- HOB 30 degrees - Ulcer Prevention (PPI) - Oral Care (q2-3) - DVT prevention - Weaning

Final Exam Flashcards by Julia Mohler

Assault

Intentional Harm or threatening harm

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Battery

Occurs with failure to obtain informed consent

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V fib / V tach Tx:

Epi and SHOCK

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PEA - asystole

CPR NO SHOCK

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Bradycardia Tx:

Atropine/Dopamine/Epi

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Tachycardia Tx:

BB and Cardioversion

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Torsades Tx:

Magnesium

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Dopamine is effective for

HYPOTENSION

when client does not have hypovolemia

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PaCO2 for Hyperventilation

Respiratory Alkalosis

Acid being blown out

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PaCO2 for Hypoventilation

Respiratory Acidosis

Acid being held in

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PaCO2 for DKA

Metabolic Acidosis

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Vent Bundle

HOB 30 degrees
Ulcer Prevention (PPI)
Oral Care (q2-3)
DVT prevention
Weaning

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Client is having difficult weaning look at

hemoglobin

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Factors that cause reduced respirations promotes respiratory acidosis

Failure of ventilation and accumulation of carbon dioxide

(Airways - Asthma & COPD - cant blow acid out)

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Chest tubes can cause

pneumothorax and tension pneumothorax

can cause deviated trachea

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Complications of ET tube

ETT displacement
Tracheal Injury
Oral/ Nasal Injury
Barotrauma – injury because of air or body pressure
Volutrauma – overdistention of the lung
O2 toxicity
VAP

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Safety is improved with a focus on

alarms

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Tubing connections for arterial lines

should be tight

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Clients with enteral feedings should have HOB at

30 degrees to prevent aspiration and pneumonia

Prevent VAP

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If a client has a unilateral respiratory condition,

good lung down will promote perfusion.

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ARDS occurs because of

increased capillary permeability

Fluid builds up in alveoli, leaves no room for air. Causes from infection and injury. Tx; increase Blood oxygen levels, breathing support.

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Hypoxemia S/S and Tx

S/S DLOC, restlessness, decreased tissue perfusion, tachypnea, increased HR then decreased, headache, pallor, cyanosis

Tx: Meds: Bronchodilators & steroids, diuretics (get rid of fluid in lung), Oxygen

LOW OXYGEN IN BLOOD

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Client to be weaned from vet

RR <25
FiO2 <40%
SpO2 >90%
SBP 100-150, DBP 60-90
HR 60-100 BPM
Sedation weaned
Acceptable labs for 24 hours

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What meds lower K in blood

Diuretics (Mannitol), Laxatives, Insulin, ACE, ARBS, Sodium polystyrene sulfonate, Glucocorticoids

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What med causes vasodilation of kidney

DOPAMINE

Pain on urination and bacteria in the urine could indicate

post renal injury

Decreased CO s/s

- Fatigue - Edema of arms and legs - SOB - Abdominal Pain

Client taking amlodipine should avoid

grapefruit juice

Hypovolemia S/S

Tachycardia Tachypnea Low BP

MI Interventions

-EKG – STEMI versus NSTEMI -MONA (Monitor Pain, Oxygen, Nitroglycerin, Aspirin) -STEMI – goal is to reperfusion therapy is 90 minutes door to balloon time, fibrinolytic therapy in patients with no contraindications who present within 12 hrs of onset of symptoms

R sided ♡ failure

Body edema

L sided ♡ failure

pulmonary edema

Patho of MI

MI – thrombotic occlusion of artery caused by rupture of plaque. Ischemia to infarction.

A coronary artery bypass graft will be done for

significant blockage to the left main coronary artery.

In ACLS, know what follows defibrillation

- After D fib continue compressions for 2 minutes

Im ACLS, know what follows 2 min of CPR

- After 2 min CPR do pulse check.

Increasing HOB

decreased ICP

High PaCO2 and low PaO2 causes

vasodilation in brain

CPP

MAP – ICP

MAP

SBP + 2 DBP 3

MAP

SBP + 2 DBP 3

During a splenectomy there is an

increased PLT count (150,000- 400,000)

Erythropoietin stimulated

RBC production

Passive immunity

body recieves antibodies

Active immunity

produces own antibodies

When client is not tolerating enteral feeding

Stop feeding

PPI's

Used to decrease acid in stomach For Peptic ulcers Does not cause hypokalemia

Malfunctioning liver

Produces few clotting factors NO HYPERCOAGULATION

Famotidine

Histamine 2 receptor for Peptic ulcers

When ascites occurs with pancreatitis

Monitor for BP and dehydration Give fluids at greater than 10 mL per hour

What causes peptic ulcers

HYPOVOLEMIA – ISCHEMIA OF GI – PEPTIC ULCERS INCREASED GASTRIC SECRETIONS – PEPTIC ULCERS

Med for adrenal crisis

Glucocorticoid

Glucocorticoid can cause

peptic ulcers - adm PPI (omeprazole)

PPI electrolyte imbalances

hyperkalemia, hypercalcemia, and hyponatremia.

SIADH

SIADH: decreased urine output, fluid overload, decreased serum sodium levels

Minor (green) MCI

Can walk and open commands

Decreased (black) MCI

no respiration after head tilt

Immediate (red) MCI

respirations over 30 or radial pulse absent or unable to follow commands

Large volume of blood/fluid replacement can lead to

ARDS increased cap permeability in lungs

Primary Survey (1-2 min)

A - airway B - breathing C - circulation D - disability (neuro) E - expose

Atropine is for

Bradycardia

GO OVER FLUID RESUSCITATION PROBLEMS