NURS215 Study Guide - Final Guide: Lyme Disease, Combined Oral Contraceptive Pill, Lactulose
28 Sep 2016
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Also used for esophagus spasm (anaphylactic reaction to cold/ hot) Adverse: bradycardia, altered glucose metabolism, dizziness, fainting, constipation. For cva, chf, htn, cirrhosis + ascites/ edema. Spironolactone useful for patient not managed with other diuretics. Block conversion of ang i ang ii vascular resistance. Arterioles vasoconstriction proximal tubules sodium excretion adrenal cortex aldosterone heart contraction pituitary adh. Normal gfr: 70-120 mol/l for males, 50-90 mol/l for female. Treament of venous thrombosis, embolism, artificial heart valve, ischemic cva, mi, af. Used for hypovolemia (3% to pull fluid into vein) Volume expander, require less than hypertonic solution because it contains albumin. Of solution is loss to interstitial compartment. Detran: interfere with platelet aggregation bleeding risk. Target cell walls and islet cells increase insulin secretion, improve insulin binding to receptors/ increase insulin receptors. Target liver and gi increase peripheral glucose intake and use, improve hepatic response to blood glucose, decrease intestinal absorption of glucose. Block carbohydrate digesting enzyme reduce glucose from carbs.
