Test 2

Question 1

What is the best lab test to look at malnutrition

Answer 1

Prealbumin

Question 2

What is a normal albumin level

Answer 2

3.4-5.4 g/dL

Question 3

What does albumin look at

Answer 3

Malnutrition over time

Question 4

What is a normal protein value

Answer 4

60-80 g/dL

Question 5

What is protein a good indicator of

Answer 5

Certain disease processes

Question 6

Normal ammonia level

Answer 6

Below 50 mcg/ dL

Question 7

How do we get rid of ammonia in the body?

Answer 7

Lactalose…laxative because you are clearing ammonia out of system through stools it decreases ammonia level

Question 8

What is generally the time difference between acute and chronic pain

Answer 8

3 months

Question 9

What medication is given to treat delirium

Answer 9

Haloperidol

Question 10

Does somebody with chemical paralysis know what’s going on?

Answer 10

YES!

Question 11

What does a neuromuscular blockade do?

Answer 11

Chemical paralysis it does nothing for pain or awareness! So you also need to sedate the patient as well. Used to facilitate intubation and mechanical ventilation, decrease ICP, and facilitate bedside procedures

Question 12

What do you have to watch for with elderly on opioids

Answer 12

Renal or hepatic insufficiency because they are not clearing things correctly so they may need smaller doses

Question 13

Nursing action with opioids

Answer 13

RESPIRATIONS

Question 14

Opioid reversal agent

Answer 14

Naloxone (Narcan)

Question 15

Adverse effects of NSAIDs

Answer 15

Gi bleed, platelet inhibition, renal insufficiency

Question 16

What patients do you not administer NSAIDs to?

Answer 16

Asthma or aspirin sensitivity

Question 17

What patients do you use caution with acetaminophen

Answer 17

Hepatic dysfunction

Question 18

What is the max dose of Tylenol you can take in one day

Answer 18

4 grams

Question 19

What percentage of blood loss is 1 L?

Answer 19

25%

Question 20

How can you estimate blood loss?

Answer 20

Systolic BP less than 100 and postural change greater than 10 and/or HR is over 120 you can estimate 1,000 ml blood loss

Question 21

What does IV albumin do

Answer 21

Pull fluid into vascular space

Question 22

What is a normal INR

Answer 22

Around 1

Question 23

What is a normal platelet count

Answer 23

150-400

Question 24

What to do with ischemic pain?

Answer 24

Restore blood flow..fluid. 0.9 normal saline

Question 25

What is propofol

Answer 25

IV general anesthetic but lower dose = sedative effect. Rapid onset and short duration. Needs its own line. May result in hypotension, bradycardia, and pain at infusion site

Question 26

Normal prealbumin level

Answer 26

19-38 my/dL

Question 27

Why is Pepcid used

Answer 27

To prevent ulcers

Question 28

What are the three treatments of sickle cell

Answer 28

Fluids, pain control, oxygen

Question 29

What is the most common type of sickle cell crisis

Answer 29

Vado-occlusive crisis...it is extremely painful

Question 30

What clotting factor is lacking with hemophilia A

Answer 30

8

Question 31

What clotting factor is lacking with hemophilia B

Answer 31

9

Question 32

What clotting factor is lacking with hemophilia C

Answer 32

11

Question 33

What is biggest concern with hemophilia

Answer 33

Bleeding

Question 34

What is ITP

Answer 34

Immune thrombocytopenia purpura...increased destruction of platelets in the spleen

Question 35

What is the most common bleeding disorder in children

Answer 35

ITP

Question 36

What is train of four

Answer 36

Used to check sedation..Nerve stimulation of facial or ulnar nerve look at level of twitching to see amount of sedation patient needs

Question 37

What is virchows triad

Answer 37

Venous stasis, altered coagulability, damage to vessel wall

Question 38

What are most Pulmonary embolus caused by

Answer 38

Dvt in lower extremity