Perfusion
What is an unstable rhythm?
A rhythm that requires treatment, or creates symptoms within the client that need to be addressed?
ends with a lol
Why would a patient need a central line?
For high volume medications, for vesicant medications, lack of peripheral access, dialysis or emergency medication access.
What are the components of DKA?
hyperglycemia, acidosis, ketones, dehydration
Name 3 important renal labs/diagnostics.
BUN, Cr, urine output
What is the main difference between Afib and Aflutter?
Afib is irregular.
What medication do we need to monitor for a low potassium level with? Be specific
Diuretics (osmotic, loop and thiazide)
What would the nurse monitor for during swan-ganz insertion?
PVCs and Vtach during insertion
What are the common s/s of pancreatitis?
Jaundice, cullen's signn, turner's sign, extreme pain, vomiting
What is the diet for a patient with a calcium level of 8.2?
Oranges, milk, tofu
What are the symptoms of right and left sided heart failure?
Right: systemic edema (JVD)
Left: pulmonary edema (pulmonary congestion)
What is a common side effect of an ACE inhibitor?
A dry cough.
Name the causes of a low pressure ventilator alarm? (must name all 5 for credit!)
Disconnection from patient/machine, leaks in circuit or air leaking through other holes, cuff deflation, TV too low
Rehydrate with NS
K and Na correction
Fix acidosis
Fix sugar level with IV insulin
HD = hemodialysis (dialyze and pull of fluid.)
PD = peritoneal dialysis (dwell, drain, dwell, drain)
An 86 year old patient at a routine doctors appointment gets a referral to a cardiologist for an audible murmur over the aorta auscultated by the provider. An echo confirms that the valve is narrowed. What is the term for this and what would we do to treat? The patient is low risk for health problems and relatively healthy.
Aortic stenosis and TAVR
What medication is used to slow the heart rate in Afib RVR? What are the considerations with this medications?
Adenosine (be on a zoll, will flatline)
What does a CVP over 8 indicate?
What is the treatment for pancreatitis?
NPO
NG tube to LIS
PCA/IV pain management
Solve this ABG. pH = 7. 33, CO2 = 60, HCO3 = 33
Fully compensated respiratory acidosis
Keep phone out of chest pocket and away from device.
No MRI
Stay away from strong magnets including cars, stereos and airport scanners.
What are the labs associated with warfarin and heparin? (must have both for an answer)
Warfarin (PT/INR)
Heparin (aPTT)
Name the causes of a high pressure ventilator alarm! (must name all 5 for credit!)
biting/coughing/gagging, mucous plugging/secretions, R main stem, vent desynchrony, pneumothorax
What are the diagnostics for DKA? (give me the levels of each)
high BG over 300
pH under 7.35
Cr over 1.5
Low bicarb
Ketones in blood/urine
Glucose in urine
Increased anion gap
What are the components of the renal diet (there are four!)?
Low protein, low K, low Na, low phos