Quit Playing Games with my Heart
Which complication of aFib is a cause for concern that needs special attention?
What is stroke, blood clotting
A patient with ARDS remains severely hypoxemic despite receiving high concentrations of oxygen. This hallmark feature is characteristic of ARDS.
What is refractory hypoxemia?
What is a drug that is used for cerebral edema that causes osmotic diuresis?
When a patient suffers an electrical burn through the chest, what a the priority nursing action?
What is place the patient on cardiac monitoring?
I'll take maintain airway
What are two manifestations of Cushing's syndrome?
What is Moon face, truncal obesity, purple striae, buffalo hump, poor wound healing, virilization/feminization, acne
A patient with symptomatic bradycardia has a HR of 34, BP 76/40, and altered mental status. This medication is typically given first.
What is Atropine?
This laboratory value is commonly trended in sepsis to help evaluate tissue hypoperfusion.
What is lactate?
A patient with a T4 spinal cord injury develops a pounding headache, flushing above the level of injury, and BP 210/110. This is the nurse’s first action.
What is sit the patient upright/elevate the HOB?
A leathery, dry, painless burn extending through the full dermis is classified as this.
What is full thickness burn?
A patient with metastatic cancer develops new severe back pain, leg weakness, and urinary retention. This oncologic emergency requires immediate intervention.
What is spinal cord compression?
A patient has a regular narrow-complex tachycardia at 190/min. The patient is alert with BP 118/72. This intervention is appropriate to attempt first.
What is vagal maneuvers?
A ventilator’s low-pressure alarm sounds immediately after repositioning. This complication should be assessed for first.
What is disconnection of the ventilator circuit?
What is thrombolytic therapy or mechanical thrombectomy?
A circumferential full-thickness burn of the arm causes absent distal pulses despite adequate fluid resuscitation. This procedure may be required.
What is an escharotomy?
A patient receiving chemotherapy develops K^ 6.1, phosphate^ 6.2, uric acid^ 11, and calcium < 7.1. This oncologic emergency is occurring.
What is tumor lysis syndrome?
A patient diagnosed with an NSTEMI would which findings on the ECG and what would the troponin look like?
What is negative trop and ST depression or T wave inversion
A patient with a chest tube has continuous bubbling in the water-seal chamber. This finding indicates this problem.
What is air leak?
What are three manifestations indicating the patient has experienced a left-brain stroke?
What is... Right-sided weakness, right-sided neglect, depression/anxiety, impaired speech/language, impaired reasoning/math skills, impaired right/left discrimination, slow performance
What is important to do when performing wound care on a burn victim with more than one burn wound?
What is change gloves in between wound dressings.
What happens in primary Addison's disease?
What is autoimmune destruction to the adrenal cortex?
Name three hemodynamic values (low/high) for a patient in cardiogenic shock.
High PAWP, PAP, CVP, SVR
Low CO
During the diuretic phase of AKI, the patient may produce several liters of urine per day but remains at risk for this major problem.
What is hypovolemia/dehydration?
A patient with a ventriculostomy has an ICP that has gradually increased from 12 to 19 mmHg. The patient’s neurologic status is unchanged. What can the nurse do to decrease the ICP value?
What is open the EVD valve and drain CSF for 2-3 minutes?
A 79 kg patient with a 55% TBSA burn needs fluid resuscitation. If using the Parkland formula at 4ml/kg - What is the total fluid amount that the patient should receive in the first 24 hours?
What is 17,380 ml?
A patient with Addison's disease presents after several days of vomiting, with BP 68/38, glucose 52, Na 121, and K 6.3. After IV access is established, the nurse should anticipate which IV medication infusion?
What is IV hydrocortisone or fludrocortisone?