Med surge

Question 1

what is the most common complaint associated with a client with inner ear problem?

Answer 1

Tinnitus

Question 2

Normal Intraocular pressure

Answer 2

10-21 mm HG

Question 3

What kind of fluid is Isotonic? What does it treat?

Answer 3

LR, NS, common dehydration

Question 4

what kind of fluid is hypotonic? What does it

Answer 4

0.5% NS, Pulls what our of intravascular and into cells,
Used to treat prolonged (cellular) dehydration
FVD AND hypernatremia and hyperglycemia

Question 5

Hypertonic What does it treat

Answer 5

5%D, 3% NS
Out of cells and puts back into vascular
Dehydration due to surgery, blood loss and cellular damage
Ascots and third spacing

Question 6

Normal Sodium

Answer 6

135-145

Question 7

S/S of hyponatremia

Answer 7

Decreased LOC, Weight gain, Seizures

Question 8

S/S hypernatremia

Answer 8

THirst, dry mouth, seizures

Question 9

Normal Potassium

Answer 9

3.5-5

Question 10

S/S of HYPOKALEMIA

Answer 10

Presence of U waves, fatigue, muscle weakness (Cramps, spasms, tetany)paresthesia, flat T waves,

Question 11

What must you always assess before giving potassium

Answer 11

URINE OUTPUT

Question 12

S/S of hyperkalemia

Answer 12

Peak T waves, weak muscles, bradycardia

Question 13

Treatment for HYPerkalemia

Answer 13

Give 50% regular glucose with regular insulin, administer calcium gluconate, Kayexalate, Lasix

Question 14

Normal Calcium

Answer 14

8.6-10.2

Question 15

S/S of hypocalcemia

Answer 15

POsitive Chvosteks/Trousseaus, numbness, tingling of extremities, tetany

Question 16

S/S of hypercalcemia

Answer 16

muscle weakness, kidney stones

Question 17

Normal Magnesium

Answer 17

1.5-2.5

Question 18

S/S hypomagnesium

Answer 18

neuromusclular irritability

Question 19

s/S hypermagnesium

Answer 19

Hypotension, dowsiness, hypoactive reflexes, depessed respirations, bradycardia

Question 20

Normal Phosphate

Answer 20

2.4-4.4

Question 21

S/S hypophosphatemia

Answer 21

Mental changes/confusion

Question 22

s/S hyperphophatemia

Answer 22

muscles cramps, tetany, seizures

Question 23

What test must you preform before take ABG

Answer 23

Allen test
Compress ulnar and radial nerve
Let go of ulnar first
have pt tighten and release their hand
Skin must return to normal w/n 15 sec before proceeding with procedure

Question 24

ABG

Answer 24

ph 7.35-7.45
PaCO2- 35-45(lungs)
HCO3-22-26(kidneys)

Question 25

3 meds given in PCA

Answer 25

Morphine, Fentayl, Dilaudid

Question 26

Malignant hyperthermia

Answer 26

due to anesthesia Inc temp, serzures, brain damage, hypoxia Remember to ask about family history Genetic Admisnister dantrolene (treats and prevents)

Question 27

What is the last sense to go with anesthesia

Answer 27

Hearing-always talk to your patient when putting under nd coming out

Question 28

Lethal rhythms on EKG

Answer 28

V-fib, v-tach, A-systole, Torsades, PEA, 3rd degree heart block

Question 29

What does a wide QRS indicate

Answer 29

Beat iniciating from ventricles

Question 30

What electrolyte can cause Torsades

Answer 30

Low magnesium

Question 31

Antidote to dig toxciity

Answer 31

Digoxin Fab

Question 32

what is the GI cocktail used to diagnose if problems having are with stomach

Answer 32

Antacid, Donnatal(anti-cholinergic) and Viscous lidocaine