Nur371 Acute Care Already Passed

medications for the treatment of ACS {Ans: •Antiplatelet agents -Aspirin (ASA) -Clopidogrel (Plavix) •Anticoagulants -LMWH (Fragmin) -Heparin (SC or IV) •Beta blockers •Calcium Channel Blockers •ACE Inhibitors •Morphine •Nitroglycerin •Oxygen}pre-op nursing assessment {Ans: taking detailed health history = assessment of risk A-B-C-D-E Allergies - what are you allergic to, and what happens? Bleeding - are you on any blood thinners ? (e.g. asprin, warfrin); history of bleeding disorders? Do you bruise easily? Cortisone/Steriods - these decrease inflammation but also mask the signs of infection - so we have to look at other things like temp, bloodwork to rule out infection Diabetes - poor circulation = poor wound healing abilities; might need a closure device Emboli - need to assess if they have a high risk for DVT - risk of pulmonary embolism •Previous surgeries •Problems with anaesthesia? •Previous health conditions •Co-morbidities (e.g. HTN, COPD) •Episodes of bleeding •Medications - Prescribed - OTC - Vitamins & herbal supplements •Height & Weight; For anaesthesia dosing •Limitations in neck mobility - Arthritis? •Positioning in OR •History of drug/opiate use - May need higher dose •History of alcohol (ETOH) use = Delirium Tremens (Alcohol withdrawal) - seizures, withdrawal, agitation; abuse - could