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Exam (elaborations)

NURB 385 Exam II Questions and Correct Detailed Answers (Verified Answers) ||Alre

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NURB 385 Exam II Questions and Correct Detailed Answers (Verified Answers) ||AlreNURB 385 Exam II Questions and Correct Detailed Answers (Verified Answers) ||Alre

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NURB 385 Exam II Questions and Correct Detailed
Answers (Verified Answers) ||Already Graded
A+||Newest Version
Q: CAD Medications based on patient's risk factors

Ans: ⊡Diabetes

⊡Hypertension: beta blockers; calcium-channel blockers (CCBs)

⊡Atherosclerosis: cholesterol lowering, like statins



Quiz: CAD Antiplatelet agents

Ans: □Aspirin: "an aspirin a day" (not for pain control here)



Quiz: Acute Coronary Syndrome & Myocardial Infarction Treatment

Ans: "MONA"

⊡Morphine

⊡Oxygen

⊡Nitroglycerin

⊡Aspirin

Not necessarily in this order



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, Quiz: Nitroglycerin

Ans: "Nitro," NTG

⊡Dilates coronary arteries (more blood flow, better oxygen supply)

⊡Decreases myocardial oxygen demand

⊡Decreases preload and afterload (because vasodilator)

⊡Lowers blood pressure

⊡For anginal pain; will NOT fix a myocardial infarction

Likely the first one we will try if a patient comes in pain



Quiz: Nitroglycerin formulations

Ans: ⊡**Short acting: sublingual spray, sublingual tabs, IV gtt

-Most common for patient who comes in with chest pain

-Sublingual: Patient may say it tingles or burns means it is working

⊡Longer-acting: ointment, patch, PO (patient with ongoing chest pain)



Quiz: Nitroglycerin Routes




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, Ans: ⊡SL: 1 every 5 minutes up to 3 doses; check BP and pain between doses;
do not give is SBP < 90 or if systolic changes more than 40 from baseline
(relative hypotension)

If not relieving pain NEED to seek help ER/EMS

⊡Ointment & patch

-Measuring ointment

-Remove during defibrillation (can create electrical problem and burn patient



Quiz: Nitroglycerin nursing notes

Ans: ⊡Should not be given with phosphodiesterase inhibitors for erectile
dysfunction (not only men) → unsafe BP drop

⊡SE: lowers BP; can increased or decrease HR; headache; can develop a
tolerance to it



Quiz: Aspirin




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