Herzing University NSG 223 Med Surg
II Exam #1
What is the Action of Atropine? - answer blocks the effects of acetylcholine at
muscarinic cholinergic receptors
What classification is Atropine? - answer Anticholinergic
What does atropine treat? - answer Cardiovascular effects such as brady cardia and
syncope
What are the side effects of an overdose of Atropine? - answer- Decreased secretions
- Increased HR
- Decreased GI and Genitourinary tone
What is the antidote for Atropine? – answer Physostigmine at a slow rate of 1 mg/min
What are the effects of rapid administration of Atropine? - answer- Bradycardia
- Hypersalivation
- Seizures
How long does it take for the peak effects of Atropine IV and IM to take effect? -
answerIV: The peak effect occurs in 2 to 4 minutes
IM: 30 minutes
Nurse assesses for what with Atropine? - answer- HR for patients with bradycardia if
Atropine administered
- Diminished secretions in preoperative patients
What are some adverse Effects from Atropine? - answer- Urinary retention
- Bowel Sounds- paralytic ileus
- Photophobia, mydriasis, blurred vision, and increased intraocular pressure
- Dry mouth
- Increased temperature
Elderly and children are prone to what when on Atropine? - answerhyperpyrexia due to
suppression of perspiration and heat loss
What are some patient education for Atropine? - answer- 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
When patient is on Atropine what signs/symptoms should you notify the MD about? -
answer- If fluid intake is greater or less than urine output
- Fever
- Weakness becomes severe
After IV heparin injection how long does it taking to act? - answerimmediatley
After Sub Q heparin injection how long does it take to act? - answer20-30 minutes
What does Heparin treat? - answer- Prevents DVT and PE
- Prevents further thrombus formation and embolization
- A-Fib
It is essential to take a what count before heparin therapy begins and every 2-3 days
during heparin therapy? - answerPlatelet count
If the platelet count falls below 100,000 or less than half the baseline, what do we do to
the heparin therapy? - answerdiscontinue the heparin
What is the goal of heparin? - answerprevent blood coagulation long enough for clotting
factors to be replenished and thus control hemorrhage
What is the action of Heparin? - answerCombines with antithrombin III to inactivate
clotting factors to prevent thrombus formation
What are contraindications for Heparin? - answerGI ulcerations, intracranial bleeding,
dissecting aortic aneurysm, blood dyscrasias, severe kidney or liver disease
What should be maintained at approximately 1.5-2.5 times the baseline value during
heparin therapy? - answeraPTT
Normal control value for heparin is how many seconds? - answer25-35 seconds
The theraputic range for heparin is what? - answer45-70 seconds
if the rate is below 45 seconds for heparin what do we do? - answerincrease the rate
if the rate is higher than 70 seconds for heparin what do we do? - answerdecrease/stop
rate
II Exam #1
What is the Action of Atropine? - answer blocks the effects of acetylcholine at
muscarinic cholinergic receptors
What classification is Atropine? - answer Anticholinergic
What does atropine treat? - answer Cardiovascular effects such as brady cardia and
syncope
What are the side effects of an overdose of Atropine? - answer- Decreased secretions
- Increased HR
- Decreased GI and Genitourinary tone
What is the antidote for Atropine? – answer Physostigmine at a slow rate of 1 mg/min
What are the effects of rapid administration of Atropine? - answer- Bradycardia
- Hypersalivation
- Seizures
How long does it take for the peak effects of Atropine IV and IM to take effect? -
answerIV: The peak effect occurs in 2 to 4 minutes
IM: 30 minutes
Nurse assesses for what with Atropine? - answer- HR for patients with bradycardia if
Atropine administered
- Diminished secretions in preoperative patients
What are some adverse Effects from Atropine? - answer- Urinary retention
- Bowel Sounds- paralytic ileus
- Photophobia, mydriasis, blurred vision, and increased intraocular pressure
- Dry mouth
- Increased temperature
Elderly and children are prone to what when on Atropine? - answerhyperpyrexia due to
suppression of perspiration and heat loss
What are some patient education for Atropine? - answer- 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
When patient is on Atropine what signs/symptoms should you notify the MD about? -
answer- If fluid intake is greater or less than urine output
- Fever
- Weakness becomes severe
After IV heparin injection how long does it taking to act? - answerimmediatley
After Sub Q heparin injection how long does it take to act? - answer20-30 minutes
What does Heparin treat? - answer- Prevents DVT and PE
- Prevents further thrombus formation and embolization
- A-Fib
It is essential to take a what count before heparin therapy begins and every 2-3 days
during heparin therapy? - answerPlatelet count
If the platelet count falls below 100,000 or less than half the baseline, what do we do to
the heparin therapy? - answerdiscontinue the heparin
What is the goal of heparin? - answerprevent blood coagulation long enough for clotting
factors to be replenished and thus control hemorrhage
What is the action of Heparin? - answerCombines with antithrombin III to inactivate
clotting factors to prevent thrombus formation
What are contraindications for Heparin? - answerGI ulcerations, intracranial bleeding,
dissecting aortic aneurysm, blood dyscrasias, severe kidney or liver disease
What should be maintained at approximately 1.5-2.5 times the baseline value during
heparin therapy? - answeraPTT
Normal control value for heparin is how many seconds? - answer25-35 seconds
The theraputic range for heparin is what? - answer45-70 seconds
if the rate is below 45 seconds for heparin what do we do? - answerincrease the rate
if the rate is higher than 70 seconds for heparin what do we do? - answerdecrease/stop
rate
