STUDY GUIDE NR 340 EXAM TWO *Remember: The exam questions will test more of the higher level thinking skills (analyzing‚ application‚ and evaluating) and fewer lower level (remembering‚ understanding)‚ with the nursing process and QSEN application. There may be medication calculation and multiple answers. Pharmacodynamics of medications - i.e. action/therapeutic effects‚ uses‚ and nursing implications for the following: crystalloid solutions colloid solutions hypotonic/hypertonic solutions
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transplantation should be considered if the medical treatments have failed or not possible. Indications for the heart transplant procedure. The guidelines for the heart transplant are: • Refractory cardiogenic shock requiring intra-aortic balloon pump counterpulsation or left ventricular assist device (LVAD); • Cardiogenic shock requiring continuous intravenous inotropic therapy (i.e.‚ dobutamine‚ milrinone‚ etc.); • Peak VO2 (VO2max) less than 10 mL/kg per min; • NYHA class of III or IV despite maximized medical
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of heart muscle tissue (myocardium). Cause: It is usually caused by reduced blood flow in the coronary artery. Conditions that may lead to Myocardial Infarction: 1. Atherosclerosis 2. Coronary Thrombosis or embolism 3. Coronary Vasospasm 4. Shock 5. Direct Trauma 6. Acute severe infection‚ such as pneumonia‚ can trigger myocardial infarction. A more controversial link is that between Chlamydophila pneumoniae infection and atherosclerosis. While this intracellular organism has been demonstrated
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Care Plan Worksheet Student: Date of Care: Age/Gender: Rm Number: Code Status: full Allergy: NKA Admitting Diagnosis : embolic cerebral vascular accident (CVA)‚ right side Current Medical/Surgical Diagnosis: chronic left ventricle thrombus on anticoagulant‚ hypertension‚ chronic kidney disease stage 3 Past Medical/Surgical History: metastasis of prostate cancer‚ primary; bone cancer‚ secondary; cardiomyopathy‚ a central hypertension‚ left bundle branch lock‚ past substance abuse
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Being a new nurse educator‚ my teaching philosophy will include the plans and expectations I have for my professional teaching career. I believe that the students should be provided with clearly stated goals for learning. The goals should aim to enhance critical thinking‚ promote active learning‚ integrate evidence-based research into nursing practice‚ and deliver safe‚ quality‚ and compassionate care to the patients. As a nurse educator‚ it is my goal to help students achieve their goals and
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b DEPARTMENT OF NURSING NURSING CARE PLAN |Student Name: p |Age: 89 | |Course number: Basic Skills & Concepts of Nursing |
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Metoprolol Metoprolol is a beta-Adrenergic blocking agent. Beta receptors are part of the sympathetic nervous system and are found on cells of the heart‚ smooth muscles‚ in airways‚ arteries and kidneys. Associated with stress response‚ they are stimulated by epinephrine. Beta blockers interfere with the binding of epinephrine at the receptors. Metoprolol works by inhibiting the response to adrenergic stimuli by blocking beta one adrenergic receptors within the myocardium. (Hoffman‚ Jones
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pathway of the impulse after an MI * Hypoxemia * Electrolyte imbalance * Spiked T waves from potassium imbalance * Drug use or toxicity * Beta blockers can slow heart too much * Hypovolemia * Shock Labs and Diagnostic Tests * Labs * Electrolytes * K (important) and Na * Hemoglobin and hematocrit * BUN and creatinine * Kidneys – your kidneys help your pH balance (increase puts more stress on heart
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As history has dictated from the second they were in circulation‚ drugs have always been abused. Recreationally‚ or Professionally‚ it is bound to happen. This is no different for the ADHD combatting drug of Amphetamines‚ known on the street as “speed” (themix.org). Common uses for abuse are to increase energy‚ fatigue reducement‚ and increased focus (nida.gov)‚ all of which end up being detrimental to health when taken in the doses required to get the desired effect (narconon.org). In professional
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MegaCode Case Study Chamberlain College of Nursing Professor Amber Essman Critical Care (NR 340) July 11‚ 2013 MegaCode Case Study 1. Describe the preoperative and postoperative care of a client having PTCA/cardiac cath. What complications can occur post cardiac cath? The goal of PCI (percutaneous Transluminal intervention) is to open the blockage in the coronary artery. By opening the area that is blocked‚ it will help to reperfuse the myocardium. The faster this is done will help
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