NUR 265 EXAM 1 What is pericarditis? What are S/S of pericarditis? What are S/S of endocarditis? What is endocarditis caused by? What long term antibiotic is the patient with endocarditis on? What are the S/S of abdominal aortic aneurysm (AAA)? What medication is given if the patient is in sinus b...
NUR 265 EXAM 1 What is pericarditis? - Inflammation/ infection of the periardial sac What are S/S of pericarditis? - Chest pain -Sharp, stabbing -Behind breast bone -Left side of chest -Elevated with tripod position -SOB-oxygen -Low grade temp -Relieved with positioning -worse on inspiration -pericardial friction rub What are S/S of endocarditis? -Fever - night sweats, malaise, chills, fatigue -Anorexia and weight loss -Cardiac murmur -Heart failure development -Petechiae -Osler's nodes -Splinter hemorrhage: black longitudinal lines on nails What is endocarditis caused by? - A bacterial infection: normally staph or strep What long term antibiotic is the patient with endocarditis on? - Usually Vanco for 6 wks What are the S/S of abdominal aortic aneurysm (AAA)? - gnawing pain in abdomen, flank, or back lasting for hours, pulsating in upper abdomen. Listen for bruit NEVER PALPATE PULSATING ABDOMEN!!! - RUPTURE If pain worsens and moves down the leg it is an e mergency!!! What medication is given if the patient is in sinus bradycardia? - Atropine. Give IV fluids and oxygen pacing What is the treatment for sinus tachycardia? - treat the underlying cause. Valsalva maneuver, stress management, beta blocker, diltiazem, dig What medications are given if the pt is in atrial fibrillation? - Amiodarone, diltiazem, metoprolol, digoxin What is the normal range for H&H? - Hemoglobin: M: 14 -18 g/dL F: 12 -16 g/dL Hematocrit: M: 42% -52% F: 37% -47% What is the normal range for BUN? - 10-20 mg/dL What is the normal range for creatnine? - M: .06 -1.2 mg/dL F: 0.5 -1.1 mg/dL What is the normal PT range? - 11-12.5 sec **1.5 -2.5 times the normal on Coumadin What is the normal INR range? - 0.9-1.2 sec What is the normal PTT range? - 60-70 sec **1.5 -2.5 times the normal on Heparin What is the normal APTT range? - 30-40 sec **1.5 -2.5 times the normal on Heparin What is the normal range for specific gravity? - 1.005 -1.030 What is the therapeutic Digoxin range? - 0.5-2 ng/mL What is the normal platelet range? - 150-400 m^3 What is the normal albumin range? - 50-80mg / 24 hrs at rest What is the normal triglyceride range? - M: 40 -60 mg/dL F: 35 -135 mg/dL What is the normal glucose range? - 70-110 mg/dL After thrombolytic are administered, what needs to be watched? - Watch for signs of bleeding What is the treatment for angina pectoris? - "NBC" Nitro, Beta Blockers, Calcium Channel Blockeprs What are s/s of bacteria peritonitis? - new fever & abd pain What are s/s of DIC? - petechiae ecchymosis prolonged bleeding severe uncontrolled hemorrhage everywhere black tips on fingers, toes, ears, nose
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