Nurs 615 Exam Iv Exams Questions And Answers 100% Verifed Answers A+

What is the medication of choice for hypertensive crisis with pheochromocytoma? {Ans: Surgical resection of the tumor is the first treatment of choice either my open laparotomy or laparoscopy either surgical option requires prior treatment of nonspecific irreversible adrenergic adraonoreceptor blocker phenoxybenzamine or a shorter acting alpha antagonists, prazosin, terazosin, and doxazosin. Mainly use phenozibenamine in practice. Doing so promotes the surgery to proceed while minimizing the likelihood of severe intraoperative hypertension which is likely when the tumor is manipulated.}What is the action of biphosphonates? {Ans: Bone undergoes constant turnover and is kept in balance by osteoblasts creating bone and osteoclasts destroying bone. Bisphosphonates inhibit the digestion of bone by encouraging osteoclasts to undergo apoptosis or cell death there by slowing bone loss. Oral bisphosphonates can cause upset stomach and inflammation as well as erosion. Erosions of the esophagus which is the main problem of oral and containing preparations. This can be prevented by sitting upright for 30-60 minutes after taking the medication. If the patient does develop some type of gastric distress, give them oral 30ml of Maalox 3 hrs after taking it. IV bisphosphonates can give fever and flu like symptoms after the first infusion which