SHOCKING
The nurses know that this shock stage is considered a life-threatening emergency and immediate interventions are needed to reverse the effects of this stage of shock.
Progressive stage
FiO2 of room air:
21%
Lab test specific to the heart used to diagnose/rule out MI
Troponin T
Concussion, sprained wrist after a football game?
Non-Urgent
According to Basic Life Support (BLS) protocol, the compression-to-ventilation ratio for two rescuers on an adult patient is:
30:2
Hallmark signs of SHOCK
LOW BP
HIGH HEARTRATE
Hyperventilation triggered by hypoxemia leads to respiratory alkalosis
TRUE
(this is an ABG question)- see below
Typical hold parameters for a beta- blocker?
When the client's heart rate is less than 50 beats/min or the systolic blood pressure is <100 mmHg
Broken arm/broken leg
Urgent
Stable Angina:
Relieved with rest, stopping exertion/activity
Relieved with nitro
Lasts seconds to minutes >15 minutes
Who is at highest risk for developing ARDS?
Elderly/frail patients with co-morbidities such as pneumonia, sepsis and aspiration
What are these values indicating???
pH: 7.55; PaCO2: 32 mmHg; PaO2: 60 mmHg
Respiratory Alkalosis
Suspect cardiac tamponade in a patient with new bypass graft:
Sudden cessation of previously heavy mediastinal drainage• Jugular venous distention but clear lung sounds• Distant, muffled heart sounds• Hypotension• Pulsus paradoxus (blood pressure more than 10 mm Hg higher on expiration than on inspiration)• An equalizing of pulmonary artery occlusion pressure (PAOP) and right atrial pressure•
Deep laceration that has bleeding controlled by a pressure bandage
Urgent
Communication tool used to coordinate care, share findings and recommend care:
SBAR
Treatment of septic shock includes:
Blood cultures
Antibiotics initiated within 1 HOUR
Fluid recesutation
Pressors if needed for BP
The nurse anticipates which of the following equipment will be needed for treatment of ARDS:
Mechanical Ventiallation
or
CPAP
Nitroglycerin (NitroStat) will decrease myocardial oxygen demand by peripheral vasodilation
TRUE
Agonal respirations and no pulse
Death Imminent
Highest risk for death related to damage to the left ventricle?
Client with an anterior wall MI
Risk factors for obstructive shock:
PE
Cardiac Tamponade
Pulmonary HTN
Constrictive Pericarditis
Tension Pneumothorax
Chest Tumor
ET tube placement is verified by:
Chest Xray
An MI can be relieved by Nitro (NTG)?
FALSE
Crushing chest pain with diaphoresis
Emergent
A heart attack is a risk for cardiogenic shock?