Critical Care
Trauma
Drug Use
Name the Rhythm
Shocks
100
What are some ways to prevent VAP?
Brush teeth every 6-8hrs, adequate hydration, HOB 30-45 degrees, get off ventilator as soon as possible
100
What are some clinical manifestations of pneumothorax?
SOB, chest pain, pulsus paradoxus, asymmetrical excursion, decreased or no breath sounds, tracheal deviation (late sign)
100
What happens during the second stage of acetaminophen overdose?
Symptoms will subside and feel better
RUQ pain
100
What is the rhythm? If they are asymptomatic, what is the initial treatment?
SVT, vagal maneuvers
100
What is the treatment for hypovolemic shock?
Fluids (LR) or blood
200
What are the complications of massive blood transfusions?
Temperature down, acidosis, coagulopathy, K+ raised, Mg down, air embolism, calcium down
200
What lab/diagnostic should be monitored during smoke inhalation?
Carboxyhemoglobin
200
What is the treatment for acetaminophen OD?
Gastric decontamination
Acetaminophen assay
Acetylcysteine
200
What is the rhythm and what is your initial nursing assessment?
Vfib, check the patient
200
What drug would be given in cardiogenic shock?
Dobutamine
300
What are the 5 Ps of ARDs?
Perfusion, positioning, PEEP, Protocol weaning, Preventing complications
300
What are the late signs of increasing ICP?
Diminished level of conscious, dilated and non reactive pupils, positive babinski reflex, seizures, vomiting without nausea, posturing, cushing’s triad (impending herniation)--wide pulse pressure, increased systolic blood pressure, decreased heart rate, and decreased respiration rate
300
When do seizures in alcohol withdrawal occur?
12-48 hrs since last drink
300
2nd degree heart block type 1
300
What is the immediate treatment of anaphylactic shock and the dose?
Epinephrine 1:1000
400
When would you know to stop titrating Nitroglycerin IV?
reached maximum infusion of top dose, BP can’t be maintained, BP is getting to low, or not having chest pain anymore
400
What are the complications of spinal cord injury?
Pneumonia, pleural effusions, sepsis, ARDs, pneumothorax, barrel trauma, Autonomic Dysreflexia
400
What are the harmful effects of opioid overdose?
drowsiness, confusion, constipation, respiratory depression, hypotension, hypoxia, coma, permanent brain damage,death
400
What is the treatment if no pulse?
Defibrillate
400
What are 2 nursing interventions for neurogenic shock?
Elevate HOB, anti embolism hoe
500
Which direction would the balloon pump move if upper body loss of pulses was present?
Down
500
What treatment would be expected in a patient with a GCS of 6?
Intubation
500
What are the adverse effects of acestyleine?
Nausea, vomiting, diarrhea, GI upset, anaphylaxis, bronchospasm, rash
500
Third degree heart block
500
What are the hemodynamics of septic shock?
Increased HR. Low SVR. Decreased CVP and PAP/PAWP from vasodilation