Drip...Drip...Drip...
This vasopressor is commonly used to increase blood pressure in patients experiencing severe hypotension or septic shock.
norepinephrine (Levophed)
This ABG value primarily reflects the respiratory component of acid-base balance.
PaCO₂
This medication is commonly prescribed to patients with atrial fibrillation to help prevent stroke by reducing clot formation.
Apixaban (Eliquis)
CODE BLUE! The monitor shows asystole during a Code Blue. Should the nurse defibrillate?
No. Asystole is a non-shockable rhythm; continue CPR and follow the appropriate resuscitation algorithm.
I am on level 17,705 on candy crush!
and...
I've had a conversation with Kevin Hart.
LUCY AND MARK
Before starting an IV insulin infusion, the nurse should pay particular attention to this electrolyte because insulin can cause it to shift into cells.
potassium
pH: 7.28
PaCO₂: 52
HCO₃⁻: 24
What is the primary acid-base disorder?
Respiratory acidosis
This potassium-sparing diuretic is commonly used in heart failure and can increase serum potassium.
Spironolactone (Aldactone)
A patient has a new blood pressure of 78/42, is pale and diaphoretic, and is difficult to arouse. What is the priority?
Immediately assess the patient and activate the Rapid Response Team according to hospital policy?
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JORDAN
This antiarrhythmic medication may be administered as a continuous IV infusion for certain ventricular or atrial dysrhythmias.
amiodarone
This ABG value primarily reflects the metabolic component of acid-base balance.
HCO₃⁻ (bicarbonate)
A patient taking this medication reports dizziness and a heart rate of 48/min. The nurse should recognize bradycardia as a potential medication effect.
Metoprolol
CODE STROKE! The stroke team asks the nurse about the patient's medications. Which medication history is particularly important?
Anticoagulants and antiplatelet medications, along with other relevant medications?
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RIVER
You discover that a vasopressor has infiltrated into the tissue surrounding the IV. This is an emergency because the medication can cause this.
tissue ischemia/necrosis from vasoconstriction
pH: 7.49
PaCO₂: 30
HCO₃⁻: 24
What is the primary disorder?
respiratory alkalosis
A patient taking an oral anticoagulant reports black, tarry stools. What should the nurse suspect?
Gastrointestinal bleeding
Which patient requires immediate intervention?
A. HR 104 after ambulation
B. BP 152/86
C. SpO₂ 84% despite supplemental oxygen
D. Temperature 100.2°F
Patient with an SpO₂ of 84% despite oxygen
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ANDY
A patient receiving an amiodarone infusion develops significant bradycardia and hypotension. What should the nurse do?
assess the patient, monitor the rhythm and vital signs, and notify the provider/appropriate team according to protocol
pH: 7.30
PaCO₂: 40
HCO₃⁻: 18
What is the primary disorder?
metabolic acidosis
A heart-failure patient receiving diuretics has a sudden increase in weight, worsening edema, and shortness of breath. What should the nurse recognize?
Possible worsening fluid overload/heart failure
Which finding requires the nurse to act FIRST?
A. Urine output of 35 mL/hr
B. New unilateral weakness and slurred speech
C. Potassium of 3.0 mEq/L
D. Pain rated 7/10
The patient with new unilateral weakness and slurred speech
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and.....
I am left-handed and my grandma is from the UK.
RILEY and LAUREN