You make my Heart Ache
your patient just went into AFib with rates in the 120. the doctor ordered an anti-dysrhythmic.
1. what did he order
2. what would you monitor for
1. amiodarone
2. prolonged QT interval.
3. bradycardia, hypotension
When treating a patient with pneumonia, what should you obtain before starting abx therapy
you patient came back with her K: 5.9, what should you monitor for
muscle weakness/tremors
hyperactive bowel sounds / diarrhea
patient came in with emphysema and RR 8. An ABG was done and it shows
7.22, 70, 26, sats 80%
what do I have
RESPIRATORY ACIDOSIS
patient has SVT with rates 190.
1. what medication will you give
2. how will you give it and what would you expect
1. adenosine
2. fast (<10sec), followed by fluid bolus
3. expect short run of asystole prior to conversion
a Pregnant women who has been on bedrest for 4 months just delivered her baby and suddenly feels SOB, CP, and increase anxiety.
1. what do you think she has.
2. what are some expected treatment
1. Pulmonary Emboli
2. oxygen, IV heparin / anticoagulant, clot retrieval
what would your patient experience with
1. hypomagnesemia
2. hypermagnesemia
1. ekg: Torsades de Pointe, hyperactive deep tendon reflexes, muscle cramps
2. decreased pulse / bp, decreased reflexes, dysphagia
Patient came in with a Panic attack and given Xanax to calm him down. his breathing is improving. ABG was done and shows
Ph: 7.45, PCO2: 32, HCO3: 19, sats 95%
Compensated Respiratory Alkalosis
how would you treat sinus bradycardia persists, patient continues to be symptomatic, and atropine is given frequently
needs Pacemaker.
what are some nursing actions in taking care of a patient with trach
1. hyperoxygenation before suctioning.
2. apply new trach ties before removing old ties and 1-2 finger widths between neck
3. suction upon removing catheter. never during insertion and for no more then 10 seconds.
4. clean with water only
a 90year old has not been eating well the last few months. what electrolyte imbalance is common with malnutrition
hypophosphatemia
A patient misses his dialysis and now is confused and having kussmaul respirations. an ABG was done and shows
Ph: 7.22, Pco2: 37, HCO3: 17
METABOLIC ACIDOSIS
What would electrolyte can you administer for Torsades de pointe
magnesium
a patient was just diagnosed with chronic bronchitis, the patient is confused how he developed this. what about his history might have increased his risk?
what are some symptoms he would experience
1. smoking
2. persistent productive cough: thick sputum.
3. hypoxia, hypercapnia.
your patient was just started on digoxin for rate control for his Afib. what electrolyte do you want to make sure does not get to low and why
potassium (hypokalemia). will increase digoxin toxicity
Patient is having Diarrhea and not feeling well. an ABG was done and shows:
Ph: 7.25, Pco2:38, HCO3: 18
METABOLIC ACIDOSIS
what treatment is for sinus tachycardia 120
1. treat cause (fever, pain, anxieity)
2. beta blockers (metoprolol)
3. calcium channel blockers (diltiazem)
your patient was just diagnosed with COPD. what nursing interventions / teaching would apply to this patient.
1. Tripod position
2. Pursed-lip breathing
3. energy conservation
4. stop smoking
A Patient is having increase NGT drainage and experiencing tachycardia and muscle cramps. an ABG was done and shows
Ph: 7.47, PCO2: 45, HCO3: 35
METABOLIC ALKALOSIS