ICU

Question 1

How is multiple organ dysfunction syndrome (MODS) best defined?

Answer 1

The progressive failure of two or more organ systems due to SIR

Question 2

What is the primary responsibility of a nurse in the early identification & management of a patient with MODS?

Answer 2

Conduct a comprehensive assessment & recognise early signs of organ failure

Question 3

What is the sequence of events in a MODS cascade?

Answer 3

Insult –> SIR –> microvascular dysfunction –> multi-organ failure

Question 4

What is considered one of the earliest signs of MODS?

Answer 4

Decreased urine output

Question 5

What is the pathophysiology of the systemic inflammatory response (SIR) in MODS?

Answer 5

Release of pro-inflammatory cytokines causing widespread vasodilation

Question 6

What is the name of the scoring system used in the ICU to assess levels of consciousness?

Answer 6

Richmond Agitation-Sedation Scale (RASS)

Question 7

Why do ICU’s prefer a systems approach over the A-E assessment when managing critically ill patients?

Answer 7

It allows for a more comprehensive evaluation of patient needs

Question 8

True or False: Nurses should always aim to use the minimum amount of oxygen necessary to maintain adequate ventilation in patients.

Answer 8

True

Question 9

Why do we aim to use only the minimum amount of oxygen necessary?

Answer 9

To avoid oxygen-induced lung injury

Question 10

Why do ICU patients often have hyperinflated lungs?

Answer 10

To prevent atelectasis and improve lung compliance

Question 11

True or False: NOT brushing your patient’s teeth can lead to hospital acquired pneumonia (HAP).

Answer 11

True