blood thinners
Management of Dysrhythmias - Correct Answer ✔✔ -Improve underlying problem:
ischemia, HF, repair valve
-Drugs: Rate control, anticoagulate
-Pacemaker: electrical stimulation for heart beat: permanent, temporary
-Ablation: Burn out diseased foci
-Implanted defibrillator
Nursing Management of Dysrhythmias - Correct Answer ✔✔ Assess VS and monitor
closely during medication administration
Monitor for S/S of cardiac output
Educate patient on medication compliance and S/S of exacerbation
Thrombocytopenia Management - Correct Answer ✔✔ Medical mgmt.
-treat underlying condition
