NRSG 3420 ADULT HEALTH 2 MED. 4 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS GRADED A++

NRSG 3420 ADULT HEALTH 2 MED. 4 EXAM QUESTIONS

AND ANSWERS WITH COMPLETE SOLUTIONS GRADED

A++


Indications for Epinephrine

Hypersensitivity reaction & Cardiac arrest

Indications for Norepinephrine

Shock & hypotension

Indications for Dopamine

Improved renal function & increase CO and BP

Indications for Atropine

symptomatic bradycardia

Indications for Amiodarone

VT, VF, SVT

actions of epinephrine

Increased vascular smooth muscle contractions

Increased HR & myocardial contractility

actions of norepinephrine

Acts as peripheral vasoconstrictor & dilator of coronary arteries

Actions of Dopamine

, Stimulates dopamine receptors in renal bed, vasodilator, increases UO HR BP and

contractility

Actions of atropine

Increases HR & improves the AV conduction (blocks parasympathetic influences)

Actions of Amiodarone

Decreases conduction at AV node, slows sinus rate, decreases peripheral resistance

Nursing Considerations for Amiodarone

Watch for hypotension, bradycardia, CHF, pulmonary toxicity

Nursing Considerations for Atropine

Monitor for tachycardia & palpitations

Nursing Considerations for Dopamine

Infiltration can cause sloughing and necrosis if not in central line. Med is weight based

Nursing Considerations for Norepinephrine

Must have central line (tissue necrosis). Med is NOT weight based

Nursing Considerations for Epinephrine

monitor HR, cardiac Rhythm, & BP frequency

Examples of cardiac diuretics

Thiazides (chlorthalidone, Hydrochlorothiazide); Loop (furosemide), K+ sparing

(spironolactone)

Indications for diuretics

Edema, CHF, Hypertension, Renal dz, liver dz, Glaucoma, ICP

Actions for diuretics

Decrease Na+ reabsorption => increases urinary Na+ & water loss