NUR 250 Exam 2 Questions And Answers With
Complete Solutions
baseline labs for heparin maintenance ANS CBC
PTT
PT/INR
platelets
how often to check heparinized PTT? ANS every 6 hours
after 2 therapeutic PTT's what is the next implication? ANS continue rate of infusion and order a daily
heparinized PTT
when to hold cardizem ANS a heart rate below 60
Diltiazem (Cardizem) ANS calcium channel-blocker; used for hypertension and cardiac arrhythmias.
Inhibits the influx of calcium across the myocardium to decrease excitability and contractility
Heparin ANS Anticoagulant
Works to activate antithrombin III to inhibit thrombin and factor Xa
nursing considerations for heparin ANS assess for signs of bleeding
monitor labs
nursing considerations for cardizem ANS assess blood pressure and heart rate every hour for 4 hours and
then every 4 hours
Nitroglycerin (Nitrostat) ANS antanginal/ vasodilator
Lowers blood pressure at an even pace and dilates blood vessels preventing a myocardial infarction
nursing considerations for nitroglycerin ANS headache is a common symptom (do not discontinue)
, Sublingual tabs are sensitive to light
-needs vented tubing
Primacor (Milrinone) ANS Inotropic/Vasodilator
increases the force of contraction
short term therapy for CHF
*cardiac monitoring is required*
dosing of primacor ANS Minimum: 0.375mcg/kg/min
Standard: 0.5mcg/kg/min
Maximum: 0.75mcg/kg/min
Loading dose of 50mcg/kg over 10 mins
Amidodarone ANS prolongs phase 3 of the action potential to lower heart rate
drips requiring cardiac monitoring ANS Natrecor
Primacor
Amiodorone
Cardizem
Drips requiring critical care ANS propofol
peripherally inserted central catheter (PICC) ANS goes through the basilica, cephalic, or median cubital
veins of the arm
central venous catheter (CVC) ANS inserted through the subclavian vein or the internal and external
jugular veins which terminate in the superior vena cava, or is inserted through the femoral vein where the
catheter is threaded into the inferior vena Cava
Complete Solutions
baseline labs for heparin maintenance ANS CBC
PTT
PT/INR
platelets
how often to check heparinized PTT? ANS every 6 hours
after 2 therapeutic PTT's what is the next implication? ANS continue rate of infusion and order a daily
heparinized PTT
when to hold cardizem ANS a heart rate below 60
Diltiazem (Cardizem) ANS calcium channel-blocker; used for hypertension and cardiac arrhythmias.
Inhibits the influx of calcium across the myocardium to decrease excitability and contractility
Heparin ANS Anticoagulant
Works to activate antithrombin III to inhibit thrombin and factor Xa
nursing considerations for heparin ANS assess for signs of bleeding
monitor labs
nursing considerations for cardizem ANS assess blood pressure and heart rate every hour for 4 hours and
then every 4 hours
Nitroglycerin (Nitrostat) ANS antanginal/ vasodilator
Lowers blood pressure at an even pace and dilates blood vessels preventing a myocardial infarction
nursing considerations for nitroglycerin ANS headache is a common symptom (do not discontinue)
, Sublingual tabs are sensitive to light
-needs vented tubing
Primacor (Milrinone) ANS Inotropic/Vasodilator
increases the force of contraction
short term therapy for CHF
*cardiac monitoring is required*
dosing of primacor ANS Minimum: 0.375mcg/kg/min
Standard: 0.5mcg/kg/min
Maximum: 0.75mcg/kg/min
Loading dose of 50mcg/kg over 10 mins
Amidodarone ANS prolongs phase 3 of the action potential to lower heart rate
drips requiring cardiac monitoring ANS Natrecor
Primacor
Amiodorone
Cardizem
Drips requiring critical care ANS propofol
peripherally inserted central catheter (PICC) ANS goes through the basilica, cephalic, or median cubital
veins of the arm
central venous catheter (CVC) ANS inserted through the subclavian vein or the internal and external
jugular veins which terminate in the superior vena cava, or is inserted through the femoral vein where the
catheter is threaded into the inferior vena Cava
