CAT & OSA
The essential oil used in the article to reduce pain in burn patients.
Lavender essential oil
Chest x-ray results of someone with ARDS.
White out
Type of shock that includes sepsis and anaphylaxis
Distributive Shock
First line treatment in anaphylaxis
Epi-pen
Temperature that indicates heat stroke.
>104F
A complimentary alternative therapy that increases the risk of serotonin syndrome when taken with an SSRI.
St John's Wort
List some interventions to prevent VAP.
1. HOB >30 degrees
2. Pulmonary hygiene
3. Prevent aspiration
4. Oral care/ET tube suctioning
5. Ulcer prophylaxis
Describe compensatory stage of shock.
Body compensating, attempting to maintain perfusion
Decrease UO
Increase vasoconstriction
Decrease in pH
Increase in lactic acid
Refractory stage
Define DIC.
Lower than normal RR and depth.
Hypopnea
List s/s of ARDS in exudative phase, and interventions at that time
1. Tachypnea
2. Dyspnea
Interventions: position patient and provide oxygen.
Medications that helps improve MAP/venous return by vasoconstriction.
Vasoconstrictors (vasopressin, norepinephrine)
List three ways nurses can monitor perfusion
1. Urine output
2. EKG
3. Arterial line
4. CVP
5. CPP
List three risk factors of heat exhaustion/stroke.
1. Hypothalamic injury (stroke, TBI)
2. Premature birth
3. Long surgery procedures
4. Traumatic injury
5. Autoimmune conditions
List three risk factors for OSA.
1. Older adults (>65)
2. Congenital variation of oral cavity
3. Obesity
4. Short neck
5. Smoking
6. Enlarged tonsils
7. Oropharyngeal edema
List s/s of fibrosing alveolitis phase and interventions
1. Pulmonary hypertension
2. Fibrosis
3. reduced gas exchange = retaining CO2, and low O2
Interventions
1. Deliver adequate oxygen
2. Intubate if needed to support the lungs
3. Prevent further complications
Intervention for non-hemorrhagic hypovolemic shock.
FLUIDS
Define the parts of the sepsis bundle
1. Blood cultures
2. Antibiotics
3. PIV
4. Fluid bolus 30ml/kg
List interventions for DIC.
1. Transfuse blood (RBCs, plasma, platelets)
2. oxygenate
3. Heparin IV if needed
4. IV fluids
List three things to teach a patient who recently just got diagnosed with OSA needing CPAP overnight.
1. Wear CPAP whenever in supine position.
2. Never share CPAP.
3. Clean CPAP daily
4. Do not use face creams to prevent poor seal
5. Fill humidifier with distilled water
6. Regularly check skin integrity
Identify the results of this ABG:
pH: 7.03 (7.35-7.45)
CO2: 54 (35-45)
HCO3: 24 (22-26)
Uncompensated respiratory acidosis
Describe the labs that indicates shock.
ABG
- Decrease pH
- O2 decreases
- CO2 increases
Lactate >4.0
Glucose: hyperglycemia
Elevated renal panel
H/H: decreases hemorrhagic hypovolemic shock, increases in non-hemorrhagic hypovolemic shock
Coag = similar to DIC
List three s/s of shock
1. dizziness
2. hypotension
3. tachycardia
4. shallow/rapid breathing
5. diaphoretic
6. N/V
7. Cool/pale clammy skin
List lab values of DIC.
1. Low fibrinogen
2. Low clotting factors
3. Increase PT and PTT
4. Low platelets
5. Increase d dimer