Herzing University NSG 223 Med Surg II Exam 1
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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 bradycardia 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
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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? - Answer-IV: 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
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What should the patient on anticoagulation therapy must
have checked regularly to determine proper dosage and
adequacy of therapy? - Answer-- INR
Patient education while on Warfarin? - Answer-- Avoid
walking barefoot
- Avoid contact spores
- Use an electric razor
- Avoid injections when possible
- Carry an identification card or medic alert bracelet
What is the action of Warfarin? - Answer-Inhibits vitamin
K-dependent clotting factors - II, VII, IX, X (produced in
liver)
What is warfarin used for? - Answer-most useful in the
long-term prevention or management of venous
thromboembolic disorders, including DVT, pulmonary
embolism, and embolization
Warfarin contraindications - Answer-- Hypersensitivity
- Active bleeding