NUR2474 Exam 2 study guide 2023 complete.

NUR2474 Exam 2 study guide2023 complete. Gentamicin: Ringing in the ears needs to be reported to the dr. It is irreversible. Sucralfate (Carafate): Adheres to ulcer cells and increases protection of the ulcer cells. Omeprazole (Prilosec): Side effect: Diarrhea: could be an indicator of C-Diff infection because the acidic environment is being reduced! * /GI upset; pt at risk for bone fx if used long-term; low calcium and magnesium. MDI (Metered Dose Inhaler): Dr. order is 2 puffs. What information does the pt need to know? *1 Minute between doses! Inhale and hold for 5-10 seconds. Inhaled Glucocorticoids: NOT for rescue inhaler! It is a prophylaxis to prevent exacerbations of asthma. If the pt reports to you that his throat is sore, what do you tell them? *Rinse your mouth out after you use your inhaler. If the pt is having trouble breathing after Inhaled Glucocorticoids AND Albuterol treatment, what would the ER do for the pt? *Give steroidal IV Meds for Acute Exacerbation. Tiotropium (Bronchodilator – Spareva): Pt states they are ‘not getting much relief’. What education would the nurse need to provide to the patient? *It takes 7 days of use for the Spareva to start showing improvement. Ondansetron (Zofran – Antiemetic): Side effects include: *Dizziness and headaches. Heparin (Anticoagulant): What is the antidote for Heparin? *Protamine Sulfate! If the pt level is 90, antidote should be given. Monitoring of labs, specifically PTT, should be done. Also, monitor the pt for signs of bleeding: hypotension, tachycardia, bruising, flank pain, back pain If the nurse suspects that the patient is bleeding (*NON-Acute), what type of order would you need from the dr first? HgB, HcT, CBC Those lab values would indicate if the pt needed to be transfused. If transfusion is needed, you need an order from the dr. Amniodorone: What would the pt report as a possible allergic reaction? *Itching, jaundice If the pt asks if they can take Benedryl, tell them NO-STOP THE DRUG AND GO SEE THE DR! NO grapefruit juice with this med! Metropolol (Lopressor): This is a Beta-Adrenergic Blocker that dilates the vessels in the heart. Tachycardic pt can take this. *Wha