Nursing 176 Exam 3
1. Digoxin (Lanoxin): -Assess apical pulse for one full minute
-If less than 60 hold Digoxin
-Watch for signs of Digoxin toxicity (Nausea, double vision, loss of appetite)
2. Warfarin (Coumadin): -Normal INR=2-3
-If greater than 3, hold med
-Watch for bleeding
-Call doctor and give antidote if greater than 3
3. Nitroglycerin: -One tablet sublingual, every 5 minutes
-3 doses is the max
-Dilates coronary arteries
4. Beta blockers: -Ends in -olol (metoprolol, propanolol, carvedilol ,atenolol)
-Assess blood and apical pulse for 60 seconds
5. Aspirin: -Thins blood to allow easier blood flow
6. Lasix (Furosemide): -Diuretic
-Watch for hypokalemia
-Eat more potassium
7. MONA-chest pain: -Morphine
-Oxygen
-Nitroglycerin
-Aspirin
8. Clopidogrel (Plavix): -Prevents clots from forming in heart stents
9. Lovenox (enoxaparin): -Prevents blood clots to legs
-Good for bed ridden patients
-is low molecular weight anticoagulant
10. Appendicitis: Early signs: -Abdominal pain
1/
11
, Nursing 176 Exam 3
-Lack of appetite
-Nausea
-Vomiting
11. Appendicitis: -Sudden disappearance of pain may indicate appendix rupture
-Watch for peritonitis- priority (Elevated WBC's and temp)
12. McBurney's sign: -Significant pain is elicited by palpating this area in RLQ
-Classic symptom of appendicitis
13. Abdominal assessment order: -Inspection, auscultation, percussion, palpa-
tion
14. Irritable bowel syndrome: Signs and symptoms: -Cramping
-Abdominal pain
-Bloating
-Gas
-Diarrhea
2/
11
1. Digoxin (Lanoxin): -Assess apical pulse for one full minute
-If less than 60 hold Digoxin
-Watch for signs of Digoxin toxicity (Nausea, double vision, loss of appetite)
2. Warfarin (Coumadin): -Normal INR=2-3
-If greater than 3, hold med
-Watch for bleeding
-Call doctor and give antidote if greater than 3
3. Nitroglycerin: -One tablet sublingual, every 5 minutes
-3 doses is the max
-Dilates coronary arteries
4. Beta blockers: -Ends in -olol (metoprolol, propanolol, carvedilol ,atenolol)
-Assess blood and apical pulse for 60 seconds
5. Aspirin: -Thins blood to allow easier blood flow
6. Lasix (Furosemide): -Diuretic
-Watch for hypokalemia
-Eat more potassium
7. MONA-chest pain: -Morphine
-Oxygen
-Nitroglycerin
-Aspirin
8. Clopidogrel (Plavix): -Prevents clots from forming in heart stents
9. Lovenox (enoxaparin): -Prevents blood clots to legs
-Good for bed ridden patients
-is low molecular weight anticoagulant
10. Appendicitis: Early signs: -Abdominal pain
1/
11
, Nursing 176 Exam 3
-Lack of appetite
-Nausea
-Vomiting
11. Appendicitis: -Sudden disappearance of pain may indicate appendix rupture
-Watch for peritonitis- priority (Elevated WBC's and temp)
12. McBurney's sign: -Significant pain is elicited by palpating this area in RLQ
-Classic symptom of appendicitis
13. Abdominal assessment order: -Inspection, auscultation, percussion, palpa-
tion
14. Irritable bowel syndrome: Signs and symptoms: -Cramping
-Abdominal pain
-Bloating
-Gas
-Diarrhea
2/
11