BACHELOR IN SCIENCE IN NURSING Study Guide - Final Guide: Esophageal Varices, Cardiac Glycoside, Cardiac Arrhythmia

3 views2 pages

rafaelespayos2025

16 Aug 2022

School

Our Lady of Fatima University

Department

Nursing

Course

BACHELOR IN SCIENCE IN NURSING

Professor

For unlimited access to Study Guides, a Grade+ subscription is required.

Document Summary

Given for hypertension (reduces heart rate and peripheral resistance), cardiac dysrhythmia (used in sinus tachycardia by slowing down heart rate), and angina (prevents chest pain by reducing cardiac workload). Most important assessment before giving beta-blockers: check the apical pulse for 1 minute and do not give if the pulse is below 60 beats per minute. Beta-blockers block the beta-receptors in the heart, which reduces the heart rate. They should not be given if the blood pressure is low or if the patient has respiratory problems (beta-2 receptors cause bronchodilation, blocking them causes bronchoconstriction. ) When given to patients with diabetes, it may potentiate the hypoglycemic effects of insulin. Given in patients with esophageal varices to reduce risk of bleeding. Used for heart failure but more commonly given now to pediatric patients; increased mortality is linked to its use among adults. Positive inotropic effect (increases myocardial contraction) and negative chronotropic effect (reduces cardiac rate)

Related Questions

To better the rural community it serves, XYZ Hospital has instituted a remote patient monitoring system for patients with pacemakers. Patients use a smart phone app to download the information collected by the pacemaker that is then sent to their physicians on a more frequent basis than a regularly scheduled doctor's appointment. Because the data is collected more frequently, the doctor's can identify cardiac issues before they become a real problem requiring the patient to be admitted. Benefits to telehealth include:

A. Access to patient information

B. Reducing hospitalization

C. Providing information to healthcare providers

D. Population health

StewartRenee

1. The nurse working in a long-term care facility incorporates a focused assessment of
the immune system for all newly admitted patients over the age of 65. Older adults

are more likely to develop problems related to immune function than are middle-
aged people. The focused immune assessment includes a systemic approach based

on age-related changes in immunologic function. (Learning Objective 4)
a. What changes in the immune system in the older adult increase the incidence of
infection and cancer in this population?
b. Explain why older adults may have decreased inflammatory responses.
c. Why are older adults at increased risk of gastroenteritis and diarrhea secondary
to proliferation of intestinal organisms?

2. The nurse educator for an oncology unit is preparing an in-service presentation for
new nurses about the care of patients with immunodeficiencies. Patients with cancer
who are receiving chemotherapy, as well as those with bone marrow transplants, are
immunocompromised and require special attention to assess for signs of infection.
The nurse educator focuses on special care needs of this patient population.
a. What is the rationale for assessing the pulse and respiratory rates for 1 full
minute in a patient with immunodeficiency?
b. What special precautions about dietary restrictions and food preparation should
be included in the teaching for a patient with immunodeficiency?
c. What nursing actions should be implemented to decrease the risk of infection in
the patient with immunodeficiency?
3. Molly Baker, a 22-year-old patient, presents to the clinic with the diagnosis of
allergic rhinitis. She states that she develops paroxysmal sneezing, clear nasal
drainage and congestion, watery, red eyes, and nasal itching from the late spring
until the first frost in the fall. She states that she has a dry cough and voice
hoarseness. She complains of feeling extremely tired, unable to sleep at night, and
having difficulty concentrating on her collegiate course work.
a. What further assessment should the nurse provide?

Ellie Long, a 55-year-old patient, presents to the pain clinic with the diagnosis of
fibromyalgia syndrome. The nurse at the clinic obtains a history and physical
assessment of the patient. (Learning Objective 2)
a. On what areas should the nurse concentrate when interviewing the patient
during the history process?
b. On what areas should the nurse concentrate when assessing the patient?
c. What diagnostic tests are used with fibromyalgia syndrome?

goldworm200

BACHELOR IN SCIENCE IN NURSING Study Guide - Final Guide: Esophageal Varices, Cardiac Glycoside, Cardiac Arrhythmia

Document Summary

Get access

Related Documents

BIO120H1 Lecture Notes - Lecture 5: Beta Blocker, Parasympathetic Nervous System, Stroke Volume

NURS 2004 Lecture Notes - Lecture 16: Isosorbide Dinitrate, Angina Pectoris, Beta Blocker

NURS 210 Lecture Notes - Lecture 2: Zafirlukast, Pharyngitis, Bioavailability

Related Questions