NUR 265 / NUR 265 EXAM 1
QUESTIONS & ANSWERS
NUR 265 EXAM 1
What is pericarditis?
- Inflammation/ infection of the periardial sac
What are S/S of pericarditis?
- Chest pain
-Sharp, stabbing
-Behind breast bone
-Left side of chest
-Elevated with tripod position
-SOB-oxygen
-Low grade temp
-Relieved with positioning
-worse on inspiration
-pericardial friction rub
What are S/S of endocarditis?
,-Fever- night sweats, malaise, chills, fatigue
-Anorexia and weight loss
-Cardiac murmur
-Heart failure development
-Petechiae
-Osler's nodes
-Splinter hemorrhage: black longitudinal lines on nails
What is endocarditis caused by?
- A bacterial infection: normally staph or strep
What long term antibiotic is the patient with endocarditis on?
- Usually Vanco for 6 wks
What are the S/S of abdominal aortic aneurysm (AAA)?
- gnawing pain in abdomen, flank, or back lasting for hours, pulsating in upper
abdomen. Listen for bruit
NEVER PALPATE PULSATING ABDOMEN!!!- RUPTURE
If pain worsens and moves down the leg it is an emergency!!!
What medication is given if the patient is in sinus bradycardia?
- Atropine. Give IV fluids and oxygen pacing
What is the treatment for sinus tachycardia?
- treat the underlying cause.
Valsalva maneuver, stress management, beta blocker, diltiazem, dig
,What medications are given if the pt is in atrial fibrillation?
- Amiodarone, diltiazem, metoprolol, digoxin
What is the normal range for H&H?
- Hemoglobin:
M: 14-18 g/dL
F: 12-16 g/dL
Hematocrit:
M: 42%-52%
F: 37%-47%
What is the normal range for BUN?
- 10-20 mg/dL
, What is the normal range for creatnine?
- M: .06-1.2 mg/dL
F: 0.5-1.1 mg/dL
What is the normal PT range?
- 11-12.5 sec
**1.5-2.5 times the normal on Coumadin
What is the normal INR range?
- 0.9-1.2 sec
What is the normal PTT range?
- 60-70 sec
**1.5-2.5 times the normal on Heparin
What is the normal APTT range?
- 30-40 sec
**1.5-2.5 times the normal on Heparin
What is the normal range for specific gravity?
- 1.005-1.030
What is the therapeutic Digoxin range?
QUESTIONS & ANSWERS
NUR 265 EXAM 1
What is pericarditis?
- Inflammation/ infection of the periardial sac
What are S/S of pericarditis?
- Chest pain
-Sharp, stabbing
-Behind breast bone
-Left side of chest
-Elevated with tripod position
-SOB-oxygen
-Low grade temp
-Relieved with positioning
-worse on inspiration
-pericardial friction rub
What are S/S of endocarditis?
,-Fever- night sweats, malaise, chills, fatigue
-Anorexia and weight loss
-Cardiac murmur
-Heart failure development
-Petechiae
-Osler's nodes
-Splinter hemorrhage: black longitudinal lines on nails
What is endocarditis caused by?
- A bacterial infection: normally staph or strep
What long term antibiotic is the patient with endocarditis on?
- Usually Vanco for 6 wks
What are the S/S of abdominal aortic aneurysm (AAA)?
- gnawing pain in abdomen, flank, or back lasting for hours, pulsating in upper
abdomen. Listen for bruit
NEVER PALPATE PULSATING ABDOMEN!!!- RUPTURE
If pain worsens and moves down the leg it is an emergency!!!
What medication is given if the patient is in sinus bradycardia?
- Atropine. Give IV fluids and oxygen pacing
What is the treatment for sinus tachycardia?
- treat the underlying cause.
Valsalva maneuver, stress management, beta blocker, diltiazem, dig
,What medications are given if the pt is in atrial fibrillation?
- Amiodarone, diltiazem, metoprolol, digoxin
What is the normal range for H&H?
- Hemoglobin:
M: 14-18 g/dL
F: 12-16 g/dL
Hematocrit:
M: 42%-52%
F: 37%-47%
What is the normal range for BUN?
- 10-20 mg/dL
, What is the normal range for creatnine?
- M: .06-1.2 mg/dL
F: 0.5-1.1 mg/dL
What is the normal PT range?
- 11-12.5 sec
**1.5-2.5 times the normal on Coumadin
What is the normal INR range?
- 0.9-1.2 sec
What is the normal PTT range?
- 60-70 sec
**1.5-2.5 times the normal on Heparin
What is the normal APTT range?
- 30-40 sec
**1.5-2.5 times the normal on Heparin
What is the normal range for specific gravity?
- 1.005-1.030
What is the therapeutic Digoxin range?
