Keep them breathing
Assess the following blood gas:
pH 7.33; PaCO2 55; HCO3 27; PaO2 88
What is Respiratory Acidosis?
This type of chest pain may occur with exertion or exercise, and is relieved with rest.
What is unstable angina.
This type of shock occurs in the presence of heart failure after an acute MI. The patient may have symptoms such as chest pain, peripheral edema, crackles in lung fields.
What is Cardiogenic shock?
The Glascow Coma scale includes assessment of these 3 responses to stimuli.
What is eye opening, verbal & motor response?
This medication is administered every 3-5 minutes during cardiac arrest. (Name the medication and dose)
What is epinephrine 1 mg?
After ROSC, the patient's blood gas results:
pH 7.35; PaCO2 31; HCO3 20. This gas is an example of _________________.
What is Compensated Metabolic Acidosis?
This is the main goal of treatment during an acute STEMI.
Provide reperfusion of coronary vessels.
After having the flu for the past 10 days, your patient is hypotensive, tachycardic, tachypnic with delayed CRT. Skin is pale with dry mucuc membranes. He is showing signs of this form of shock.
What is hypovolemic shock?
The acronym FAST is utilized to assess a person for signs of a stroke. This is what FAST stands for.
Mr Jones is in a complete heart block with hypotension and decreased LOC. You prepare for this intervention to be ordered by the physician.
What is transcutaneous pacing?
Your intubated & mechanically ventilated patient is awake and agitated, biting the ETT and attempting to free himself from bilateral wrist restraints. This ventilator alarm is sounding.
What is HIGH PRESSURE?
Your patient is having an episode of chest pain. He has a history of angina and is requesting his nitroglycerin spray. You must check this vital sign prior to adminstering.
What is blood pressure?
Central Venous monitoring can be utilized to monitor this component of cardiac output and hemodynamics.
What is preload?
The patient arrives with symptoms of a stroke and is taken to CT scan immediately upon arrival. The CT scan is to assess for this condition.
What is cerebral hemorrhage/ blood in the brain?
Your patient is in SVT and complaining of chest pain and shortness of breath. He is hypotensive with delayed cap refill. You are preparing him for this intervention.
What is synchronized cardioversion?
When monitoring your patient's chest tube, you notice bubbling in the waterseal chamber. This indicates the patient has an ______________.
What is an airleak.
Your patient complains of chest pain and shortness of breath. He is diaphoretic and hypertensive. EKG shows no changes from a normal, baseline EKG. His labs show elevated troponin and CPK. He is suffering from ____________.
What is a non-STEMI.
After repositioning your patient, you realize that his A-line BP is registering higher than usual. You notice his transducer is no longer zeroed at the appropriate level, and is __________ the patient's phlebostatic axis.
What is BELOW?
These are 3 interventions that may be initiated to decrease a patient's intracranial pressure after a significant cerebral hemorrhage.
What are Elevate HOB, Surgical intervention/evacuation of clot, Pain & sedation medications, Decrease noise & stimulation, EVD with CSF drainage, Osmotic diuresis/hypertonic saline administration, minimize peep on ventilator if able.
Your patient is found in cardiac arrest with a wide-complex tachycardia. The priority of treatment is this intervention.
What is defibrillation?
The patient on CPAP develops increased difficulty breathing & chest pain. His oxygen saturations are decreasing and you note absent breath sounds on the left during your assessment. He has developed this potential complication of positive pressure ventilation.
What is PNEUMOTHORAX?
Your patient has acute ST elevations of 5mm in leads V3 & V4 on his EKG. This indicates he is having a myocardial infarction involving which area of the heart?
What is the anterior wall of the left ventricle?
Your patient has the following symptoms: Low CVP reading, Low SVR, and High Cardiac output. What type of shock is he suffering from?
What is septic shock?
List 4 symptoms of increased intracranial pressure.
What are changes in LOC, dilated pupil with decreased reaction to light, motor deficits, bradycardia, increased SBP, Widening pulse pressure, headache, impaired brainstem reflexes (corneal, gag, cough), irregular respiratory pattern?
Your patient is receiving CPR after suffering a cardiac arrest. At the last rhythm check, the patient is found to be in PEA. While CPR resumes, you are considering the H's & T's for a potential cause. Name 5 of the 10 potential causes.
What are Hypovolemia, Hypoxia, Acidosis, Hypo/hyperkalemia, Hypothermia, Tension pneumothorax, Cardiac Tamponade, Toxins, Thrombosis (cardiac or pulmonary)?