NUR 3145 test 3
Terms in this set (41)
What type of agent is metformin and who should it not be given to?
It is a hypoglycemic agent and should not be given to patients with renal failure, hypothyroidism, and type 1 diabetes.
What is the fastest acting insulin?
Lispro is a rapid acting insulin ( ie humalog)
3. When administering NPH insulin, the nurse must remember to order what for the patient from dietary
Food around 4 o'clock pm.
What type of insulin can be administered through an IV?
What should a patient on an SU avoid?
What is lipodystrophy?
It is the abnormal dimpling/fat accumulation. It can occur when you do not rotate you shot sites.
What are the three most important things to do in a DKA patient?
administer IV insulin (stabilize glucose) , place fluid volume, and electrolytes (potassium)
What does the thyroid need to function properly?
What is the test used to monitor thyroid function?
TSH (thyroid stimulating horomone) test
What are some symptoms of hyperthyroidism/thyroid overdose?
tachycardia, fast metabolism, bulging eyes, increased fever, hypertension, and palpitations (with overdose).
What is used to treat hyperthyroidism?
Tapazole, PTU (Propylthiouracil), lugols solution (iodine).
What should a diabetic be warned about when taking corticosteroids for an allergic reaction?
Increase in blood sugar (hyperglycemia)
A patient taking long term glucocorticoids has a headache and should avoid what and why?
Avoid taking NSAIDs because both meds cause severe GI upset and and together can cause damage to the stomach and cause bleeding.
Why should immunocompromised patients not have visitors?
Because they have an increased risk of acquiring infections that visitors may bring in.
What would be seen in patient with untreated Addison's disease?
Hypoglycemia, hypotension, increased skin pigmenttation & fatigue.
What should a 35 year old woman on a statin drug avoid?
While taking a bile acid binding agent, supplements are needed for what vitamins?
ADEK (fat soluble vitamins)
What should you do before administering questran?
dissolve it in liquid.
What would you carefully monitor in a patient taking a beta blocker and a calcium channel blocker?
Blood pressure because they can develop hypotension
When administering a calcium channel blocker you must do what first?
Make sure a crash cart is nearby.
What side affects can ACEIS cause?
Angioedema, cough, and postural hypotension
What should a nurse tell a patient with prehypertension?
To do a lifestyle change.
What would a nurse administer to a newly diagnosed hypertensive patient?
A thiazide diuretic.
What is the drug of choice for a hypertensive emergency?
When should diuretics be taken?
In the morning.
What is the major goal of antianginal therapy?
Stop chest pain.
What are the physiological strategies to decrease anginal pain?
Increase supply and decrease demand. Vasodilate and decrease the workload of the heart.
What drugs are administered post MI to reduce mortality?
Include aspirin, beta blockers, Acei's (aceinhibitors)/arbs
What can long time nitrate use do?
It can result in tolerance.
What are the side effects of lanoxin toxicity?
visual disturbances, severe bradycardia, vomiting, and nausea (common first symptoms).
What is digitalizing?
It is titrating up 1 or 2 loading doses to therapeutic level for maximum effect.
What should a CHF patient do?
Weigh himself daily and report 1-2 lbs per day or 5lbs per week.
What should mior pain be treated with?
What should neuropathy be treated with?
tricyclic antidepressants (adjuvant drugs)
What are the major side effects of morphine?
respiratory depression, constipation, drowsiness.
What is Narcan used for?
opioid overdose and to diagnose if someone is having an opioid overdose.
When should a patient take triptan?
They should take this migraine drug at first symptom or aura.
What are the interventions for a cancer patient with malignant pain?
Opioids IV, around the clock, and have drugs available for breakthrough pain.
What does a neuromuscular blockade require?
intubation for the patient because diaphragm is paralyzed). (anectine is a neuromuscular blockade agent)
How do you rid your body of nitrous oxide?
Deep breathe several times an hour.
What should the nurse check for before administering propofol?
Check for allergies to soybeans and eggs.