Acute Neuro
This is the late sign of increasing ICP.
Name the components
Cushing's triad: increasing BP, decreased HR, decreased RR
Which chronic neuro disease is characterized by remissions and exacerbations.
Multiple sclerosis
This is the earliest sign of shock
a change in mental status
This is the systemic syndrome characterized by systemic micro clots while simultaneously bleeding.
DIC
This is the type of dialysis that requires an AV fistula
Sidenote: what do you need to assess for with each use?
Hemodialysis
Assess for a bruit and thrill
These are the component of the GCS scale.
Follow up: what does an increasing GCS score mean
Eye opening, motor response, verbal response
Increasing GCS means pt is getting better
This disorder can be charcterized as ascending or descending.
Sidenote: which one is worse and why?
Guillian barre
Descending is worse because it causes resp. failure faster.
This is the form of shock that occurs in patients with SCI that is characterized by a loss of sympathetic tone causing hypotension and bradycardia
neurogenic shock
This is the first thing that you do when you recognize that your pt is experiencing HIT
Stop the heparin
These are the 4 lethal rhythms
Sidenote: which ones are shockable?
PEA, Asystole, V fib, Vtach
Vfib and pulseless V tach are shockable
This is the system affected in pts who has SCIs at C4 and above
Respiratory system
This chronic neuro disorder is a progressive disease that requires end of life care
ALS
This is something that you would give to a patient in hypovolemic shock but you would be mindful of in a patient in cardiogenic shock.
Fluids
These are the fluid and electrolyte imbalances going on in the emergent phase of burn injuries
reduced BV, hemoconcentration, hyperK, hypoNa, metabolic acidosis
These are the things nurses have to do to prevent VAP
Name all 5
VAP bundle: elevated HOB, Q4hrs oral care, DVT/PUD prophylaxis, and sedation vacation.
This is the complication that can happen to pts who have SCIs at T6 or above.
Bonus: what causes it and how do you treat it?
Autonomic dysreflexia
Caused by a stimulus like restrictive clothing, full bladder, fecal impaction, UTI, and pressure areas. Treat by notifying the provider, removing the stimulus, monitoring the bP Q15 min, administer antiHTN meds if problem persists
This complication of myasthenia gravis is caused by an overmedication of cholinergic drugs
Cholinergic crisis
This is the sepsis bundle
Within 1 hr obtain lactate, obtain 2 blood cultures, administer broad spectrum antibiotics, and begin aggressive fluid resuscitation/ pressors
This is the total amount of fluid given to a pt in 24 hrs that weighs 60kg, has circumferential burns on the right arm, burns on the anterior portion of the left arm, and burns on the anterior torso
7,560ml/24hrs
These are precautions that are necessary for pts with liver disorders
Bleeding/ safety precautions
What should you not do to a pt with a basilar fracture?
Insert an NGT
This chronic neuro disease is reversible.
Bonus: What usually precipitates this disorder and what med is contraindicated in this disease?
Guillian Barre
A viral illness usually triggers the disease and steroids are contraindicated
This is the difference between severe sepsis and septic shock.
Note: there are 2 things
Severe sepsis has a lactate >2 and the BP is still kind of responsive to fluids. Septic shock has a lactate >4 and the pt has hypotension unresponsive to fluids so they need pressors.
Name at least 4
Partial thickness burns covering 10% or greater, Burns involving the face, hands, feet, genitalia, perineum, or major joints, Third degree burns, Electrical burns, Chemical burns, Inhalation injury, Burn injury in patients with preexisting medical disorders, Any pts with burn injuries in facilities that don’t specialize in pediatric care, and Pts who will require special social, emotional, or long term rehabilitation
This is the ADH disorder that a pt with a urine specific gravity of 1.003, a serum osmolarity of 300, and a serum Na of 150, has.
Sidenote: How will you treat it?
DI
Increase fluid intake and administer desmopression (DDVAP) or pitressin