NSG 124 Exam 3

NSG 124 Exam 3 I am used in a hypertensive emergency to lower BP fast. 1) What drug am I? 2) How do I work? 3) What should you watch for? - ANSWER 1) Sodium nitroprusside 2) Vasodilator 3) Hypotension and chest pain Megaloblastic anemia 1) What does megaloblastic mean? 2) What causes it? 3) How do we treat it? - ANSWER 1) Large red blood cells 2) Deficiency of either cobalamin (vit B12) or folate (vit B9) 3) Pills, vit B12 or folic acid What is the therapeutic lab range for: 1) Lithium 2) Digoxin - ANSWER 1) 0.4-1 2) 0.5-2 or 0.5-0.8 Warfarin vs Enoxaparin vs Heparin labs - ANSWER Warfarin = INR Enoxaparin and Heparin = aPPT I am a mood stabilizer often given to people with bipolar disorder. I also used to be an ingredient in 7-Up. - ANSWER Lithium I will avoid giving IM injections or doing any intervention that could cause bleeding. I will monitor their aptt/ptt and be vigilant to S/S of bleeding. 1) What type of med is patient on? 2) Give 2 examples 3) What are S/S of bleeding? 4) What should they avoid at home? - ANSWER 1) Anticoagulant 2) Enoxaparin or Heparin 3) Hypotensive, tachycardia, abd pain, nausea, cramps 4) Any activity that could cause bleeding - use soft toothbrush, careful shaving, need labs, no alcohol