Fluid and Electrolytes
Name two local IV therapy complications
Phlebitis and Infiltration
What are the normal values for ph, CO2, and HCO3 in an ABG?
ph 7.35-7.45 CO2 35-45 and HCO3 22-26
Your patient is diagnosed with A. Fib. What type of medication does this patient need to be placed on?
Anticoagulants
What is a life-threatening event caused by uncontrolled hyperthyroidism
Thyroid storm
Name one acute gout medication.
Colchicine, NSAIDs, prednisone
Which allergen is associated with kiwi, banana, and pineapple?
Latex
What is the procedure called when a needle is used to aspirate pleural fluid or air from the pleural cavity
Thoracentesis
Your patient is taking spironolactone, which electrolyte are you most concerned about monitoring while this patient is taking this drug
Potassium
Your patient’s A1C demonstrates poor diabetic control, what number would you expect for the A1C
Above 8%
Name four risk factors for osteoarthritis.
Old age, obesity, occupation, family history, trauma, joint dysplasia, joint injury, bone injury, gender.
Your patient just completed her surgical procedure and begins to show symptoms of muscle spasms, tachycardia, tachypnea, sweating and increased end tidal CO2. What is your patient experiencing?
Malignant Hyperthermia
What is the number one intervention for a patient that has facial trauma?
To establish and maintain an airway
Name five symptoms of left sided heart failure
Pulmonary congestion, cyanosis, fatigue, restlessness, tachycardia, confusion, orthopnea, tachypnea, blood-tinged sputum, and exertional dyspnea.
Which endocrine gland is responsible for secreting glucagon, insulin, and somatostatin
Pancreas
How do you maintain hip precautions after a total hip arthroplasty?
Use of an abductor pillow, avoid positions that increase chance of dislocation: flexion greater than 90 degrees, adduction, internal rotation
Your post operative patient is becoming diaphoretic, tachycardic and the blood pressure is decreasing. What is your initial concern as the RN?
Internal hemorrhage
Solve this ABG: Ph 7.12 CO2 67 HCO3 30
Partially Compensated Respiratory Acidosis
What is a name for a condition that causes the right side of the heat to enlarge and fail
Cor pulmonale
Your patient is experiencing hypotension, hypovolemia, weight loss, low blood sugars, hyponatremia, and hyperkalemia. What disease do you believe they are suffering from?
Addison's disease
What is the compression of structures within a closed compartment of the upper or lower extremity so that there is compromised to the circulation in the area called?
Compartment Syndrome
Symptoms of this electrolyte abnormality include nausea, vomiting, loss of energy, confusion, and seizures
Hyponatremia
Your patient has COPD and is in respiratory acidosis. What mode of compensation is expected for this patient
The kidneys will retain increased amount of HCO3 to increase the pH.
Your patient arrives with the following symptoms : fever, dyspnea, chest pain, and an increased WBC. When auscultating you hear a pericardial friction rub. What is this patient potentially suffering from?
Pericarditis
What mineralocorticoid promotes the kidneys reabsorption of water and sodium and excretes potassium?
Aldosterone
Name 3 potential complications of a fracture
Infection, Non-healing or improper healing of Fx (delayed union, nonunion, malunion), Avascular necrosis, Compartment Syndrome, Fat Embolism Syndrome, Venous Thrombosis, Hypovolemic shock