NM 322 Exam Concept Review

Problems of the Hematological system Review – Clinical Manifestation Diagnostic Hepatic and spleen scans with contrast dye) & lab tests (Complete Blood Count: HGB HCT WBC Platelet)

Interdisciplinary Treatment priorities for:

Pernicious Anemia (Cobalamin (Vitamin B₁₂) Deficiency)

Thrombocytopenia

Panatcopenia

Hemolytic

Neutropenia

Problems of the Cardiovascular System Clinical Manifestation Diagnostic tests & labs Interdisciplinary Treatment priorities & options (Defibrillation Cardioversion, transcutaneous pacemaker etc.….)

Chronic stable versus Unstable Angina

ST Elevation Myocardial Infarction Versus Non-ST Elevation Myocardial Infarction –

Analyzing the rhythm of a patient’s electrocardiogram (ECG)- Know normal ranges for ST segment QT interval, PR interval, QRS interval and recognize variations from normal

Relationship between the atrial and ventricular rates and the variable PR interval

Coronary Artery Bypass Graft (CABG)

Nursing and Interprofessional management – Pre and post op (Hint: Know the Arteries and veins and where they may be harvested from)

Heart failure – Diet Activity Inter professional management, The Joint Commission Core Measures for Treatment of Heart failure Patients

– Acute Decompensated Heart Failure (ADHF)

Implantable Cardioverter-Defibrillator (ICD) Patient teaching

Problems with Neurological system

Focused Neurological assessments (Glascow Coma Scale etc.…)

Clinical manifestations Diagnostic tests & labs Interdisciplinary Treatment (Relationship between electrolytes and Cerebral edema, Lumbar Puncture, ventriculostomy) priorities & options for the following:

Head Injury– Compare Subdural Epidural Subarachnoid Hematoma

-Know the different types of nasal and ear drainage and what they indicate

Increased Intracranial Pressure (intraventricular catheter Management)

Post concussion Syndrome

Basilar Skull Fracture

Meningitis Viral Versus Meningococcal, Versus Bacterial

Stoke Ischemic Versus Hemorrhagic –Risk factors Clinical manifestations (Aphasia Types, Hemiopsia hemiparesis) Diagnostic labs and test Nursing and Interprofessional care

Types of Headaches (cluster, Migraine etc.….)

Types of Seizures (Tonic, Focal, Tonic- Clonic, Generalized, Grand Mal)

Carotid Angioplasty (Endarterectomy, Stenting)

MULTIPLE SCLEROSIS (MS) Risk factors Clinical manifestations Diagnostic labs and test Nursing and Interprofessional care

medications:

glatiramer acetate (Copaxone) Administration, Effect Side effect Nursing management

dalfampridine (Ampyra)

amyotrophic lateral sclerosis (ALS)- Risk factors Clinical manifestations Diagnostic labs and test Nursing and Interprofessional care

Medications – Look up and review administration parameters, effect, side effect and nursing management for the following medications:

Ace Inhibitors

-Adrenergic Blockers.

Calcium Channel Blockers.

Digitalis and Potassium Therapy Regimens.

Angiotensin-Converting Enzyme (ACE) Inhibitors.

Nesiritide (Natrecor)

Atropine Sulphate

Adenosine (Adenocard)

Metropolol (Lopressor)

Nifedipine (Procardia)

Morphine – Guidelines For Use & Treatment Of Angina And Heart Failure

Diltiazem (Cardizem)

Dopamine

Nitroglycerin

Nimodipine

Nifedipine

Anticoagulants [TPA, Heparin, Warfarin (Coumadin)]

Triptans – Sumatriptan (Imitrex)

Phenytoin (Dilantin)

Glatiramer Acetate (Copaxone) Administration

Dalfampridine (Ampyra)