NSG 430 STUDY GUIDE
1. Asthma exacerbation treatment: -- Albuterol -- inhaled beta- adrenergic ago-nists
-- Oxygen
-- IV fluids
-- corticosteroids
-- IV magnesium
2. Aplastic Anemia: characterized by an absence of all formed blood elementscaused by the
failure of blood cell production in the bone marrow
peripheral blood pancytopenia (decrease in all blood cell types WBC/RBC andplatelets)
3. symptoms of aplastic anemia: fatigue, dyspnea, and neutropenia
4. Aplastic anemia precautions: neutropenic and thrombocytopenic precautions
risk for infection and bleeding
5. Atorvastatin (Lipitor) class and MOA: o HMG-CoA reductase inhibitors(statins)
-- Block synthesis of cholesterol and increase LDLreceptors in liver
-- Decrease LDL, triglycerides, and increase HDL
6. Atorvastatin (Lipitor) serios side effects: -- rhabdomyolysis
-- liver dysfunction
-- pancreatitis
7. Atorvastatin patient teaching: -- Not to take while pregnant
-- compliance
-- avoid alcohol and smoking,
-- frequent blood work
-- notify provider of GI symptoms
-- Report first signs of muscle pain or weakness
8. Afib: characterized by a total disorganization of atrial electrical activity becauseof
multiple ectopic foci
9. afib clinical manifestations: -- chest pain
-- dizziness, fatigue
-- inability to exercise
,-- weakness
-- heart palpitations
-- shortness of breath
10. Afib interventions: anticoagulation therapy
patient at risk for clots and stroke
11. Afib Tx and meds: -- electrical cardioversion
-- calcium channel blockers
-- beta-blockers
-- amiodarone
-- digoxin
12. Most concerning assessment finding for back pain: decreased bladder andbowel function
13. What indicates a worsening condition of back pain: Depressed or absentreflexes
14. Blood transfusion assessment: -- blood typing
-- baseline vital signs
-- Q15 vitals
15. Steps to complete prior to a transfusion: -- Consent forms
-- patient education
-- baseline vitals
-- blood typing
16. Transfusion reaction types: -- febrile
-- hemolytic
-- allergic
-- TRALI
-- Delayed Transfusion reaction
-- Transfusion associated graft vs. host disease
17. Febrile transfusion reaction s/s:: -chills
-fever
-flushing
, -headache
-anxiety
18. Hemolytic transfusion reaction s/s: *Life threatening due to blood incompati-bility*
- Dyspnea
- Immediate Fever/Chills
- Lower back pain
- Chest tightness
- Anxiety
- N/V
- Dark Urine
- Hypotension
19. Hemolytic transfusion reaction treatment: - stop the transfusion
- replace with normal saline
- notify HCP
- Diuretic therapy to maintain urine output
- treat shock symptoms
- be prepared for a code
20. Allergic transfusion reaction s/s: -- urticaria
-- itching
-- bronchospasm
-- anaphylaxis
21. TRALI (transfusion related acute lung injury): -- Indistinguishable from ARDS
22. Delayed transfusion reaction s/s: -- fall in hemoglobin
-- rise in bilirubin
may occur 3-4 weeks after transfusion
23. ACS (acute coronary syndrome): occurs when chest pain from ischemia isprolonged and
not immediately reversible
1. Asthma exacerbation treatment: -- Albuterol -- inhaled beta- adrenergic ago-nists
-- Oxygen
-- IV fluids
-- corticosteroids
-- IV magnesium
2. Aplastic Anemia: characterized by an absence of all formed blood elementscaused by the
failure of blood cell production in the bone marrow
peripheral blood pancytopenia (decrease in all blood cell types WBC/RBC andplatelets)
3. symptoms of aplastic anemia: fatigue, dyspnea, and neutropenia
4. Aplastic anemia precautions: neutropenic and thrombocytopenic precautions
risk for infection and bleeding
5. Atorvastatin (Lipitor) class and MOA: o HMG-CoA reductase inhibitors(statins)
-- Block synthesis of cholesterol and increase LDLreceptors in liver
-- Decrease LDL, triglycerides, and increase HDL
6. Atorvastatin (Lipitor) serios side effects: -- rhabdomyolysis
-- liver dysfunction
-- pancreatitis
7. Atorvastatin patient teaching: -- Not to take while pregnant
-- compliance
-- avoid alcohol and smoking,
-- frequent blood work
-- notify provider of GI symptoms
-- Report first signs of muscle pain or weakness
8. Afib: characterized by a total disorganization of atrial electrical activity becauseof
multiple ectopic foci
9. afib clinical manifestations: -- chest pain
-- dizziness, fatigue
-- inability to exercise
,-- weakness
-- heart palpitations
-- shortness of breath
10. Afib interventions: anticoagulation therapy
patient at risk for clots and stroke
11. Afib Tx and meds: -- electrical cardioversion
-- calcium channel blockers
-- beta-blockers
-- amiodarone
-- digoxin
12. Most concerning assessment finding for back pain: decreased bladder andbowel function
13. What indicates a worsening condition of back pain: Depressed or absentreflexes
14. Blood transfusion assessment: -- blood typing
-- baseline vital signs
-- Q15 vitals
15. Steps to complete prior to a transfusion: -- Consent forms
-- patient education
-- baseline vitals
-- blood typing
16. Transfusion reaction types: -- febrile
-- hemolytic
-- allergic
-- TRALI
-- Delayed Transfusion reaction
-- Transfusion associated graft vs. host disease
17. Febrile transfusion reaction s/s:: -chills
-fever
-flushing
, -headache
-anxiety
18. Hemolytic transfusion reaction s/s: *Life threatening due to blood incompati-bility*
- Dyspnea
- Immediate Fever/Chills
- Lower back pain
- Chest tightness
- Anxiety
- N/V
- Dark Urine
- Hypotension
19. Hemolytic transfusion reaction treatment: - stop the transfusion
- replace with normal saline
- notify HCP
- Diuretic therapy to maintain urine output
- treat shock symptoms
- be prepared for a code
20. Allergic transfusion reaction s/s: -- urticaria
-- itching
-- bronchospasm
-- anaphylaxis
21. TRALI (transfusion related acute lung injury): -- Indistinguishable from ARDS
22. Delayed transfusion reaction s/s: -- fall in hemoglobin
-- rise in bilirubin
may occur 3-4 weeks after transfusion
23. ACS (acute coronary syndrome): occurs when chest pain from ischemia isprolonged and
not immediately reversible
