Harrison Walsh

Question 1

what is vertigo

Answer 1

feeling that you or your surroundings are moving or spinning most cases caused by inner ear problems

Question 2

what are s/s of vertigo

Answer 2

• balance issues
• N/V
• motion sickness
• tinnitus
• headaches

Question 3

what are some risk factors for vertigo

Answer 3

• age being above 60
• head injuries or ear infections
• medication side effects

Question 4

what are some nursing considerations vertigo

Answer 4

• take rests between activities
• medications to help with the symptoms
• ax for falls

Question 5

what is DVT

Answer 5

deep vein thrombosis, is a blood clot that forms in the deep vein it causes leg pain, swelling, and heat to the area and is dangerous once the clot turns into a embolism (traveling clot) that could affect the lungs causing a pulmonary embolism

Question 6

what are some s/s of DVT

Answer 6

• edema
• pain when palpating
• redness and warmth of the area

Question 7

what are some risk factors of DVT

Answer 7

• lack of movement and bed rest can cause DVT
• smoking (causes blood to be sticky and easily clot)
• obesity (causes blood to be sticky and easily clot)

Question 8

what are some nursing considerations in DVT

Answer 8

• TED stockings
• ROM exercises
• medications

Question 9

what is the trade name for dimenhydrinate

Answer 9

gravol

Question 10

what is the drug class for gravol

Answer 10

antiemetic (reduces n/v)
antihistamine (reduces allergic reactions)
anticholinergic (calms and slows body)

Question 11

what is the action of gravol

Answer 11

blocks histamine in the brain and body (GI track, resp system, and blood vessels), has anticholinergic effects of reducing brain signals of dizziness and N/V

Question 12

what is the TO of gravol

Answer 12

reduces N/V and vertigo

Question 13

what is the route of gravol

Answer 13

• PO
• IM
• IV

Question 14

what are the use and indications of gravol

Answer 14

• motion sickness
• vertigo
• N/V

Question 15

what are the adverse affects gravol

Answer 15

• drowsiness
• headache
• dry mouth
• blurred vision

Question 16

what are the nursing considerations of gravol

Answer 16

• ax for other conditions that could be causing same side effects like dizziness or nausea like brain tumor
• ax BP and pulse more frequently in cardiac pt’s since medication causes body to calm and relax
• ax s/s of CNS depressant dizziness or drowsiness

Question 17

what are patient teachings for gravol

Answer 17

• avoid activities that require attention bc of dizziness like driving
• avoid CNS depressants and alcohol bc it increases the sedative effects
• avoid in older adults bc medication has anticholinergic affects and these will be high in older population (they will be confused, dizziness, dry mouth, medication will take longer to absorb)

Question 18

what are the trade for heparin

Answer 18

hep-lock

Question 19

what are the routes for hep-lock

Answer 19

• SUB-Q
• IV

Question 19

what is the drug class for hep-lock

Answer 19

anticoagulant (prevents formation of new clots and prevents old clots from growing), antithrombotic (prevents blood from being sticky and not clot)

Question 20

what is the action for hep-lock

Answer 20

increases protein called antithrombin that prevents blood from clotting by stops conversion of fibrinogen to fibrin and prothrombin to thrombin, slowing clotting abilities

Question 21

what are the adverse affects for hep-lock

Answer 21

• risk of bleeding out
• blood in the urine (hematuria)
• temporary rebound hyperlipidemia of triglycerides when medication stopped
• irritation at injection site (allergic reaction rash, redness)

Question 22

what is the TO of hep-lock

Answer 22

prevents new clots from forming and existing clots from getting bigger, it doesn’t break down existing clot just stops it from growing further

Question 23

what are the use and indications for hep-lock

Answer 23

• prevents/ treats MI
• used after blood transfusions to keep IV lines open and not have blood clotting there
• used in surgery to prevent blood from clotting

Question 24

list some nursing interventions for hep-lock

Answer 24

- apply pressure for one min at site - get PTT time before hand (HIGH PTT time = at risk for bleeding out, LOW PTT time = risk of blood clotting) - ax for bleeding (epistaxis, gums, stool, urine, bruising) - assess for allergic reactions (rash, redness, hives)

Question 25

what are some patient teachings for hep-lock

Answer 25

- report signs of bleeding like (blood in the stool, urine, gums) - use soft bristle toothbrush to avoid bleeding gums - avoid contact spots - medication may be stopped during prolonged bleeding (bc blood thinner it could extend bleeding)