Labs Fluid Electrolytes
Normal lab range for Sodium levels.
135-145 mmol/L
What does ORIF stand for?
Open Reduction and Internal Fixation
What is the antidote for opioids, in case of overdose.
Naloxone/Narcan.
This gas is the primary stimulus for breathing in healthy individuals, detected by chemoreceptors in the blood.
* Bonus question, target range in blood for healthy individuals. PaCO2
CO2 carbon dioxide.
35-45 mmHg
Give two examples of isotonic solutions.
NS 9%, LR, D5W, R
An expected outcome of cast application that the nurse evaluates is:
A) Skin irritation at the cast edges
B) Decreased capillary refill and pallor
C) Tingling and numbness distal to the cast
D) Slight edema, soreness, and limitation of range of motion
D) Slight edema, soreness, and limitation of range of motion
Your patient weighs 22kg and order of 15mg/kg of PO Acetaminophen. It comes in a 40mg/mL liquid bottle. What is your dose in mg and how many mL will you draw up to administer?
22kg x 15mg/kg = 330mg and will give 8.6mL
Non rebreather mask flow rate range.
10-15lpm.
When initiating a blood transfusion what is the minimum amount of time you must stay directly at the bedside.
The first 5 mins. The next 10 mins must be immediately available/indirect.
List 4 S&S of Deep vein thrombosis (DVT):
1. Leg swelling
2. Leg pain, cramping or soreness that often starts in the calf
3. Change in skin color on the leg — such as red or purple, depending on the color of your skin
4. A feeling of warmth on the affected leg
The CPNBI (continuous peripheral nerve block infusion) seen on our units, what is the name of the drug used?
Ropivacaine.
State & define a very common post operative respiratory complication.
Atelectasis = Partial or complete collapse of a lobe of lung or entire lung.
What happens to the Sodium Osmolality in SIADH? And what is the most common first symptom experienced?
Hyponatremia (decreases below 135 mmol/L).
Headaches --- then agitation, confusion due to brain swelling.
What are the 5 signs of compartment syndrome, the "5 P's":
Pain
Pallor
Paresthesia (numbness)
Pulselessness (faint)
Paralysis
What are 2 assessments that must be completed prior to ambulation with/post an epidural?
Postural hypotension & Motor strength
What are physical exam findings for a suspected pneumothorax (list 4)?
- unequal breath sounds
- decreased wall movement on the affected side of the chest
- sharp/stabbing chest pain
- SOB
- cyanosis
- tachypnea
Bonus 50 points, what would be done next to confirm it's a pneumothorax?
Patients taking Warfarin, what is the INR goal.
What is the expected "normal" INR of the day to day person?
Normal 0.8-1.1/1.2
What type of traction is applied directly to the bone?
Skeletal traction.
A patient is having an adverse reaction to a PRBC (packed red blood cell) transfusion. They're becoming tachycardic, hypotensive, increased work of breathing (by visible intercostal retractions & tracheal tug) and developing a rash. What immediate actions should be taken (x9)? (1 = must be right action).
Bonus 100* What type of shock?
1. Stop PRBC infusion 2. Pull back what you can from IV 3. Call MD/help + O2 administration 4. Epinephrine 1:1000 dose IM 5. Fluid bolus 6. Assess 7.Antihistamine 8. Cortisone 9. Save blood bag & tag + complete reaction form for BB
Bonus* Distributive → Anaphylactic
Pulmonary embolism symptoms can vary greatly, depending on how much of your lung is involved, the size of the clots, and whether you have underlying lung or heart disease.
Common signs and symptoms (list 3):
Other signs and symptoms that can occur (list 2):
Common signs and symptoms include:
Other signs and symptoms that can occur with pulmonary embolism include: