Trauma
One of the four things assessed in the initial or "across the room" assessment.
What is.... 1. uncontrolled hemorrhage 2. airway 3. alertness 4. C-spine stabilization
Three phases of peri-operative care.
What are... Pre-op, Intra-op, Post-op?
First priority for DKA/HHS patients.
What is... rehydrate?
The danger of correcting sodium too quickly.
What is... permanent neurological damage?
Highest priority for a patient with suicidal ideation.
What is... safety?
Securing the patients room by removing potential unsafe items, a 1:1 sitter, a psychiatric unit (locked)
A life-threatening finding that indicates a tension pneumothorax
What is.... a tracheal or mediastinal shift?
Priority of post-op nurse when patient first arrives to the PACU.
What is.... assess the airway?
The only type of insulin that should be given through the IV.
What is... regular insulin?
Type of kidney injury expected for a patient who developed hypovolemic shock.
What is.... pre-renal?
Negative psychiatric symptoms.
What are... no interest in normal activities, neglecting hygiene, not speaking, lack of emotion, etc.?
Muffled heart sounds could indicate this life-threatening cardiac finding.
**Double points if you can also give the treatment.
What is...Pericardial Tamponade?
Treatment: Pericardiocentesis
Three risks that the OR nurse helps minimize.
What are infections, pressure injuries, DVT, wrong site, sponges left in the patient, etc.?
The second priority when caring for patients with DKA/HHS.
What is... optimizing electrolytes?
K needs to be sufficient so it does not decrease too much when pushed out of the bloodstream and into cells.
Monitor sodium and change fluids as needed.
Symptoms expected in a patient with a complete bowel obstruction.
What are... a distended abdomen, not passing stool or flatus, nausea, vomiting, pain
Included in a rule out of medical causes of symptoms.
What are... thyroid labs, metabolic labs, substance use screening?
A, B, C, D, E, F, G, H, I, J of a trauma assessment.
What is...Across the room/airway/alertness, Breathing/Ventilation, Circulation, Disability, Environment/Exposure, Full set of vitals/family presence, get monitoring devices/give comfort, History/head-to-toe, Inspect posterior surfaces, Just keep re-evaluating?
Medication to treat malignant hyperthermia
What is...Dantrolene?
Two main differences between DKA/HHS.
What are... Glucose levels and acidosis
Assessment finding expected in a pt with a SBO who has perforated.
What is... a change in pain characteristics from intermittent/cramping to sharp/constant?
The theory that etoh withdrawal worsens with each episode.
Double points if you can explain why.
What is.... the kindling theory?
The neurons get desensitized with each withdrawal episode.
What is...caring for the patient while also preserving evidence?
Four important parts of the pre-op checklist.
What are... Verifying correct pt, labs complete, H&P, consent
Priority when an alert and oriented patient arrives to the ER an hour after an acetaminophen overdose.
What is... initiating NAC or N-acetylcysteine infusion?
Assessment findings of patients in different stages of AKI.
What are...
Initial- no s/sx
Oliguric- decreased UO, edema, SOB
Diuretic- increased UO, resolving symptoms/labs
Recovery- no s/sx
The objective assessment used to determine the severity of etoh withdrawal.
What is... CIWA?