NRN 202 Final Exam

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Author:
Anonymous
ID:
189021
Filename:
NRN 202 Final Exam
Updated:
2012-12-12 12:31:56
Tags:
Cardiac
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Description:
PAD, Raynaud's disease, DVT, Varicose Veins, Valve Disorder, infection of the Heart
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  1. PAD-Med treatment Hyperlipidemia
    • Statins (LIpitor, Zocor, Mevacor, Pravachol)
    • Bile acid sequestrants (Questran, Prevalite, Niacor, Niaspan)
    • Cholesterol absorption inhibitors (Zetia)
  2. PAD-Med Treatment
    • Antiplaetelt agents (Aspirin, Plavix)
    • ACE Inhibitors ('pril)
  3. PAD-Med Treatment Intermittent Claudication
    • Pentoxifylline (Trental)
    • -increase RBC flexibility
    • -decrease blood viscoisty (more liquid)
    • Cilostazol (Pletal)
    • -increase vasodilation
    • -decrease platelet aggregation
    • -increase walking distance
  4. DVT-Medical Mgmt
    • Unfractionated heparin
    • Low-moelcular weght heparin-enoxaprin (Lovonox)
    • Thrombolytic therapy-used to dissolve clot
    • Factor Xa inhibitors-Arixtra
    • Oral Anticoagulant-warfarin (Coumadin) Vitamin K antagonists
  5. Unfractionated-Heparin
    • delays clotting time
    • prevents thrombus formation
    • aPtt-therapeutic level 1.5-2.5 x normal control
    • Monitored q 4-6 hour range 46-70 seconds
    • D/C > 90.1-100 sec heparin
    • Antidote-Protamine sulfate, w/ 1mg revering 100 units
    • Complication: HITT--> D/C use Argatroban or lepirudin
  6. Low molecular weight Lovenox or Fragmin
    • safe for use in pregnancy
    • costs more than heparin
    • longer half life
    • routine coagulatino tests not required
    • DO NOT expel air bubble
  7. Warfarin sodium (Coumadin)
    • given orally same time each day
    • PT 1.5-2 x normal with goal 24 sec
    • normal PT 8.8-11.6 sec
    • INR normal 1-2
    • anticoagulation level 2-3
    • Antidote Vitamin K (Mephyton)
    • Therapy contd 3-6 or more months
  8. Raynaud's Disease-Medical Mgmt
    • Calcium Channel Blockers: first-ling drug tx
    • Nifedipine (Procardia)
    • Diltiazem (Cardizem)
    • Adverse effects:
    • tachycardia, HA, flushing, dizziness, peripheral edema
  9. Valve Disorder-Medical Mgmt
    • Digitalis
    • Diuretics
    • Antidysrhythics (B-Blockers, calcium-channel blockers, ACE inhibitors)
    • Anticoagulants
    • Prophylactic antibiotic
  10. Rheumatic Fever-Med mgmt
    • Antibiotic therapy (monthing injection or orally daily)
    • Salicylates (ASA) for fever and joint pain
    • Corticosteriods for wever caridtis
  11. Infective Endocarditis-Med mgmt
    • Antibiotic therapy IV for 2-6 weeks based on cultures
    • ASA
  12. Myocarditis-Med mgmt
    • Antibiotics
    • Antiviral therapy with interferon-a
    • Corticosteriods
  13. Acute Pericarditi-Med mgmt
    • Antibiotics
    • NSAIDS ro high-dose ASA
    • Corticosteroids

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