NR 503| Exam 1 Study guide| With complete solution| Updated RATED A+ | NEW RATED A+ | UPDATED | Chamberlain College of Nursing

Amar !MDoTHa%aoTso☒aoDB oEdÑTs9!MDoMTWaoD
9Fs%kDoñw%*o•$ÑFd go•AoFdoEdaoDaM!oMa
oo☒aoDBB'Fs%kDaoAo§ RMAW.BDBOA.BTBB.EE?ikDaoAwGoo•AoÑdoEd BYAM !fÑoMT%aoDso☒aoTB a%aoTsoaoDBBFs• w£%*•$
B.BE?ikDaoAwGaoTo .rFdoEdaoDaM!MDoTB Bogar


Complete Blood count Electrolytes
O WBC: 4-11 billion cells/L U
Na: 135-145 meq/L
w
HGB: 12-15 g/dl (female) g K: 3.5-5.5 mmol/L
u
HGB: 13.5-17.5 g/dl (male) g
BUN: 7-20 mg/dl (renal labs)
°
PLT: 150-450,000 billion/L ,
Cr: 0.5-1.1 mg/dl (female renal labs)
I
Cr: 0.6- 1.2 mg/dl (male renal labs)
Mg: 1.5-2.5 meq/L
: Ca: 8.5-10.5 mg/dl

Lab values Notes by Morgan Payne



COAGULATION Liver Enzymes
0
PT: 11-13.5 seconds ALT: 7-33 u/L
INR: 0.8-1.2 ratio : AST: 8-48 u/L
: Patients on warfarin: therapeutic range is 2.0-3.0
0
PTT: 30-45 seconds

Vancomycin Serum Gentamicin Serum
Peak: 25-50 mcg/mL Peak: 5-10 mcg/mL
i Trough: 10-20 mcg/mL : Trough: 0.0-2.0 mcg/mL

TTos%kDaoA£%ao•k armored sofar !o7aoMHa%aoTso☒ooD
ardor !o7akMa%aoTso☒ooD BFs%HDoñw%*o•AoÑd so☒ooTBBFs•*oDaoAo§
oEdooDaM!o7aoMHa%aoT oMTÑaooToo☒ooDBBFs
ao•AoÑdoEdooIaG!oFs %kDaoA£%ao•AoÑdoEd ardor !o7aoMHaWooDoo☒ooD
TTFB-okwowwk.org

, •
up me at we up me • as we • up me at we up me • as we •
up me • us we • up • us we • me • at we • me • as me • at we •
up up up we up me as we




Pharmacotherapeutics: study of the beneficial and desired effects and uses of drugs.
B.




:*Pharmacokinetics: study of what the body does to a drug. Es

Mk

B




÷
•

•




Pharmacodynamics: study of a drug’s molecular, biochemical, and physiologic
• BE

.
•
B.




: effects or actions (study of how drugs have effects on the body.
Ed




:
•

B
• •

.

• As




: Pharmacogenetics: studies how a person’s genes affect how he or she responds to
☆
B.




÷ medi
Es




cations. Its long term goal is to help doctors select drugs and doses best suited
Mk

•
•

•



• for each person. BE

☆
.




÷
Ed
•
•
Bk

.
•
•
•

• BE




:
☆

Notes by Morgan Payne
÷ RhaTmacoTagÉrcincireesʰ
B.
Es

'

Pharmacologic principles
•

•



:
•

•

BE
• ☆




÷÷
.
• Es

Mk

.
.

•

BE




:
☆




÷ Generic Name: has components of the chemical name of a drug. A term referring to the
B.
•

BE

.
•
•

•

• Be

•

chemical makeup of a drug rather than to the advertised brand name under which the ☆
.




÷
Es
•




drug is sold (ex: Acetaminophen). Generic drugs are less expensive than brand drugs.
Mk



: .


•
•




NOT ALL DRUGS COME IN GENERIC FORM! BE




÷;
☆
•




GENERIC NAMES DO NOT CHANGE! &
•

•

BE

☆




;֥
Bs




Brand Names: More expensive than generic. Main difference b/t generic Bs



&
.




and brand name drug is the price (ex: Tylenol).
•

•

• BE

.
•




Must know CLASS, GENERIC, and BRAND names as needed. Patients know most drugs
by the brand name.
•
up me • at we • up me • as we • up me • at we • me • us we •
me • at we • me • us me • at we • me • us me • at we •
up up up we up up we up me • at we

,•
up me at we • up w • as we • up me • at we up me as we •
up me • at we • as we me at we • me • us me • at we
up up up up we up me at we




Notes by Morgan Payne


Bs
phao-macae-agicncincirees-B.io
Pharmacologic principles •

Bk

Bk &

Eg Be


•
&

& BE

As

☆
•
HCAI- Health Care Acquired Infection/ Nosocomial Infection: an infection acquired while ☆

•
•




receiving treatment for another condition in a health care facility.
Bs Bk

Bk &

Eg Be

&



Examples:
•

& BE

As ☆
☆ •



Eg
•


Bk
Urine Infections
-
•



&
Bk




Wound Infections
Eg •

Eg
Be
,
& BE

As ☆



Es
☆
•
.
Skin Infections Bs
Es

Ba



Ey
Ba



•
'
Chest Infections G
da

&




Sickness / Diarrhea
& BE

BE ☆
.
☆ •
•




First appear 48 hours or more after hospital admission.
•
5s Bk

Bk &

Eg Be


•
&

& BE

As ☆
☆ •
•
•
Bs



Eg
Bk
Superinfection: infection occurring after or on top of an earlier infection, Bk

&
Be




especially following treatment with broad-spectrum antibiotics. Secondary
•
&

& BE

As ☆
•



infections, c-diff, yeast infection.
☆
•
•
Bk
•

Bk &

Eg Be


•
&

& BE

As ☆
☆ •




Empiric Therapy: based on clinical probabilities and include starting an antibiotic that is
•
•
Bs Bk

Bk &

Eg Be




•

As
•


commonly active against a certain organism. When there is no information you have &

•

☆
☆


Eg
Bk
to make an educated guess before the confirmation of a definitive diagnosis. Bk

&
Be




&
•




As
Examples: Collect culture of wound / blood cultures. &

BE

☆
☆

When a patient comes in with a fever of unknown origin and the results of tests are
•
•
•
Bs Bk

Bk &

Eg


&
•
pending, empiric therapy would be to start this patient on broad spectrum intravenous Be

&

BE

As

☆
antibiotics. ☆




• we •
me • at me • at we • •
?⃝ up

up me as we up up me at we up me • at we up me as we • up me at we • up me • at we Mt at we up me • at we