Herzing University NSG 223 Med Surg II Exam #1
1. What is the Action of Atropine?: blocks the effects of acetylcholine at mus-
carinic cholinergic receptors
2. What does atropine treat?: Cardiovascular effects such as bradycardia and
syncope
3. When patient is on Atropine what signs/symptoms should you notify the
MD about?: - If fluid intake is greater or less than urine output
- Fever
- Weakness becomes severe
4. What are the side effects of an overdose of Atropine?: - Decreased secretions
- Increased HR
- Decreased GI and Genitourinary tone
5. What does Heparin treat?: - Prevents DVT and PE
- Prevents further thrombus formation and embolization
- A-Fib
6. It is essential to take a what count before heparin therapy begins and every
2-3 days during heparin therapy?: Platelet coun
7. If the platelet count falls below 100,000 or less than half the baseline, what
do we do to the heparin therapy?: discontinue the heparin
8. What is the goal of heparin?: prevent blood coagulation long enough for
clotting factors to be replenished and thus control hemorrhage
9. What is the antidote for Atropine?: Physostigmine at a slow rate of 1 mg/min
1/
11
, 10. What are the effects of rapid administration of Atropine?: - Bradycardia
- Hypersalivation
- Seizures
11. How long does it take for the peak effects of Atropine IV and IM
to take effect?: IV: The peak effect occurs in 2 to 4 minutes
IM: 30 minutes
12. Nurse assesses for what with Atropine?: - HR for patients with
bradycardia if Atropine administered
- Diminished secretions in preoperative patients
13. What are some adverse Effects from Atropine?: - Urinary retention
- Bowel Sounds- paralytic ileus
- Photophobia, mydriasis, blurred vision, and increased intraocular pressure
- Dry mouth
- Increased temperature
14. Elderly and children are prone to what when on Atropine?: hyperpyrexia due
to suppression of perspiration and heat loss
15. What are some patient education for Atropine?: - Avoid excessively high
temperatures
- Drink a lot of water
- Rinse mouth frequently
- Maintain good dental hygiene
- Use hard candy before taking medication
- Void before taking medication
- Visit ophthalmologist regularly
16. What classification is Atropine?: Anticholinergic
17. After IV heparin injection how long does it taking to act?: immediately
18. After Sub Q heparin injection how long does it take to act?: 20-30 minutes
2/
11
1. What is the Action of Atropine?: blocks the effects of acetylcholine at mus-
carinic cholinergic receptors
2. What does atropine treat?: Cardiovascular effects such as bradycardia and
syncope
3. When patient is on Atropine what signs/symptoms should you notify the
MD about?: - If fluid intake is greater or less than urine output
- Fever
- Weakness becomes severe
4. What are the side effects of an overdose of Atropine?: - Decreased secretions
- Increased HR
- Decreased GI and Genitourinary tone
5. What does Heparin treat?: - Prevents DVT and PE
- Prevents further thrombus formation and embolization
- A-Fib
6. It is essential to take a what count before heparin therapy begins and every
2-3 days during heparin therapy?: Platelet coun
7. If the platelet count falls below 100,000 or less than half the baseline, what
do we do to the heparin therapy?: discontinue the heparin
8. What is the goal of heparin?: prevent blood coagulation long enough for
clotting factors to be replenished and thus control hemorrhage
9. What is the antidote for Atropine?: Physostigmine at a slow rate of 1 mg/min
1/
11
, 10. What are the effects of rapid administration of Atropine?: - Bradycardia
- Hypersalivation
- Seizures
11. How long does it take for the peak effects of Atropine IV and IM
to take effect?: IV: The peak effect occurs in 2 to 4 minutes
IM: 30 minutes
12. Nurse assesses for what with Atropine?: - HR for patients with
bradycardia if Atropine administered
- Diminished secretions in preoperative patients
13. What are some adverse Effects from Atropine?: - Urinary retention
- Bowel Sounds- paralytic ileus
- Photophobia, mydriasis, blurred vision, and increased intraocular pressure
- Dry mouth
- Increased temperature
14. Elderly and children are prone to what when on Atropine?: hyperpyrexia due
to suppression of perspiration and heat loss
15. What are some patient education for Atropine?: - Avoid excessively high
temperatures
- Drink a lot of water
- Rinse mouth frequently
- Maintain good dental hygiene
- Use hard candy before taking medication
- Void before taking medication
- Visit ophthalmologist regularly
16. What classification is Atropine?: Anticholinergic
17. After IV heparin injection how long does it taking to act?: immediately
18. After Sub Q heparin injection how long does it take to act?: 20-30 minutes
2/
11
