Feed me Seymour (Nutrition)
When should enteral nutrition be started in the critical care client who is unable to eat.?
What is 24/48 hours of admission
What is the process of using a balloon catheter to widen a blocked artery, often followed by stent placement.
What is balloon angioplasty?
"This scale, ranging from 3 to 15, is commonly used to assess a patient’s level of consciousness after a head injury."
What is the Glasgow Coma Scale (GCS)?
The patient was diagnosed with rhabdomyolysis. What finding would the nurse expect when assessing urine output.
The lower chambers of the heart tend to flutter or quiver rather than beat, causing the heart to pump little or no blood.
What is ventricular fibrillation?
Where do you measure the placement of the ETT?
What is at the teeth/gums
"This acronym helps people remember the signs of a stroke and the importance of acting quickly."
What is FAST (Face, Arms, Speech, Time)?
The patient vomits while receiving enteral nutrition therapy. What intervention should the nurse expect?
What is hold enteral feedings and reassess the client.
Which vessel is the most commonly used access point for PCI procedures?
What is the femoral or radial artery
"This classic triad—bradycardia, hypertension, and irregular respirations—is a late sign of increased ICP."
What is Cushing’s triad?
Your patient arrived to hospital with burns to arms, chest, and face. What should the nurse do first?
Auscultate the client's lung sounds
When the ventricles stop for a prolonged period, there are no waveforms/complexed seen on the monitor. Shocks from the defibrillator will have no effect so CPR must be started immediately.
What is asystole?
What does the prone position do as a part of the ARDS treatment?
What is enhance oxygenation by redistributing lung perfusion
"This type of seizure affects both hemispheres of the brain and often involves a loss of consciousness and full-body convulsions."
What is a generalized tonic-clonic seizure?
The patient admitted with a diagnosis of AKI has a glucose of 300 and has no medical history of diabetes. The nurse understands.
The body releases a steroid raising the blood glucose level to provide energy for the body when stressed
How long should the patient lay flat after a PCI?
What is 6 hours?
"This osmotic diuretic is commonly administered in the acute setting to reduce elevated intracranial pressure."
What is mannitol?
The etiology of nephrotic glomerular disorders
Protein loss
Regular rhythm with a rate of 150- 250 bpm. The rhythm is made of a run of PVC. P and PR Interval cannot be determined. The QRS is wild, bizarre and greater than or equal to 0.12 seconds.
What is ventricular tachycardia?
Patient has decrease breath sounds with tracheal deviation. Patient is experiencing?
What is tension pneumothorax
"This blood gas value indicates how well CO₂ is being eliminated and is primarily used to assess ventilation."
What is PaCO₂?
The nurse is caring for a patient who sustained burns to 40% of the total body surface area. What would the nurse plan to meet this patient's nutritional needs
What is high-calorie, high-protein supplements
One possible treatment for CAD?
Coronary angioplasty
"This type of brain bleed, often caused by trauma, occurs between the dura mater and the skull and may show a 'lens-shaped' appearance on CT."
What is an epidural hematoma?
Which assessment finding is most important for the nurse to monitor during initial fluid resuscitation of a seriously burned client
What is Urine output?
This rhythm is characterized by progressive lengthening of the PR interval until a beat is dropped and then the pattern repeats?
What is Second degree Type I (Wenckebach)?
What is the indication for the use of PEEP?
What is to maintain the alveoli open at the end of expiration using positive pressure. This allows the greatest chance for diffusion of O2 across the alveolar/capillary membrane.
"This macronutrient is essential for wound healing and immune function and is often significantly increased in the diet of burn patients."
What is protein?
What is a potential consequence of inadequate protein intake in the ICU?
What is muscle wasting, immunosuppression, and delayed wound healing?
What are two potential complications of PCI, aside from infection.
What is bleeding and lost distal pulses?
This is the medical term for the life-threatening condition caused by increased intracranial pressure that can lead to brain tissue shifting across structures like the cerebellum.
What is brain herniation?
What is a expected laboratory finding for a patient with type 1 diabetes who has been admitted for DKA?
What is a low serum bicarbonate level?
This atrial dysrhythmia is irregular and can have many or no P waves. The QRS complexes occur at irregular intervals. If it is a new dysrhythmia for the patient, the major concern is the formation of blood clots that can cause an MI, stroke or pulmonary embolus.
What is atrial fibrillation?
Interpret
Ph 7.28; PaCO2 56mmHg; PaO2 78 mmHg; HCO3 25, SaO2 89%?
Respiratory acidosis
"According to the Surviving Sepsis Campaign, this type of fluid is the first-line choice for initial resuscitation in septic shock."
What are crystalloids (like normal saline or lactated Ringer’s)?