Respiratory
The earliest sign of respiratory failure.
Restlessness
The lab value that is most likely elevated in a patient with liver failure that has developed asterixis and confusion.
What is ammonia?
Most life threatening electrolyte abnormality in CKD.
What is hyperkalemia?
Chest tube finding in water seal chamber that required immediate intervention.
What is continuous bubbling?
pH: 7.50
PaCO2: 30
HCO3: 24
What is respiratory Alkalosis?
A patient with ARDS is receiving oxygen therapy, but their SATs remain at 84%. This finding is best described as ______.
What is Refractory Hypoxemia?
The urine output in a patient with SIADH would most likely be _______.
What is decreased or concentrated?
A patient with DI is most expected to have this electrolyte problem.
What is hypernatremia?
A ventilators high pressure alarm goes off, this is what the nurse checks for first.
What is the need for suctioning?
pH: 7.30
PaCO2: 55HCO3: 24
What is respiratory acidosis?
A post-op patient suddenly develops dyspnea, tachycardia, and pleuritic chest pain. The nurse would suspect this complication.
What is a pulmonary embolism?
The first priority treatment for DKA
What is IV fluids?
Addisonian crisis typical of electrolyte abnormalities
What is hyponatremia and hyperkalemia?
This nursing intervention is used in ventilated patients to help prevent VAP
What is elevated HOB?
A patient in DKA would most likely have this ABG finding.
What is metabolic acidosis?
Assessment findings seen on X-ray that indicate a tension pneumothorax.
What is a deviated trachea to the unaffected side?
This medication is commonly given to treat hepatic encephalopathy.
What is lactulose?
- Binds to the ammonia and secretes it through stool.
EKG finding indicating hyperkalemia.
What is peaked T waves?
A ventilators low pressure alarm goes off, the nurse should check for this.
What is accidental disconnection or extubation?
pH: 7.50
PaCO2: 30
HCO3: 20
What is Partially compensated respiratory alkalosis ?
Hallmark sign of flail chest.
What is paradoxical chest movement?
- in on inspiration, out on expiration at the affected site
Key findings in HHS
What is
Blood glucose over 600
No ketones
Very high serum osmolality
Severe dehydration
this medication is administered if Addisonian crisis is expected
what is IV hydrocortisone?
- benefits outweigh the risks, so do not need to wait for lab work to come back
A patient with ARDS on a ventilator remains hypoxic, the nurse anticipates this setting on the ventilator to be adjusted.
What is increasing PEEP?
pH 7.38
PaCO2: 30HCO3:
What is fully compensated metabolic acidosis?