Shock
This type of shock may benefit from the use of ACE inhibitors, nitrates, diuretics, or an IABP (intra-aortic balloon pump)
What is Cardiogenic Shock?
7.32/ PaCO2 50/ PaO2 55/HCO3 22 on FiO2 60%
is indicative of this acid/base abnormality and disease process
What is Uncompensated Respiratory Acidosis?
Assessment reveals tracheal deviation AWAY from the affected side, tachypnea, tachycardia, and decreasing blood pressure, hypoxia, absent breath sounds on affected side
What is a Tension Pneumothorax?
No person to person contact, occurs among farm animals & farm workers, and can be in cutaneous, GI, or inhalation form
What is "Anthrax"?
How to differentiate between Chicken pox and Small pox?
What is the developmental stage of the lesions?
If prevention fails, IM epinephrine, diphenhydramine, and ranitidine are given along w/ airway managment and isotonic fluids
What is Anaphylactic shock?
What is acute uncompensated respiratory acidosis? Hypercarbic respiratory failure
Treatment of choice for a "sucking chest wound"
What is a 3 sided dressing over the site?
A neurotoxin obtained via air or food transmission
What is Botulism?
Used for patients w/ acute or chronic respiratory failure, this utilizes a mask tightly over the patient's nose or nose and mouth while the patient breathes spontaneously
What is NIPPV?
Management consists of early recognition and treatment to relieve or manage the obstruction
What is Obstructive shock?
7.36/PaCO2 32/ PaO2 75/ HCO3 19 is an example of this type of acid/base imbalance?
What is Compensated Metabolic Acidosis?
The ONLY time a chest tube should be clamped.
What is with an MD order?
Sudden fever, chills, H/A, N & V and the development of Buboes beginning on the Femoral sites
What is Bubonic Plague?
After initial intubation w/ an ETT, the diagnostic test of choice to confirm placement
What is the CXR?
Specific lab value in shock, esp. w/ septic shock used to evaluate tissue oxygenation
What is the Lactate level ?
7.28/PaCO2 65/ PaO2 55/ HCO3 30
The rhythmic back and forth movement in the tubing of the chest suction device during respirations
What is "Tidaling"?
Even one case would be an International emergency
What is Small Pox?
Components of a Ventilator bundle includes these 5 interventions
What is:
HOB 30 - 45 degrees, Daily "sedation holiday", Peptic ulcer prophylaxis, VTE prophylaxis, and daily oral care w/ chlorhexidine solution?
Drug of choice for vasopressor therapy in septic shock patients, after a CVP of 8 - 12 mmHg is achieved w/ fluid resuscitation
What is Norepinephrine (Levophed)?
Best intervention for the following ABG results:
7.55/ PaCO2 25/ PaO2 92/ HCO3 24
What is having the patient breath into a paper bag, as he/she is hyperventilating?
The RN should do this intervention if the water seal in the chest suction device is lost
What is, place the end of the chest tube in a bottle of 500 mLs of sterile water to re-establish the water seal?
Nausea, vomiting, diarrhea, and anorexia, then bone marrow depression are seen in the prodromal phase
What is Acute Radiation Syndrome?
Indicates a leaking of air into the subcutaneous tissue; "sounds or feels like rice krispies"
What is Subcutaneous Emphysema?