Respiratory
Hemodynamics
Shock
Medications
Whatever!!
100
Rescue med of choice for severe asthma attack (please include route)
What is albuterol nebulizer
100
This is a measure of blood volume and venous return, and an estimate of right ventricular function; often used to measure fluid volume status
What is CVP. Normal is 2-6 mmHg; decreased CVP indicator of need for more fluid; increased CVP often indicates need for diuresis or vasodilation
100
This laboratory value (a waste product removed from circulation by the liver) is often the first indication of shock in a patient; it is also often a direct indicator of the mortality of the patient
What is lactic acid level
100
Of the following, this is the drug of choice to improve cognitive functioning in a client with dementia d/t Alzheimer's dz: • Quetiapine (Seroquel) • Alprazolam (Xanax) • Donepezil (Aricept) • Lorazepam (Ativan)
What is Donepezil (Aricept).
100
True or false: Atropine is the drug of choice for this rhythm: Wait for it!!!
What is False!! Atropine will speed up this already rapid heart rate. This patient would be given adenosine if Valsalva maneuvers inappropriate or unsuccessful
200
A patient in ARDS is intubated and ventilated, and his urine output has decreased to 30 mL over the last two hours. The nurse would anticipate an order for this.
What are BUN/Creat and increased IV fluids
200
the resistance the heart must overcome, during every beat, to send blood into the aorta.
What is the afterload or the SVR. Resistive forces include vasoactivity and blood viscosity
200
This diagnosis involves the failure of two or more organ systems in an acutely ill patient
What is MODS (multiple organ distress syndrome)
200
Protamine sulfate
What is the antidote for heparin
200
The most common cause of bacterial menigitis that is now preventable with immunization
What is neisseria meningitidis
300
Primary concern of nurse for patient returning from bronchoscopy
What is airway – pt will not have intact gag reflex
300
Nursing assessment of a patient with an arterial line in should include this.
What is monitor neurovascular distal to the site, s/s of infection, edema/ecchymosis at site
300
Arrhythmias, massive MI, Valve failure, and cardiomyopathy are possible causes of this type of shock
What is Cardiogenic shock: the pump stops working!
300
Medication of choice (following oxygen) for a patient in anaphylactic shock
What is Epi, followed by benadryl, famotodine, solumedrol and fluid resuscitation
400
Four indications of respiratory distress
What are: resp rate less than 8, resp rate greater than 30, O2 (pao2 or sao2) less than 90% (other than COPD), CO2 greater than 45
400
A flow-directed, balloon-tipped catheter that measures direct pressures in the right atrium and pulmonary artery, and estimates the function of the left ventricle
What is PA catheter (e.g. Swan-Ganz catheter) It is inserted into a central vein and threaded into the right atrium. A small balloon allows the catheter to be drawn into the right ventricle and from there into the pulmonary artery. Once in place, the balloon is deflated and the multiple lumens of the catheter allow measurement of pressures in the right atrium, pulmonary artery, and left ventricle.
400
Massive vasodilation occurs, which results in a decreased CVP, SVR, and initially, an increase in CO and O2 sat
What is Distributive shock: septic, anaphylactic, and neurogenic
400

Explain the differences in antiplatelet aggregates, anticoagulants, thrombolytics

Antiplatelet aggregates = stop platelets from sticking together (Aspirin, Clopidogrel)

Anticoagulants = Interfere with clotting factor to prevent clot from happening/growing (Heparin, Enoxaparin, Warfarin, Apixaban

Thrombolytics = Actively disolve clots (alteplase -tPA, Reteplase)

400
You are using an indwelling suction catheter to clear secretions from your intubated patient. You note the patient has a sudden increase in the number of multifocal PVCs on the monitor. What is your first action?
What is Stop the suctioning and increase the amount of oxygen (within standing orders)
500
Interpretation of the following ABG: pH: 7.20, CO2 30, HCO3 15, BE -9.0,
What is partially compensated metabolic acidosis. This particular patient was in DKA
500
An important item to assess when measuring an arterial blood pressure (ABP)
What is transducer at phlebostatic access. Also make sure machine has been zero'd to ensure accuracy of results.
500
Medication of choice (following oxygen) for a patient in anaphylactic shock
What is Epi, followed by benadryl, famotodine, solumedrol and fluid resuscitation
500
Medication of choice to decrease intracerebral pressure
What is Mannitol - it's an osmotic diuretic
500
Method of transmission for Hepatitis C
What is blood/body fluids. IV drug use or blood transfusion prior to 1993 most common causes.
M
e
n
u