Neuro
The most common type of stroke.
What is an Ischemic stroke?
The phlebostatic axis.
What is the physical landmark for the sensor in a A-line setup?
5 point auscultation, chest x-ray, end-tidal CO2 (color change), Pulse ox.
How to assess proper placement of an Endo-tracheal tube?
30 to 50cc per hour?
What is a normal urinary output?
Airway, breathing, circulation, disability and environment.
What are the ABCDEs?
The more lethal type of stroke.
What is a hemorrhagic stroke?
The medial pulmonary artery.
What is the vessel that you wish to insert a PA catheter in to get the best reading.
Arterial Blood gas.
How to assess respiratory status post intubation?
Administer 2 or 3 ampules of sodium bicarbonate IV, infuse regular insulin with a 50% dextrose solution.
Which is a way to treat hyperkalemia?
Headache, changes in speech, dizziness and irritability.
What are the common signs and symptoms of a clot in the brain?
Tenecteplase.
What is the drug we use for Ischemic Stroke?
Zero, balance and square waveform (calibrate).
What are the three things to do when checking an A-line at the change of shift?
Location of the tube, Medications given and patient response, Breath sounds and Vital signs during and after procedure.
What is documented after intubation?
300cc of urine.
What is the amount of urine found after performing a bladder scan that would make you call the doctor?
Pain, redness, warmth and swelling, usually of a lower extremity.
What are the common signs and symptoms of a DVT?
2 twitches.
What is the correct number of muscle twitches when performing a train of four?
Internal jugular, Subclavian and Femoral.
What are the three sites for Central Line insertion?
Pressure Regulated Volume Control (PRVC).
What ventilator mode would you most commonly expect the patient to be placed on post intubation?
The pressure transducer is attached to the patient or to an intravenous pole at the level of the iliac crest in the midaxillary line.
What is the landmark for performing a bladder pressure?
The that lab shows evidence of clot lysis?
What is an elevated D-Dimer?
Decorticate posturing.
What is the neurological posturing exhibited when the arms and legs of the neuro patient pull in towards the core of the body?
Lead II, III and aVF.
What ECG leads would show elevations in an Inferior wall MI?
Etomidate then Rocuronium.
What are the two most common drugs used for RSI (Rapid sequence Induction)?
20 to 25% of the cardiac output.
What is the amount of blood pumped to the Kidneys with each heartbeat?
30cc per KG.
What is the fluid bolus given for sepsis?