NSG-430: Final Exam Review
what do you monitor while on lovenox - Answers -INR, aPTT, and thrombocytes (150-
450)
what do we use lovenox for - Answers -prophylaxis of acute MI, thrombosis, UA, PE,
and DVT
how to administer lovenox - Answers -SQ every 12 hours
antidote for lovenox - Answers -protamine sulfate
side effect of lovenox - Answers -elevated liver enzymes
how to treat sepsis - Answers -culture from two sites prior to starting antibiotics and
fluids
NI for sepsis - Answers --antibiotics--> start broad spectrum and then get cultures from
two sites
-fill tank (fluids); isotonic, LR, NS
- if still hypotensive: norepinephrine, vasopressors, phenylephrine, and big daddy epi)
what are pts. at risk for when they get their thyroid removed - Answers -thyroid storm
(HYPERTHYROIDISM TO THE EXTREME; KID ON CANDY HIGH!!!)
NI for hyperthyroidism - Answers --antithyroid drugs
-iodine
-beta adrenergic clockers (propranolol SE is bronchoconstriction; atenolol if pt. is
pregnant)
-tapazole (methimazole)
tapazole - Answers -- inhibits synthesis of thyroid hormones
-primary drug
-improvement in 1-2 weeks
-results seen within 4-8 weeks
-therapy for 6-15 months
why do we give iodine and tapazole to pts. with hyperthyroidism - Answers -to decrease
bruits
Addison's disease s/s - Answers --salt craving
-hyperpigmentation
, NI for Addison's disease - Answers -give cortisol meds
what do we worry about with a pt. who is on cortisol meds - Answers -if they stop their
meds they will go into an Addisonian crisis (HYPER EVERYTHING)
NI for shock - Answers --fluids (0.9%NS and 5% dextrose/ D5W)
-high dose hydrocortisone replacement
respiratory nursing diagnosis - Answers -impaired gas exchange
labs for siadh - Answers --low UO and increased body weight (they are soaked inside)
-at first, increased thirst, dyspnea, and fatigue
-hyponatremic (less than 135)
-low serum osmolality (less than 280)
- high urine specific gravity (more than 1.030) (low UO= more concentrated)
HgA1C is ideal if it is less than what number - Answers -7, want to see around 6 for
diabetic
baloon tamponade care - Answers --do not fully deflate balloon all at one
-check O2 sats
what could happen if we deflate the baloon tamponade too fast - Answers -balloon can
migrate and be rights at opening (O2 would drop)
TIPS procedure - Answers --used to treat ascites that does not respond to diuretics
- shunts blood from portal vein and hepatic vein to decrease portal HTN
labs for pancreatitis - Answers --high glucose
-amylase
-lipase
s/s of pancreatitis - Answers -loss of inflammation, LUQ pain (epigastric pain), fever
s/s of liver cancer - Answers -Early: hepatomegaly, splenomegaly, fatigue, peripheral
edema, asites, and other complications from portal HTN)
Late: fever/chills, jaundice, anorexia, WL, palpable mass, and RUQ pain
s/s of pancreatic cancer - Answers -dull aching abdominal pain, anorexia, rapid WL,
nausea, jaundice, pain can radiate to back
labs for cirrhosis - Answers -high ALT, AST, aPTT, blirubin, low albumin
questran is used for - Answers -liver
what do you monitor while on lovenox - Answers -INR, aPTT, and thrombocytes (150-
450)
what do we use lovenox for - Answers -prophylaxis of acute MI, thrombosis, UA, PE,
and DVT
how to administer lovenox - Answers -SQ every 12 hours
antidote for lovenox - Answers -protamine sulfate
side effect of lovenox - Answers -elevated liver enzymes
how to treat sepsis - Answers -culture from two sites prior to starting antibiotics and
fluids
NI for sepsis - Answers --antibiotics--> start broad spectrum and then get cultures from
two sites
-fill tank (fluids); isotonic, LR, NS
- if still hypotensive: norepinephrine, vasopressors, phenylephrine, and big daddy epi)
what are pts. at risk for when they get their thyroid removed - Answers -thyroid storm
(HYPERTHYROIDISM TO THE EXTREME; KID ON CANDY HIGH!!!)
NI for hyperthyroidism - Answers --antithyroid drugs
-iodine
-beta adrenergic clockers (propranolol SE is bronchoconstriction; atenolol if pt. is
pregnant)
-tapazole (methimazole)
tapazole - Answers -- inhibits synthesis of thyroid hormones
-primary drug
-improvement in 1-2 weeks
-results seen within 4-8 weeks
-therapy for 6-15 months
why do we give iodine and tapazole to pts. with hyperthyroidism - Answers -to decrease
bruits
Addison's disease s/s - Answers --salt craving
-hyperpigmentation
, NI for Addison's disease - Answers -give cortisol meds
what do we worry about with a pt. who is on cortisol meds - Answers -if they stop their
meds they will go into an Addisonian crisis (HYPER EVERYTHING)
NI for shock - Answers --fluids (0.9%NS and 5% dextrose/ D5W)
-high dose hydrocortisone replacement
respiratory nursing diagnosis - Answers -impaired gas exchange
labs for siadh - Answers --low UO and increased body weight (they are soaked inside)
-at first, increased thirst, dyspnea, and fatigue
-hyponatremic (less than 135)
-low serum osmolality (less than 280)
- high urine specific gravity (more than 1.030) (low UO= more concentrated)
HgA1C is ideal if it is less than what number - Answers -7, want to see around 6 for
diabetic
baloon tamponade care - Answers --do not fully deflate balloon all at one
-check O2 sats
what could happen if we deflate the baloon tamponade too fast - Answers -balloon can
migrate and be rights at opening (O2 would drop)
TIPS procedure - Answers --used to treat ascites that does not respond to diuretics
- shunts blood from portal vein and hepatic vein to decrease portal HTN
labs for pancreatitis - Answers --high glucose
-amylase
-lipase
s/s of pancreatitis - Answers -loss of inflammation, LUQ pain (epigastric pain), fever
s/s of liver cancer - Answers -Early: hepatomegaly, splenomegaly, fatigue, peripheral
edema, asites, and other complications from portal HTN)
Late: fever/chills, jaundice, anorexia, WL, palpable mass, and RUQ pain
s/s of pancreatic cancer - Answers -dull aching abdominal pain, anorexia, rapid WL,
nausea, jaundice, pain can radiate to back
labs for cirrhosis - Answers -high ALT, AST, aPTT, blirubin, low albumin
questran is used for - Answers -liver
