Videos: Circulation

Question 1

This structure…

Carries oxygenated blood from the placenta to the fetus

Delivers blood to the liver and then to the ductus venosus

Answer 1

Umbilical vein

Question 2

Name structure…

Bypasses most of the liver

Connects the umbilical vein to the inferior vena cava

Answer 2

Ductus venosus

Question 3

Name structure

Opening between the right and left atria

Allows blood to bypass the lungs by flowing directly from right atrium to left atrium

Answer 3

Foramen ovale

Question 4

Name structure..

Connects the pulmonary artery to the aorta

Allows blood to bypass the lungs

Answer 4

Ductus arteriosus

Question 5

VSD are common with these congenital anomalies…

Answer 5

Fetal alcohol syndrome
Downs

Question 6

Hollow systolic murmur at left sternal border is signs of…

Answer 6

VSF

Left to right shunting

Question 8

Medication most commonly used for home treatment of seizures …

Answer 8

Diazepam

Question 9

Diazepam is most commonly used for home treatment of seizures

Routes for administration…

Best route for seizures…

Answer 9

PO, IM, IV Nasal, rectal

Rectal

Question 10

Lorazepam a Benzodiazepine is used to treat status epilepticus via which route…

Answer 10

IV / IM

Question 11

Why is it important to monitor behavior on gabapentin…

Answer 11

Suicide

Question 12

Don’t take gabapentin with in 2 hrs of antacids.

If missed dose….

Answer 12

Take immediately.

If within 2 hours of next dose, still take original dose, and take the following dose 2 hrs later.

Question 13

How can Levetiracetam (Keppra) affect behavior…

Answer 13

Anger, depression, dizziness, personality disorder, psychotic

Question 14

Levetiracetam (Keppra) or Phenytoin pt has a rash, which level of concern….

Answer 14

High

DRESS
Steven Johnson Syndrome
Toxic Epidermal Necrolysis

Question 15

Which patients may experience an increased in Diastolic pressure with Levetiracetam (Keppra)…

Answer 15

1 month - 4 yrs

Question 16

Phenytoin is only compatible with this IV fluid…

Answer 16

NS 0.9

Question 17

Which medication for seizures requires meticulous dental care to avoid gingival hyperplasia…

Answer 17

Phenytoin

Question 20

Hold tube feedings how long after Phenytoin administration…

Answer 20

1 hr

Question 21

Phenytoin can cause Purple glove syndrome

Describe…

Answer 21

Hand / forearm distal to IV site swells, turns purple, and necrosis

Question 22

Fosphenytoin (Cerebryx) converted into Phenytoin

Short term 5 days for status epilepticus/ neurosurgery.

Able to use ____ as a dilute.

Answer 22

D5W

Question 23

_____ is used to lower ICP

Answer 23

Mannitol

Question 24

Mannitol is used to decrease ICP & LAST 6 HRS.

Maybe IV pushed

Contraindicated….

Adverse effects…

Answer 24

Renal issues

Pulmonary congestion

Intercranial bleeding

Dehydration

CHF

Adverse effects

Related to sudden drops in fluid levels

Hypotension, NV, HA

Question 25

Monitor for air leaks: Bubbling in water seal chamber (may be normal early on, continuous bubbling = possible leak). What is a normal finding in the water seal chamber...

Answer 25

Tidling

Question 26

Occasional bubbles in water seal normal finding early on. Continuous bubbles may suggest there is a leak in the system. Tidling is a normal finding in the water seal chamber. What does lack of tidling mean...

Answer 26

1. The tube is obstructed 2. The lungs has reexpanded

Question 27

If chest tube becomes disconnected from system... If tube becomes disconnected from pt....

Answer 27

System: put in cup of sterlie water Pt. Put Vaseline gauze (3-sides) over hole

Question 28

Suction control chamber Normal finding... Abnormal...

Answer 28

Normal: Gente continous bubbling Abnormal: No bubbling: Blocked / suction OFF Vigorous bubbling: Suction is too high

Question 29

Machine like continuous murmur at left sternal border Risk for infective endocarditis

Answer 29

Ventricular Septal Defect

Question 30

If a VSD doesn't close in its own. Which age will the infant get surgery...

Answer 30

Age 2

Question 31

ASD are usually small & close themselves. Which age will surgery be performed if it doesn't close its self...

Answer 31

Age 3

Question 32

Harsh continuous murmur Bounding peripheral pulses Low Diastolic BP Tachypnea/cardiac Describes this heart problem.... Medication....

Answer 32

Patent Ductus Arteriosus Indomethacin

Question 33

Which problem may get Prostaglandins, Diuretics, Digoxin....

Answer 33

TGV

Question 34

Upper extremities- Bounding pulses, BP higher Lower extremities: weak/absent pulse, BP lower, risk for CVA Describes...

Answer 34

Coarctation of the Aorta