Cariovascular
Hemodynamics
Hematology
Renal
Its shocking
100
Episodes of chest pain occuring at rest are indicative of what?
What is unstable angina
100
Please identify the three component of stroke volume
What are preload, afterload and contractility
100
What cell line is affected in acute non-lymphocytic leukemia?
What is the granulocyte cell line.
100
BUN/Creatinine Ration indiciative of acute kidney injury
What is 20:1
100
What vasopressor is best for treating hypotension in spinal shock?
What is Dopamine.
200
What would be your first line medication for V-tach with a pulse?
What is Amiodarone.
200
A post op CABG patient with elevated PAP, PAWP and RAP has a blood pressure of 60/40, distended neck veins and muffled heart tones. What may be happening?
What is pericardial tamponade.
200
A patient with end stage renal failure is most likely to suffer from which of the following hematological problems: A. Agranulocytosis B. Polycythemia C. Anemia D. Leukocytosis
What is C. anemia.
200
Hematuria and flank tenderness indicate what?
What is renal trauma.
200
A patient has WBC of 24000, Lactate of 4, BP 70/40, HR 120, Resp. 24. What type of Shock does this indicate
What is Septic Shock.
300
Patient develops post-op fever, pleuritic chest pain, eosinophilia and pericardial friction rub. The most likely cause for this is: a. wound infection b. Post pericardiotomy syndrome c. Acute graft closure d. An intraoperative myocardial infartion
What is b.
300
How does and IABP affect CO in a patient with cardiogenic shock?
What is improves coronary artery perfusion during diastole through balloon inflation, decreases afterload during systole as the balloon deflates.
300
What causes Heparin Induced Thrombocytopenia (HIT)?
What is an immune reaction to Heparin bound to platelet factor 4.
300
The primary cause of anemia in patients with chronic renal failure is?
What is Erythropoitin deficiency
400
The 12 lead EKG shows ST elevation in leads II, III and AVF. This indicates infarct in which area of the heart?
What is the inferior wall?
400
What does the following represent: RAP of 6 mmHg, PAP of 26/10, PCWP of 8 mmHg, CO of 5.2 L/min, and a SVR of 1200 dynes/sec/cm-5.
What is a normal hemodynamic profile.
400
What assessment finding would the nurse expect to find in the patient with Transfusion Related Acute Lung Injury (TRALI). List two.
What is Acute lung injury within 6 hrs of transfusion, New bilateral infiltrates consistent with edema, Hypoxemia on room air.
400
EKG change seen with Hyperkalemia
What are peaked T's.
400
Your patient is receiving blood products post MVA. 10 minutes into your transfusion of PRBC's your vitals are as follows: Temp. 101.6, HR 130,BP 80/40, Resp. 24 with wheezing. What treatments for this form of shock do you expect to see?
What is administer epinephrine, benadryl, solumedrol, fluid bolus and dc blood products.
500
True or False. Acute coronary syndrome is a term that describes a group of clinical syndromes that result from varying degrees of coronary artery occlusion in patients with atherosclerosis.
What is true.
500
Explain the mechanism of Nitrates in the hemodynamics of Heart Failure
What is reduce afterload and improve coronary artery blood flow.
500
A patient's WBC are 14000. What other blood test do we want in order to determine if they have an infection?
What is a differential.
500
In assessing for hypocalcemia, you would elicit Chvostek's sign by:
What is tapping over a branch of facial nerve and observing for twitch of the upper lip on int same side.
500
Mr. W's blood cultures come back positive for gram-negative E. coli infection. CI=4.1, PA 36/22 mmHg, PCWP 4 mmHg, SVR 544 dynes/sec/cm5, BP 88/44 and HR 112. Which form of shock are these values consistent with?
What is Septic Shock
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