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Med Surg 3 > Exam > Flashcards

Exam Flashcards

1
Q

ACE/ ARBs are used to

A

prevent ventricular remodeling
hypertension
an enzyme in the body from producing angiotensin II
a substance that narrows blood vessels.

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2
Q

ACE side effects

A

cough
hyperkalemia
angioedema (pt. has trouble breathin)

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3
Q

What is BiDil

A

a combo medication for African american patient with HF

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4
Q

The patient is seeing yellow halos, and experienceing n+v the nurse should

A

check digoxin toxicity

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5
Q

The patient taking Zetia (ezetimibe) which of these symptoms should the patient report to the provider?

A

yellowing of skin and eyes (jaundice)

LFT elevation ?

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6
Q

Digoxin is used to

A

improve quality of life with HF patients
drop HR
increases contractility

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7
Q

Isororbie mononitrates are used as

A

long-acting nitrates given to pts when discharged from the hospital
+ tech pt to monitor

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8
Q

How can you Diagnosis HF

A

BNP over 100

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9
Q

Unstable angina is characterized by

A

crushing pain longer than 5 mins when patient is at rest

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10
Q

STEMI has

A

ST elevation

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11
Q

non-stemi

A

does not have ST elevation

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12
Q

Mi is diagnosed when the troponin is over

A

2.3

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13
Q

omega 3 fatty acid is used to

A

lower triglcerdies

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14
Q

thrombolytic therapy should begin within the first

A

30mins of an MI

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15
Q

a patient is on a statin and experiences pain/tenderness. the nurse should tell them to

A

stop the medication and notify their HCP

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16
Q

Nitro should never be taken w what medication?

A

viagra (sildenafil) because it causes vasodilation

17
Q

nitro patient teaching for safety

A

change positions slowly (orthostatic hypotension)

18
Q

Normal total cholesterol is

A

less than 200

19
Q

Normal Triglycerides is

A

less than 150

20
Q

normal HDL is

A 
over 40 (men)
over 50 (in women)
21
Q

Normal LDL is

A

less than 100

22
Q

Fibric acid is used to

A

lower triglycerides

23
Q

PCI must be done within

A

90 mins

24
Q

What is PCI

A

(PCI, formerly known as angioplasty with stent)

25
Q

PCI the nurse should

A

assess for bleeding
bed rest 6-8 hours
assess distal pulse
do frequent vitals

26
Q

What are atypical s/s of an MI for women

A

epigastric distress (stomach pain)
pain that radiates to the jaw or left arm
SOB

27
Q

Decorticate

A

adduction movement towards the body

28
Q

The patient grabbing ET tube is an example of

A

purposeful movement

29
Q

Breakfast meal for someone with HF

A

bran cereal with skim milk

30
Q

Pt HR is 56 and due to metoprolol the nurse should

A

hold the med

31
Q

Patient has a femoral catheter what is important for the nurse to assess?

A

distal pulse of the same extermity

Med Surg 3 (7 decks)

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