Shock
Name 4 priority actions for septic shock
lactate, blood cultures, broad spectrum ABTs, IVF
Name a consequence of PEEP being too high.
Decreased CO
Name sick day rules to decrease r/o DKA
monitor BG frequently, continue to take insulin as prescribed, report ketones in urine
decreased platelet count, increased PT, increased aPTT, decreased fibrinogen, increased fibrin degradation products, increased D-dimer
What type of AKI results from CT dye?
intrarenal
What vital sign differentiates neurogenic shock?
low HR
What state does this ABG indicate?
pH 7.38
CO2 47
HCO3 30
compensated respiratory acidosis
What is the priority intervention for a pt in DKA?
start IVF
What should the nurse monitor for when giving thrombolytics?
severe headache, bleeding
Which pts are candidates for CRRT?
unstable hemodynamically
Which intervention should be implemented if fluid resuscitation is not successful for BP mgt?
vasopressor
How does proning affect ARDS pts?
improves ventilation, increased PaO2 & SaO2
What is an important intervention for pts experiencing SIADH?
restrict fluids
What nursing care interventions should a nurse avoid with a pt who has leukopenia?
Why are pts at r/f cardiac dysrhythmias w/ AKI?
high K level
Priority pharmacological intervention for anaphylaxis?
SQ/IM epi
What is the next intervention if a non-rebreather mask doesn't improve oxygenation?
Intubation and mechanical ventilation
What lab differentiates HHS from DKA?
ketones in urine
What should the nurse do with a pt on a heparin gtt and the pt develops s/s of HIT?
d/c heparin
Labs expected in cirrhosis?
elevated LFTs, elevated ammonia
What are some characteristics of ARDS?
hypoxemia, pulmonary edema, infiltrates on CXR
Interventions related to DIC care planning?
daily weights, soft toothbrush, monitor for guaiac stool testing, use an electric razor, monitor PT/PTT daily
Time frame for fibrinolytic w/ AMI?
less than 12 hours
H pylori triple therapy regimen meds?
amoxicillin, clarithromycin, omeprazole