NURS 5463 / NURS5463 Exam 1 Study Guide: Adult
Gerontology Acute Care | Questions & verified Answers
(Latest Update ) Grade A | 100% Correct – UTA
Fentanyl (Sublimaze)
class: Opioid Analgesic
-producing CNS depression
- use caution with increased ICP, head trauma, adrenal insufficiency:
-can be used with hypotension, renal issues and labor and delivery
- avoid use with MAOIs
- may cause apnea, laryngospasm, decreased respirations, bradycardia, hypotension
- do not consume grapefruit while taking this medication
Morphine Sulfate
class: Opioid Analgesic
-should not be used with renal issues
-accumulates and causes toxicities
Dilaudid (hydromorphone)
class: Opioid Analgesic
-can be used with renal issues
-causes hypotension
Toradol (ketorolac)
NSAID (non-steroidal anti inflammatory)
-should not be used with renal issues
, NURS 5463 / NURS5463 Exam 1 Study Guide: Adult
Gerontology Acute Care | Questions & verified Answers
(Latest Update ) Grade A | 100% Correct – UTA
Pulmonary hypertension
-have issues with diffusion that leads to hypoxia
-Idiopathic, heritable, left heart disease (e.g. HF), lung disease (e.g. COPD), hypoxemic
vasoconstriction (e.g. OSA), thromboembolic (e.g. PE)
What are the indications for admission to ICU level of care?
-advanced respiratory support,
-requiring support of two or more organ systems,
-chronic impairment of one or more organ systems who also require support for an acute
reversible failure of another organ.
What are the effects of norepinephrine (Levophed) on preload and after load?
-Minor beta-adrenergic activity producing myocardial stimulation
-Stimulates alpha-adrenergic receptors located in the blood vessels to produce vasoconstriction
increasing preload and after load
What are the effects of milrinone on preload and after load?
-increases myocardial contractility
-decreases preload and after load by a direct dilating effect on vascular smooth muscle
Initial workup for delirium should include?
Gerontology Acute Care | Questions & verified Answers
(Latest Update ) Grade A | 100% Correct – UTA
Fentanyl (Sublimaze)
class: Opioid Analgesic
-producing CNS depression
- use caution with increased ICP, head trauma, adrenal insufficiency:
-can be used with hypotension, renal issues and labor and delivery
- avoid use with MAOIs
- may cause apnea, laryngospasm, decreased respirations, bradycardia, hypotension
- do not consume grapefruit while taking this medication
Morphine Sulfate
class: Opioid Analgesic
-should not be used with renal issues
-accumulates and causes toxicities
Dilaudid (hydromorphone)
class: Opioid Analgesic
-can be used with renal issues
-causes hypotension
Toradol (ketorolac)
NSAID (non-steroidal anti inflammatory)
-should not be used with renal issues
, NURS 5463 / NURS5463 Exam 1 Study Guide: Adult
Gerontology Acute Care | Questions & verified Answers
(Latest Update ) Grade A | 100% Correct – UTA
Pulmonary hypertension
-have issues with diffusion that leads to hypoxia
-Idiopathic, heritable, left heart disease (e.g. HF), lung disease (e.g. COPD), hypoxemic
vasoconstriction (e.g. OSA), thromboembolic (e.g. PE)
What are the indications for admission to ICU level of care?
-advanced respiratory support,
-requiring support of two or more organ systems,
-chronic impairment of one or more organ systems who also require support for an acute
reversible failure of another organ.
What are the effects of norepinephrine (Levophed) on preload and after load?
-Minor beta-adrenergic activity producing myocardial stimulation
-Stimulates alpha-adrenergic receptors located in the blood vessels to produce vasoconstriction
increasing preload and after load
What are the effects of milrinone on preload and after load?
-increases myocardial contractility
-decreases preload and after load by a direct dilating effect on vascular smooth muscle
Initial workup for delirium should include?
