"Shock" it to ME
A Patient suspected of having sepsis has vital signs of BP 80/48, HR 131, and RR 28. What is the first treatment the nurse would anticipate?
IV bolus of isotonic fluids.
A patient in cardiogenic shock is unresponsive to medications, which intervention does the nurse anticipate?
Insertion of an IABP (intra-aortic balloon pump).
What is the intended intervention for a patient breathing less than 8 times per min?
Intubation
What is the absolute contraindication for thromobolytic (TPA) therapy?
hemorrhagic stroke/current brain bleed
What s/s can the nurse expect from a patient with hypothyroid disease?
Extreme fatigue
Name 3 s/s of compensatory stage of septic shock?
tachycardia, bradypnea, and warn, flushed skin
Pharmacological classification of cardiac drugs to increase contractility?
Inotropic
The most important intervention performed before a patient is weaned from the ventilator?
Draw and evaluate ABGs.
Name 3 s/s of ICP?
Headache, dilated pupils, posturing, bradycardia, decreased LOC
What medication is used to decrease ammonia levels in one with liver failure?
Lactulose
A patient with a C3 spinal injury is a risk for this type of complication?
Neurogenic shock
What is the purpose of increasing cardiac output?
To increase organ perfusion.
What is the point of a chest tube?
To remove air or fluid/blood in the pleural space.
What is the initial reported s/s in one with Myasthenia Gravis?
Weakness in the ocular muscles
What is the function of erythropoietin?
Is a hormone that stimulates the production of RBCs in the bone marrow.
What is the contributing factor in a shock patient that increases metabolism and nutritional needs?
Release of catecholamines
A patient in SVT is to receive Adenosine IV. What should the nurse tell the patient before the med is given?
That asystole can occur right after administration.
What is the hallmark sign of pleurisy?
Pain upon coughing or deep inhale.
Treatment for an epidural hematoma?
Burr holes
A s/s of Addison's disease is?
Emotional lability
Why does a patient in septic shock have hypotension?
The body loses fluid in the intravascular space, moves to the interstitial spaces.
A patient in ventricular fibrillation requires which first intervention?
CPR, followed by defibrillation.
What does the pulmonary artery pressure measure?
the amount of force your heart is exerting to pump blood from your heart to your lungs
Priority medication for a patient with cerebral edema?
Mannitol
Name 3 motor impairments of hepatic encephalopathy?
Asterixis (involuntary flapping of the hands), tremors, slow movements and uncoordinated.