Mark Klimek

Question 1

Chaotic QRS Complexes = ?

Answer 1

Ventricular Fibrillation (V-Fib)

Question 2

Lack of QRS Complexes = ?

Answer 2

Asystole

Question 3

Bizzare QRS Complexes = ?
What does bizzare mean?

Answer 3

Ventricular Tachycardia (V-tach)

Bizzare is used to describe tachycardia

Question 4

Chaotic P wave patterns = ?

Answer 4

Atrial fibrilation (A-fib)

Question 5

P waves in the form of saw tooth wave = ?

Answer 5

Atrial flutter

Question 6

P Waves = ? (A or V)

Answer 6

Atrial

Question 6

QRS = ? (A or V)

Answer 6

Ventricular

Question 7

Periodic wide bizarre QRS complexes = ?

Answer 7

PVCs

(A short run of v-tach)

Question 8

What rhythm is this? Treatment?

Answer 8

Ventricular Fibrilation
No pattern
Defib for V-fib
No cardiac output/very low

Question 9

What rhythm is this? Treatment?

Answer 9

Ventricular Tachycardia
Sharp peaks with a pattern
Amiodarone is the txt

Question 10

What rhythm is this? Treatment?

Answer 10

Normal Sinus Rhythm
This is a P wave, followed by QRS, followed by T wave

Question 11

What rhythm is this? Treatment?

Answer 11

Asystole
Flat line
Txt is epinephrine

Question 12

Supraventricular Arrhythmias Treatment (Atrial)

Answer 12

ABCDs
Adenosine
Beta-Blockers
CCB’s
Digitalis
Supra = atrial

Question 13

Normal results for water seal chest tube assessments?

Answer 13

Intermittent bubbling in water seal is GOOD
Continuous bubbling in water seal is BAD

Opposite for suction chamber

Question 14

Calcium Channel Blockers (CCBs)
Common suffix ? Others? S/x?

Answer 14

End in “-dipine”
+ Cardizem (can be IV), Verapimil

Like Valium for the heart. Relaxes/slows down

A AA AAA
Antihypertensive
AntiAnginal Drugs
AntiAtrialArythmia

S/x: Headaches, Hypotension

Hold: If systolic BP less than 100

Question 15

Five Upper Medications

Answer 15

Caffeine
Cocaine
PCP/LSD (psychedelics/hallucinogens)
Methamphetamines
Adderall

Everything goes UP!
(Euphoria, Seizures, Restlessness, Hyperreflexia, Tachycardia)

Question 16

Disulfiram

Answer 16

Alcohol deterrent
AKA (Antabuse & Revia)

Red wine vinaigrettes do not have alcohol in them

AVOID ALL FORMS OF ALCOHOL, N/V

Question 17

Dependecy

Answer 17

When the abuser gets the significant other to do things or make decisons for them

The abuser is dependent

Confront abusers

Question 18

Co-dependency

Answer 18

When the significant other derives self-esteem for doing things or making decisons for the abuser

The S/O is the co-dependent

Teach them to say no

Question 19

TRouBLe

Answer 19

Tetralogy of Fallot
Truncus Arteriosus
Transposition of the Great Arteries
Tricupsid Atresia

Question 20

Tetralogy of Fallot defects

Answer 20

“PROVe”

Pulmonary Artery Stenosis
Right ventricular hypertrophy
Overriding aorta
Ventricular Septal Defect

Question 21

Doff PPE

Answer 21

Gloves, Goggle, Gown, Mask (alphabetical order)

Question 22

Don PPE

Answer 22

Gown, Mask, Goggle, Gloves (reverse alphabetical order) except Mask comes 2nd

Question 23

Diabetes Inspidus

Answer 23

Not a type of DM
Insidious, diabetes w/o glucose
Polyuria, Polydipsia, Polyphagia

Can lead to dehydration, d/t low ADH

Question 24

SIADH

Answer 24

Syndrome of inappropriate ADH Opposite of DI: Oliguria & no thirst Decreased serum specific gravity (water retention), increased urine specific gravity (d/t decreased urine volume)

Question 25

Lots of urine retained, specific gravity is low? DM, DI, SIADH?

Answer 25

SIADH

Question 26

Fluid Volume Deficit DM, DI, SIADH?

Answer 26

DM, DI

Question 27

Fluid Volume Excess DM, DI, SIADH?

Answer 27

SIADH

Question 28

DM Type 1 Txt

Answer 28

DIE Diet (calories from carbs) Insulin (most important) Exercise

Question 29

DM II Txt

Answer 29

DOA Diet (most important) Oral hypoglycemic Activity

Question 30

Txt for hypoglycemia

Answer 30

Sugars + Starch Apple juice + turkey BAD: Candy + Soda (2 sugars)

Question 31

HHNK

Answer 31

Dehydration! Fluid volume deficit High blood sugar in a type 2

Question 32

DKA Symptoms

Answer 32

DKA **D**ehydration **K**etones in serum, **K**ussmauls, High **K**+ **A**cidosis, **A**cetone Breath, **A**norexia due to nausea Ketones in urine does **NOT** always equal DKA

Question 33

Regular Insulin

Answer 33

Clear solution, can be IV drip Onsent: 1 hour Peaks: 2 hours

Question 34

N-NPH

Answer 34

Intermediate Insulin Onset: 1 hour Peak: 8-10 hours Clear = solution Cloudy = suspension - will precipitate (Not given over IV drip or put in IV bag) **Not So Clear, Fast **

Question 35

Lispro

Answer 35

Fast-acting Do not give it before meal, with meal Onset: 15 min Peak: 30 min

Question 36

Glargine

Answer 36

Long-acting insulin No Peak Little to no risk for hypoglycemia

Question 37

Insulin sick day rules

Answer 37

Serum glucose levels go up 2 problems with these pt Dehydrated & Hyperglycemic Take insulin

Question 38

Aminophylline

Answer 38

Muscle Relaxer for the airway Toxic Level > 20

Question 39

Phenytoin

Answer 39

Seizure Medication Toxic Level > 20

Question 40

Billirubin

Answer 40

Normal level in adults 0.2-1.2 > 20 toxic in newborns

Question 41

If you have a ____ touchie...you got more

Answer 41

Cushy Oversecretion of adrenal cortex (steroids)

Question 42

Laminectomy

Answer 42

Done to relieve nerve root compression, remorval of the vertebral spinous process

Question 43

Nerve Root Compression

Answer 43

3 P's Pain Paresthesia (tingly) Paresis (muscle weakness)

Question 44

Cervical Laminectomy Considerations

Answer 44

Done at the diaphragm and arms Assess breathing Check arm and hand functon **Neck and arm evaulation **

Question 45

Thoracic Laminectomy Considerations

Answer 45

Upper back Assess cough and bowels **(Lungs and GI)** Post-op complications: Pneumonia and paralytic ileus

Question 46

Lumbar Laminectomy Considerations

Answer 46

Lower back Assess urinary retention or last time patient voided or is the bladder empty Evaluate leg function Post op complication: Urinary retention & leg problems

Question 47

How to turn a spinal cord patient

Answer 47

Log Roll

Question 48

Post-op considerations for spinal cord

Answer 48

Sitting is bad Walk, lie, stand is fine Do not sit for more than 30 min

Question 49

Antipsychotic S/x

Answer 49

ABCDEFG Anticholinergic (dry mouth, urinary retention) Blurred vision Constipation Drowsiness EPS (Tremors, Parkinson) Foto Sensitivity aGranulocytosis (low WBC, immunosuppressed)

Question 50

Tricycline Antidepressants

Answer 50

Grandfathered into NSSRI Mood elevators (Happy pills) ABCDE **A**nticholingeric **B**lurred Vision **C**onstipation **D**rowsiness **E**uphoria (happy) Must take meds for 2 to 4 weeks for beneficial effects

Question 51

___ for the Zany

Answer 51

Zines (major Antipsychotics)

Question 52

____ for the minor antipsychotics

Answer 52

Zeps Benzodia**zep**ines