Nurs 5463 Module 1 Study Notes
Nurs 5463 Module 1 Study Notes
Study online at https://quizlet.com/_8g3qva
1. Fentanyl (Subli- class: Opioid Analgesic
maze) -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, hypoten-
sion
- do not consume grapefruit while taking this medication
2. Morphine Sulfate class: Opioid Analgesic
-should not be used with renal issues
-accumulates and causes toxicities
3. Dilaudid (hydro- class: Opioid Analgesic
morphone) -can be used with renal issues
-causes hypotension
4. Toradol (ketoro- NSAID (non-steroidal anti inflammatory)
lac) -should not be used with renal issues
5. Pulmonary hy- -have issues with diffusion that leads to hypoxia
pertension -Idiopathic, heritable, left heart disease (e.g. HF), lung disease (e.g. COPD), hy-
poxemic vasoconstriction (e.g. OSA), thromboembolic (e.g. PE)
6. What are the in- -advanced respiratory support,
dications for ad- -requiring support of two or more organ systems,
mission to ICU -chronic impairment of one or more organ systems who also require support for
level of care? an acute reversible failure of another organ.
7. What are -Minor beta-adrenergic activity producing myocardial stimulation
the effects -Stimulates alpha-adrenergic receptors located in the blood vessels to produce
of norepineph- vasoconstriction increasing preload and after load
rine (Levophed)
1/6
, Nurs 5463 Module 1 Study Notes
Nurs 5463 Module 1 Study Notes
Study online at https://quizlet.com/_8g3qva
on preload and
after load?
8. What are the ef- -increases myocardial contractility
fects of milri- -decreases preload and after load by a direct dilating effect on vascular smooth
none on preload muscle
and after load?
9. Initial workup for basic labs such as cbc, cmp, UA and CXR
delirium should
include?
10. Differential diag- -angina
nosis for pancre- -chest pain
atitis -dissecting aortic aneurysm
11. Concurrent use -Opioid
of what two med- -Tylenol
ication will en-
hance post oper-
ative pain man-
agement?
12. With delirium, -Benzodiazepine should be avoided
what class of -Benzodiazepines are first line treatment for GABAergic-withdrawl-related delirium
drugs should be states like ETOH withdraws
avoided? What is
the exception?
13. Dyspnea: Name -ventilatory pump (motor efferent-outgoing): muscles of ventilation, skeletal air-
two mecha- ways; increase airway resistance and decrease compliance; increased work of
nisms that affect breathing
breathing? -Respiratory controller (sensory afferent-incoming) stimulation of chemoreceptors
2/6
Nurs 5463 Module 1 Study Notes
Study online at https://quizlet.com/_8g3qva
1. Fentanyl (Subli- class: Opioid Analgesic
maze) -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, hypoten-
sion
- do not consume grapefruit while taking this medication
2. Morphine Sulfate class: Opioid Analgesic
-should not be used with renal issues
-accumulates and causes toxicities
3. Dilaudid (hydro- class: Opioid Analgesic
morphone) -can be used with renal issues
-causes hypotension
4. Toradol (ketoro- NSAID (non-steroidal anti inflammatory)
lac) -should not be used with renal issues
5. Pulmonary hy- -have issues with diffusion that leads to hypoxia
pertension -Idiopathic, heritable, left heart disease (e.g. HF), lung disease (e.g. COPD), hy-
poxemic vasoconstriction (e.g. OSA), thromboembolic (e.g. PE)
6. What are the in- -advanced respiratory support,
dications for ad- -requiring support of two or more organ systems,
mission to ICU -chronic impairment of one or more organ systems who also require support for
level of care? an acute reversible failure of another organ.
7. What are -Minor beta-adrenergic activity producing myocardial stimulation
the effects -Stimulates alpha-adrenergic receptors located in the blood vessels to produce
of norepineph- vasoconstriction increasing preload and after load
rine (Levophed)
1/6
, Nurs 5463 Module 1 Study Notes
Nurs 5463 Module 1 Study Notes
Study online at https://quizlet.com/_8g3qva
on preload and
after load?
8. What are the ef- -increases myocardial contractility
fects of milri- -decreases preload and after load by a direct dilating effect on vascular smooth
none on preload muscle
and after load?
9. Initial workup for basic labs such as cbc, cmp, UA and CXR
delirium should
include?
10. Differential diag- -angina
nosis for pancre- -chest pain
atitis -dissecting aortic aneurysm
11. Concurrent use -Opioid
of what two med- -Tylenol
ication will en-
hance post oper-
ative pain man-
agement?
12. With delirium, -Benzodiazepine should be avoided
what class of -Benzodiazepines are first line treatment for GABAergic-withdrawl-related delirium
drugs should be states like ETOH withdraws
avoided? What is
the exception?
13. Dyspnea: Name -ventilatory pump (motor efferent-outgoing): muscles of ventilation, skeletal air-
two mecha- ways; increase airway resistance and decrease compliance; increased work of
nisms that affect breathing
breathing? -Respiratory controller (sensory afferent-incoming) stimulation of chemoreceptors
2/6
