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CCRN Practice exam Flashcards

(105 cards)

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1
Q

what to watch for post-op valve replacement

A

clot

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2
Q

what to give for elevated calcium levels

A

lasix

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3
Q

which procedure is highest risk for heart block post op

A

MVR

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4
Q

what happens with oxyhgb shift to the right

A

increased o2 release

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5
Q

urine osmo and sodium levels in intrarenal failure

A

decreased, filter is clogged

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6
Q

CP with ST elevation that is relieved with NTG

A

Prinzmetals angina

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7
Q

What to give with multiple units of PRBCs

A

Plts and FFP

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8
Q

Major complication of epidural hematoma

A

uncal hernia

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9
Q

what to give for RV infarct

A

fluids

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10
Q

what to give for diastolic HF

A

CCB

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11
Q

CSF glucose level in bacterial meningitis

A

decreased

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12
Q

highest cause of death in CKD patients

A

infection

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13
Q

what to give wolff-parkinson white with preexcited a-fib

A

brevi

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14
Q

peritoneal irritation pain is relieved by

A

lying with knees flexed

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15
Q

complication of vasopressin

A

myocardial ischemia, watch for ST changes

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16
Q

glucose level in adrenal insufficiency

A

hypoglycemia

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17
Q

first line drug for hypertensive crisis with EOD or cardiac ischemia

A

labetolol

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18
Q

Major cause of DKA

A

infection

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19
Q

DKA fluids to give if BG less than 250

A

D5 1/2NS

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20
Q

HHS fluid status and osmo levels

A

severe dehydration, serum osmo greater than 320

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21
Q

calcium levels in pancreatitis

A

hypocalcemia

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22
Q

what to do if residuals are elevated

A

give reglan to improve gastric motility

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23
Q

patients with liver failure have an increased risk of

A

infection

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24
Q

acid/base chemical produced in pancreas

A

bicarb

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25
SVR formula
((MAP-CVP)/CO)*80
26
Medications to hold in hypertrophic cardiomyopathy
dig, diuretics, inotropes
27
ST elevations in VI, V2, V3, V4
anterior
28
anterior infarct which vessel
LAD
29
3 major complications of LAD infarct
cardiogenic shock, BBB, ventricular dysrhythmias
30
ST elevations in II, III, aVF
inferior
31
inferior infarct which vessel
RCA
32
ST elevation in I, aVL, V5, V6
lateral
33
lateral infarct which vessel
circumflex
34
complication of circumflex infarct
heart block
35
sympathetic neurotransmitters
epi and norepi
36
parasympathetic neurotransmitter
acetylcholine
37
sympathetic receptors
alpha and beta adrenergic
38
parasympathetic receptors
nicotinic and muscarinic cholinergic
39
heart sympathetic receptor
beta 1
40
lungs sympathetic receptor
beta 2
41
vessels sympathetic receptors
alpha 1 and beta 2
42
skeletal muscle sympathetic receptor
beta 2
43
bladder sphincter sympathetic receptor
alpha 1
44
kidney sympathetic receptor
beta 1
45
kidney sympathetic response
renin secreted which turns to ADH
46
liver sympathetic receptors
alpha 1, beta 2
47
liver sympathetic response
gluconeogenesis
48
dobutamine mechanism
beta 1 adrenergic receptor agonist- increase contractility mild beta 2 adrenergic receptor agonist- mild vasodilation, increased perfusion
49
nitroglycerin properties (3)
venodilator, decreases preload, dilates coronaries
50
high dose dobuatmine downfalls
can increase HR so significantly that filling time decreases, decreasing CO
51
where is the fluid located in pulmonary edema
lung intersitium
52
CXR pulm edema
spider web vessels
53
labetolol mechanism
alpha and beta blocker
54
first line BP control for dissection
labetalol and nicardipine
55
becks triad
muffled heart tones, narrowed pulse pressure, JVD
56
electrical alternans is a sign of
tamponade
57
sign of acute aortic dissection
different BPs in each arm
58
sign of cardiac contusion
PVCs
59
specific sign of endocarditis (3)
petechiae, oslers nodes, splinter hemorrhage in nail beds
60
what medications not to give in HTN emergency
diuretics
61
first line treatment of adrenal crisis
decardon
62
fibrinogen levels in DIC
decreased
63
treatment of DIC (2)
vitamin k, heparin
64
5 symptoms of tumor lysis syndrome
hyperkalemia, hyperphosphatemia, hypocalcemia, hyperuricemia, acidosis
65
pain characteristics in acute pancreatitis
pain radiates to back
66
BUN and Cr in pancreatitis
elevated
67
vasopressin effects GI
constricts splanchic inflow to reduce portal pressure
68
Kehrs sign
left shoulder pain from irritation to the diaphragm
69
normal bladder pressure
0-5
70
abdominal compartment syndrome pressure
greater than 12
71
dead spave ventilation
alveolus is receiving ventilation but not perfusion (PE)
72
interpulmonary shunting
alveolus receiving perfusion but not ventilation (atelectasis, PNA)
73
pH when oxyhbg shifts to the left
alkalosis
74
volume remaining in lungs after exhale
FRC
75
nutrition of COPD
high calorie, low carb
76
CXR COPD
flattened diaphragm, decreased vascular markings, bullae
77
virchows triad
venous stasis, hypercoagulability, vascular wall damage
78
positioning for air embolism
tburg and left side to trap air in RV
79
acidosis causes cerebral
vasodilation
80
alkalosis causes cerebral
vasoconstriction
81
normal ICP
0-15
82
decorticate lesion location
midbrain
83
decerebrate lesion location
brainstem
84
gold standard ICP monitoring
ventriculostomy
85
MAP goal increased ICP
>80
86
CPP goal
60-70
87
ICP goal
<20
88
Penumbra
viable but not functioning neuronal cells
89
stroke treat htn if over
SBP 220
90
stroke treat htn if giving tpa and SBP greater than
180 for first 24 hours
91
how fast can you lower BP in stroke pts
less than 10%/hr
92
HOB in stroke pts
flat initially then 45%
93
stroke guidelines CT within
20 mins
94
door to needle stroke within
60 mins
95
todd's paralysis
post seizure hemiplegia or monoplegia
96
gcs less then 8,
intubate
97
loss of motor in upper extremities, intact motor of lower extremities, bladder and bowel intact, loss pain and temperature sensation
central cord syndrome
98
loss of motor, pain, and temperature sensation. Proprioception and light tough intact
anterior cord syndrome
99
whiplash, loss of sensory, intact motor, pain, temp, firm touch, and pressure
posterior cord syndrome
100
how to position OB patients
on left side
101
temperature with salicylates and cocaine OD
hyperthermia
102
temperature with barbiturates and opiate OD
hypothermia
103
Tylenol OD causes
liver failure
104
Tylenol antidote
mucomyst aka acetylcycteine
105
cocaine OD symptoms (7)
HTN, CP, ECG changes, headache, stroke, seizures, hyperthermia

CCRN (1 decks)

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