Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Ed., Hinkle & Cheever |  Registered Nurse (RN) School Study Aid
Therapeutic Diets
- High Fiber
 - Low Residue (Fiber)
 - Low Sodium
 - Low Cholesterol
 - Diabetic
 - Renal
 - Dysphagia
 - Diet Education
 
Heart Failure Interventions
- Echocardiogram
 - Invasive Hemodynamic Monitoring
 - High Fowler's Position
 - Oxygen
 - Advanced Airway
 - Diuretics
 - Beta Blockers
 - Angiotensin II Receptor Blockers (ARBs)
 - ACE Inhibitors
 - Digoxin (Lanoxin)
 - Pacemaker
 
Left Heart Failure Assessment
- Pulmonary Congestion
 - Pink Frothy Sputum
 - Wheezing or Crackles
 - Dyspnea with Exertion
 - Cough
 - Fatigue
 - Tachycardia
 - Weak Peripheral Pulse
 - S3, S4 Heart Sounds
 
Right Heart Failure Assessment
- Jugular Venous Distention (JVD)
 - Peripheral Edema
 - Hepatosplenomegaly
 - Nocturia
 - Weight Gain
 - Ascites
 - Fatigue
 
Types of Heart Failure
- Left Sided
 - Pulmonary Congestion
 - Right Sided
 - Peripheral Edema
 - High Output
 - Unable to Meet Metabolic Needs
 
Angiotensin II Receptor Blockers (ARBs)
- Ends in "-sartan"
 - Blocks Angiotensin II Receptor
 - Hypertension
 - Angioedema
 - Renal Artery Stenosis
 - Pregnancy
 
Norepinephrine (Levophed)
- Alpha Agonist
 - Beta-1 Agonist
 - Severe Hypotension
 - Decreases Renal Blood Flow
 - Arrhythmias
 - Hypertension
 - Tissue Necrosis
 - Last Resort Medication
 
Angiotensin-Converting Enzyme (ACE) Inhibitors
- "-pril" Suffix
 - Block Renin Angiotensin-Aldosterone System (RAAS)
 - Hypertension
 - Heart Failure
 - Dry Non-productive Cough
 - Hypotension
 - Dizziness
 - Possible Hyperkalemia
 - Angioedema
 - Slowly Change Position
 - Do Not Stop Abruptly
 
Atropine
- Muscarinic Antagonist
 - Bradycardia
 - Increased Exocrine Secretions
 - Smooth Muscle Spasms
 - Tachycardia
 - Dry Mouth
 - Urinary Retention
 
Beta Blockers
- "-olol" suffix
 - Decreases Heart Rate and Contractility
 - Decreases Peripheral Vascular Resistance
 - Decreases Renin Release
 - Hypertension
 - Heart Failure
 - Angina Pectoris
 - Asthma and Heart Block Patients
 - Assess Blood Pressure and Heart Rate
 - Masking Signs of Hypoglycemia
 - Do Not Stop Abruptly
 
Digoxin (Lanoxin)
- Increases Inotropy
 - Heart Failure
 - Atrial Fibrillation
 - Bradycardia
 - Fatigue
 - Heart Block
 - Heart Rate Below 60
 - Hypokalemia
 - Monitor for Toxicity and Visual Changes
 - Digibind
 
Dobutamine
- Beta-1 Agonist
 - Inotropic
 - Heart Failure
 - Tachycardia
 - Arrhythmias
 - Closely Monitor Patients
 - Other Meds May Increase Potency
 
Epinephrine (Adrenaline)
- Alpha and Beta Agonist
 - Anaphylaxis
 - Primary Open Angle Glaucoma (POAG)
 - Bleeding
 - Cardiac Arrest
 - Tachycardia
 - Hypertension
 - Tremors
 - Insomnia
 - Multiple Strengths
 
Sodium Nitroprusside (Nitropress)
- Venous and Arterial Dilation
 - Hypertensive Crisis
 - Cyanide Toxicity
 - Thiocyanate Toxicity
 - Hypotension
 - Short Term Administration
 - Light Sensitive, Use Container
 - Continuous BP Monitoring
 
Hydrochlorothiazide HCTZ
- Inhibits Reabsorption NaCl and H2O
 - Edema
 - Mild to Moderate Hypertension
 - Hypokalemia
 - Hyponatremia
 - Dehydration
 - Hyperglycemia
 - Gout
 - Sulfa Allergy
 - Pregnancy and Breastfeeding
 
Loop Diuretic Education
- Furosemide (Lasix)
 - Heart Failure
 - Pulmonary Edema
 - Acute Renal Failure (ARF)
 - Edema
 - Notify the provider of weakness, dizziness, or muscle cramping
 - Increase Potassium Intake
 - Check BP Daily
 - Daily Weights and Monitor IandOs
 
Loop Diuretics
- Thick Ascending Limb of Loop of Henle
 - Inhibits Na+-K+-2Cl-
 - Sulfa Drug
 - Furosemide
 - Lasix
 - Ototoxicity from Rapid Injection
 - Gout
 - Dehydration
 - Hypocalcemia
 - Hypokalemia
 - Orthostatic Hypotension
 
Spironolactone (Aldactone)
- Inhibition of Aldosterone
 - Potassium Retention
 - Hypertension
 - Edema
 - Heart Failure
 - Hyperkalemia
 - Endocrine Effects
 - Avoid Potassium Supplements
 
Magnesium Sulfate
- Muscle Relaxant
 - Preterm Labor Contractions
 - Preeclampsia
 - Warm Feeling
 - Hypotension
 - Decreased Deep Tendon Reflexes (DTRS)
 - Decreased Respiratory Rate
 - Decreased Urine Output
 - Paralytic Ileus
 - Calcium Gluconate
 
Cardiac Tamponade
- Fluid in the Pericardial Sac
 - Pericarditis
 - Decreased Cardiac Output
 - Beck's Triad
 - Hypotension
 - Jugular Venous Distention (JVD)
 - Distant Heart Sounds
 - Pulsus Paradoxus
 - Electrical Alternans
 - Pericardiocentesis