NURS 201 QUIZ 2 – DYSRHYTHMIAS, CAD, HEART FAILURE
Lasix – monitor and how do you know its Furosemide
effective for pt with HF Monitor potassium levels for hypokalemia
Increased urinary output, decrease
preload/volume overload
Thrombocytopenia – definition and diff Low levels of platelets <150
types, interventions and teaching Hold direct pressure for 10 mins, monitor for
bleeding or bruising, no IVs or injections, use
soft toothbrush and electric razor, avoid
NSAIDs, check bleeding times
Digoxin – signs and symptoms of toxicity and Inotropic agent, increase contractility and
what to do, what to monitor/nursing improves cardiac output
considerations -Monitor levels: 0.8-2.0
-Toxicity: fatigue, muscle weakness,
confusion, loss of appetite, N/V, anorexia –
hold dose and call provider
-Considerations: take apical pulse for 1 min
and hold if < 60, observe for toxicity
symptoms, closely monitor ECG, BP and urine
output
-Education: take same time every day, don’t
take with antacids
Pt on digoxin and looking at potassium level, Hyperkalemia may reduce effects of digoxin
why is that important
Giving diuretics – monitor what electrolyte Potassium
Discharge instructions for HF pt Eat a low sodium diet, notify provider of 3-5
lb weight gain over 2-7 days, exercise (fluid
restriction), monitor bp, get flu and
pneumonia vaccines, don’t smoke
A fib manifestations Total disorganization of atrial activity
-pulse deficit (apical and peripheral pulse
different), palpitations, chest pain, SOB, dizzy,
fatigue, atrial rate of 350 – 600 bpm
S and S of uncontrolled A fib Sudden onset uncontrolled – rapid
ventricular response
Ventricular rate >100 bpm
Pulmonary edema and teaching on Lasix Excess fluid in the lungs Left side HF and
respiratory distress, frothy pink sputum
Monitor fluid output and potassium levels
Risk factors of CAD Non-modifiable: age, gender, ethnicity, family
history, genetics
Modifiable: elevated serum lipids (>200),
This study source was downloaded by 100000812546443 from CourseHero.com on 11-21-2023 13:12:31 GMT -06:00
https://www.coursehero.com/file/30660462/NURS-201-quiz-2-SGdocx/
Lasix – monitor and how do you know its Furosemide
effective for pt with HF Monitor potassium levels for hypokalemia
Increased urinary output, decrease
preload/volume overload
Thrombocytopenia – definition and diff Low levels of platelets <150
types, interventions and teaching Hold direct pressure for 10 mins, monitor for
bleeding or bruising, no IVs or injections, use
soft toothbrush and electric razor, avoid
NSAIDs, check bleeding times
Digoxin – signs and symptoms of toxicity and Inotropic agent, increase contractility and
what to do, what to monitor/nursing improves cardiac output
considerations -Monitor levels: 0.8-2.0
-Toxicity: fatigue, muscle weakness,
confusion, loss of appetite, N/V, anorexia –
hold dose and call provider
-Considerations: take apical pulse for 1 min
and hold if < 60, observe for toxicity
symptoms, closely monitor ECG, BP and urine
output
-Education: take same time every day, don’t
take with antacids
Pt on digoxin and looking at potassium level, Hyperkalemia may reduce effects of digoxin
why is that important
Giving diuretics – monitor what electrolyte Potassium
Discharge instructions for HF pt Eat a low sodium diet, notify provider of 3-5
lb weight gain over 2-7 days, exercise (fluid
restriction), monitor bp, get flu and
pneumonia vaccines, don’t smoke
A fib manifestations Total disorganization of atrial activity
-pulse deficit (apical and peripheral pulse
different), palpitations, chest pain, SOB, dizzy,
fatigue, atrial rate of 350 – 600 bpm
S and S of uncontrolled A fib Sudden onset uncontrolled – rapid
ventricular response
Ventricular rate >100 bpm
Pulmonary edema and teaching on Lasix Excess fluid in the lungs Left side HF and
respiratory distress, frothy pink sputum
Monitor fluid output and potassium levels
Risk factors of CAD Non-modifiable: age, gender, ethnicity, family
history, genetics
Modifiable: elevated serum lipids (>200),
This study source was downloaded by 100000812546443 from CourseHero.com on 11-21-2023 13:12:31 GMT -06:00
https://www.coursehero.com/file/30660462/NURS-201-quiz-2-SGdocx/
