Medical Emergency
A patient comes in to the ED in in anaphylaxis…
What will be given as a priority?
Epi
A 65 year old male presents to the ED after having a stroke. He has HTN and high cholesterol. He informs the UAP that he smokes a pack of cigarettes a day and also participates in illicit drugs. How many modifiable risk factors does this patient have?
1 non modifiable and 4 modifiable
Hemophilia is the lack of a _____ factor. _____ factor is the most common factor.
Clotting
VIII
When looking at an ECG strip you are reading PR interval. What range should you expect the interval to fall between?
0.12 - 0.20
Which side of HF is the most severe and why?
Left sided because it feeds the body.
Oh no! I am scored as a 7 on the GCS…
What are you gonna do?
A patient that has suffered from a hemorrhagic stroke is ordered to have a CT scan with contrast. Should the nurse send to patient to CT? Explain.
No because hemorrhagic stroke patients cannot have contrast
A nurse is preparing to administer IM iron to a patient with iron deficiency anemia. What method will she most like use to prevent staining of the skin.
Z track
How many joules can you expect cardio version to put out?
50
Does CHF have a cure?
No
Stage the frostbite!
An ice fisher comes in to the Alaskan ED with frostbite that extends down to muscle and bone. After further assessment there is complete tissue necrosis. What stage frostbite should this be rated at?Stage 4
When should tPA be administered?
3 - 4.5 hours of witnessed onset
There are two causes for Vitamin B12 Anemia. What are they?
1. Not enough B12 in the diet
2. Lacking the intrinsic factor
A patient in v-tach with a pulse is being prepared for defibrillation along with CPR and epi. Should someone intervene?
Yes… they need cardio version and amiodarone due to having a pulse.
What three labs would the nurse order for an MI patient and which one is specific to the heart?
1. Troponin (heart)
2. CK
3. Myoglobin
A nursing student asks what the trauma triad of death is… the nurse nurse knows to tell the student it is a combination of…
Hypothermia
Coagulopathy
Metabolic Acidosis
A nursing student is explaining a hemorrhagic stroke to a patient. The student explains the stroke as a blocked artery from a clot or plaque. Should the RN intervene?
Yes this is an ischemic stroke.
4 truths 1 lie
1. Sickle cell anemia causes the cells to be concave shaped
2. Sickle cell can be cured as long as the patient completes the medication regimen
3. It is important to avoid high altitude due to it thickening the blood
4. Strokes are an important complication
5. Sickle cells do not carry oxygen well as a normal RBC
1. True
2. Lie
3. Truth
4. Truth
5. Truth
Name the 6 PVCs.
Unifocal, Multifocal, Bigeminy, Trigeminy, Couplet, Triplet
CAD is …
Arteriosclerosis from plaque in the arteries
Give me a tag color!
I cannot walk
I can breath spontaneously
My respiratory rate is 24
My pulse is present
I obey commands
Yellow
A patient presents to the ED with left sided weakness. What type of stroke did they have and was the stroke on the left or right side?
Ischemic and right side
A patient with folic acid deficiency asks why it is important to increase their folate intake. What would be important to tell them about this deficiency?
Folate is required for cell reproduction.
A patient comes into the ED. They have low cardiac output and low BP. Their ventricles are not refilling between beats. What dysrhythmia is most likely?
SVT
Your patient is a 56 year old female going back for a cardiac catheter. What are some important instructions and assessments you should do to maintain a healthy patient?
Lay flat for 8 hours afterwards, monitor pulse and temperature, monitor effected extremity to the other side for any diminished pulse or discoloration.