Acute resp failure/ARDS
What are early signs of ARDS?
restlessness
cough
subtle onset of symptoms
mild dyspnea
What are risk factors for COPD?
Smoking, secondhand smoking
Asthma
Occupational hazards
Genetic-Alpha-1
What are early signs of ICP?
change in LOC
Patient with sepsis has V/S of 90/40, HR 118, RR 26, temp 103.5. Urine output is 25ml/hr, BUN and creatintine are normal. The nurse knows that patient is in what stage of shock?
Compensatory
A patient is coming in with stroke symptoms. What testing needs to be done initially?
Non-contrast head CT scan
What are complications of ARDS?
VAP
Barotrauma
VolutraumaAKI
stress ulcers
What is important to consider with nutrition for a COPD patient?
Rest for 30 minutes prior to eating.
What are management strategies for a patient with ICP?
Head of bed 30
uncluster nursing care
Hypertonic Saline solutions
seizure precautions
stool softener
treat fevers
Cough or nausea medications
Frequent VS
What complication due you need to be aware of in neurogenic shock?
hypothermia
What are symptoms of left sided stroke?
Aphasia
right side weakness
problems with comprehension
depression/anxiety
What is the first line of treatment for V/Q mismatch?
Oxygen via N/C
When should a patient with COPD contact their physician?
Increase dyspnea
increase sputum production
Change in sputum color from tan to green
What medications can prevent seizures in ICP patient?
Depakote
Keppra
Dilantin
What are the major pathophysiological effects of septic shock?
Vasodilation
Maldistribution of blood flow
myocardial dysfunction
What are symptoms of right sided stroke?
left sided neglect
left sided weakness
impulsive
impaired judgement
What are supportive care measures for ARDS?
Nutritional therapy
VTE Prophylaxis
VAP Prophylaxis
Inotropic and vasopressors drugs
What clinical findings would show that the COPD patient is having an exacerbation?
Increased resp rate
Respiratory acidosis
worsening hypoxemia
What diagnostic test would you not do with a patient with ICP?
Lumbar puncture
Burns
ascites
Sepsis
What are risk factors of stroke?
HTN
Diabetes
Obesity
smoking
African americans
What are clinical manifestations of ARDS?
diffuse crackles
Respiratory alkalosis
hypoxemia
Diffuse and extensive alveolar infiltrates
What are compensatory mechanisms associated with COPD?
retain bicarbonate
flattening diaphragm
Polycythemia
Intercostal muscle use
Glasgow Coma scale
What are the treatment goals of septic shock?
recovery of organ failure
prevention of pneumonia
Avoiding kidney injury
returning to normal blood pressure
Stopping vassopressins
Nurse is taking care of a patient after a recent stroke. Speech therapy is working with the patient and the patient is having diffculty swallowing. What assessment would you preform to know that the patient is doing well with swallowing?
Clear lung sounds on auscultation