Critical Care & ER
You find a client who is unresponsive, with no pulse or breathing. What is your immediate action?
Call for help and start CPR.
A 65 year-old patient presents to the ER with SOB, chest pain and tachypnea. A d-dimer test is significantly elevated. What is most likely the diagnosis for this patient?
What is pulmonary embolism?
Name one of the 2 shockable cardiac rhythms.
What are v-fib and v-tach?
Name 2 symptoms of increased ICP.
What are headache, N&V, confusion, vision changes, photophobia, pupil changes, difficulty breathing, posturing, bradycardia?
A 28 year old patient with type 1 diabetes presents with rapid breathing and a fruity breath odor. Blood sugar is 300 mg/dL. What endocrine disorder is he experiencing?
What is DKA?
Name an intervention that will prevent delirium in the ICU.
What is refrain from using restraints, dim the lights at night, minimize alarms, open blinds during the day, ambulate asap, allow use of glasses and hearing aids asap, wean from vent asap?
This condition occurs when there are 3 or more ribs broken in at least 2 or more places.
What is a flail chest?
True or false: A AAA of any size is an emergency and needs to be repaired.
What is false?
This osmotic diuretic is used to treat increased ICP.
What is mannitol?
A patient who is s/p pituitary tumor removal is experiencing extreme thirst, a urinary output of 4L in 24 hours, and a sodium level of 154. What condition does this describe?
What is DI?
In the event of a disaster, what color tag would the patient receive if they have a minor injury, like a broken leg?
What is a yellow tag?
A patient in ARDS may be placed in this position to improve gas exchange.
What is prone?
This condition occurs when the body's clotting factors are used up due to trauma, sepsis, or cancer, and can lead to massive uncontrolled bleeding.
What is DIC?
The CPP needs to be over ____ to adequately perfuse the brain.
What is 60?
Your patient has low urinary output, fluid retention and hyponatremia. What endocrine condition is this patient experiencing?
What is SIADH?
This law prohibits hospitals from transferring patients to another facility before the patient is evaluated and stabilized.
What is EMTALA?
This ventilator setting helps to keep the alveoli open and improves lung expansion.
What is PEEP?
Name one of the 2 antiarrhythmics that can be used during a code.
What are amiodarone and lidocaine?
This condition is a life-threatening risk for patients who have experienced a SAH.
What is vasospasm?
A primary difference between DKA and HHS is the presence of ______.
What are ketones?
What pneumonic helps assess neuro status in an emergency situation?
What is AVPU?
This is the primary treatment for a patient with a tension pneumothorax.
What is a chest tube or needle compression?
Patient experiencing this condition may have muffled heart sounds, JVD and hypotension.
What is a cardiac tamponade?
Headache, rhinorrhea, and otorrhea are symptoms of this complication that can occur after a head injury.
What is a CSF leak?
A patient experiencing high fever, agitation, delirium, tachycardia, and labored breathing may be experiencing this endocrine emergency.
What is thyroid storm?