ADVANCED MED SURG UPDATED STUDY GUIDE
QUESTIONS AND SOLUTIONS GUARANTEE A+
✔✔Warfarin - ✔✔INR (2.0-3.0 therapeutic range)
✔✔Heparin - ✔✔aPTT (25-35)
✔✔Dopamine - ✔✔strengthens cardiac contractions and increases cardiac output
✔✔Cushing's Disease - ✔✔overproduction of cortisol (adrenal hormone)
✔✔Magnesium Sulfate - ✔✔antacid
anticonvulsant
electrolyte
laxative
✔✔cardiac enzyme related to diagnosis of MI - ✔✔Troponin
✔✔Mannitol Adverse Effects - ✔✔(diuretic)
✔✔autonomic dysreflexia s/s - ✔✔caused by parasympathetic stimulation:
-bradycardia
-flushed face
-nasal congestion
caused by sympathetic stimulation:
-severe hypertension
-sudden severe headache
-blurred vision
-restlessness
-nausea
-pallor below level of injury
-sweating and goosebumps
✔✔Interferons - ✔✔proteins formed when cells are exposed to viral/foreign agents;
capable of activating other parts of the immune system
✔✔adverse effects of chemo - ✔✔-N/V (loss of fluids & electrolytes)
-
✔✔osteoma - ✔✔tumor of connective tissue
✔✔chondroma - ✔✔tumor of the cartilage
✔✔neuroma - ✔✔tumor of the nerve
, ✔✔hemangioma - ✔✔tumor of the blood vessel
✔✔Interferon Agents w/ Chemotherapy - ✔✔A form of BRM used with chemotherapy to
reduce the period of neutropenia by stimulating bone marrow production which is
suppressed with chemotherapy treatments
✔✔cancer treatments - ✔✔surgical excision
radiation
chemotherapy
cryotherapy
laser therapy
ablation
artery embolization (cut of blood to tumor)
✔✔normal lab values for platelets - ✔✔100-450 (thousand)
✔✔7 warning signs of cancer (CAUTION) - ✔✔Change in bladder of bowel habits
A sore that doesnt heal
Unusual bleeding or discharge
Thickening or lump in breast or elsewhere
Indigestion or difficulty swallowing
Obvious change in warts or moles
Nagging cough or hoarseness
✔✔Adenoside - ✔✔to slow/stop the heart for syncronized cardioversion to treat SVT
fast push 6mg (2nd dose 12mg)
✔✔Atropine - ✔✔for Bradycardia
✔✔Amiodarone - ✔✔for wide QRS Tachycardia
✔✔Bradycardia - ✔✔1) Transcutaneous pacing
2) Atropine 0.5mg IV x up to 6
3) Dopamine 2-20 mcg/kg/min
4) Epinephrine 2-10 mcg/min
✔✔Tachycardia - ✔✔adenosine
amiodarone
✔✔Ventilator Mode: Assist/Control - ✔✔(aka demand)
-Most common
-Ventilator responds to patients respiration but with a set tidal volume
QUESTIONS AND SOLUTIONS GUARANTEE A+
✔✔Warfarin - ✔✔INR (2.0-3.0 therapeutic range)
✔✔Heparin - ✔✔aPTT (25-35)
✔✔Dopamine - ✔✔strengthens cardiac contractions and increases cardiac output
✔✔Cushing's Disease - ✔✔overproduction of cortisol (adrenal hormone)
✔✔Magnesium Sulfate - ✔✔antacid
anticonvulsant
electrolyte
laxative
✔✔cardiac enzyme related to diagnosis of MI - ✔✔Troponin
✔✔Mannitol Adverse Effects - ✔✔(diuretic)
✔✔autonomic dysreflexia s/s - ✔✔caused by parasympathetic stimulation:
-bradycardia
-flushed face
-nasal congestion
caused by sympathetic stimulation:
-severe hypertension
-sudden severe headache
-blurred vision
-restlessness
-nausea
-pallor below level of injury
-sweating and goosebumps
✔✔Interferons - ✔✔proteins formed when cells are exposed to viral/foreign agents;
capable of activating other parts of the immune system
✔✔adverse effects of chemo - ✔✔-N/V (loss of fluids & electrolytes)
-
✔✔osteoma - ✔✔tumor of connective tissue
✔✔chondroma - ✔✔tumor of the cartilage
✔✔neuroma - ✔✔tumor of the nerve
, ✔✔hemangioma - ✔✔tumor of the blood vessel
✔✔Interferon Agents w/ Chemotherapy - ✔✔A form of BRM used with chemotherapy to
reduce the period of neutropenia by stimulating bone marrow production which is
suppressed with chemotherapy treatments
✔✔cancer treatments - ✔✔surgical excision
radiation
chemotherapy
cryotherapy
laser therapy
ablation
artery embolization (cut of blood to tumor)
✔✔normal lab values for platelets - ✔✔100-450 (thousand)
✔✔7 warning signs of cancer (CAUTION) - ✔✔Change in bladder of bowel habits
A sore that doesnt heal
Unusual bleeding or discharge
Thickening or lump in breast or elsewhere
Indigestion or difficulty swallowing
Obvious change in warts or moles
Nagging cough or hoarseness
✔✔Adenoside - ✔✔to slow/stop the heart for syncronized cardioversion to treat SVT
fast push 6mg (2nd dose 12mg)
✔✔Atropine - ✔✔for Bradycardia
✔✔Amiodarone - ✔✔for wide QRS Tachycardia
✔✔Bradycardia - ✔✔1) Transcutaneous pacing
2) Atropine 0.5mg IV x up to 6
3) Dopamine 2-20 mcg/kg/min
4) Epinephrine 2-10 mcg/min
✔✔Tachycardia - ✔✔adenosine
amiodarone
✔✔Ventilator Mode: Assist/Control - ✔✔(aka demand)
-Most common
-Ventilator responds to patients respiration but with a set tidal volume
