Show:
All about ABG's
Post Op Complications
Pharmacolgy/Lab Values
Pathophysiology/Misc.
Nursing Interventions
100
7.35-7.45 35-45 22-26
What is pH, paCO2, HCO3?
100
Post op fever day 3
What is UTI, CAUTI? post op day 1-2 fever: pneumonia, atelectasis post op day 3-5 fever: UTI, CAUTI post op day 4-6 fever: DVT, PE post op day 7 fever: wound infection post op day 8 fever: IV med or blood transfusion reaction
100
150,000-400,000
What is platelet count? *indicates risk for post op bleeding
100
This is one of the complications of emphysema, and is right-sided heart failure brought on by long term high blood pressure in the pulmonary arteries.
What is cor pulmonale?
100
A client has active TB they are put under these precautions.
What is airborne precautions? *gown, gloves, n95 mask
200
Tidal volume and respiratory rate.
What is ventilation?
200
Patient has anxiety, snoring, low O2 sat, noisy respirations, cyanosis, blue and dusky skin.
What is obstruction? Can occur due to tongue, secretions, spasm. Nursing interventions: semi fowlers, suction, bronchodilator, steroids, jaw thrust.
200
4000-11000
What is WBC normal range?
200
Your patient has a suspected pulmonary embolism. The diagnostic test is.
What is spiral CT scan?
200
Client has pneumonia and a temperature of 101. They have a cough and pleuritic chest pain of 10/10. The nurse would give this medication first.
What is an antibiotic?
300
Patient with COPD has been admitted with these ABGs and his repiratory rate is 32 and his breaths are shallow and labored. pH 7.32, paCO2 70, paO2 55, HCO3 26, O2 sat 86% Interpret the ABG and tell me what the priority intervention is.
What is uncompensated respiratory acidosis? (hypoxemia) What is intubation and mechanical ventilation? Hypoxia is represented by O2 sat. Hypoxemia is represented by paO2.
300
Hypotension, increased heart rate, pale, Hgb below 7, low Hct, clammy, delayed cap refill, oliguria, thirsty, low LOC.
What is hemorrhage? Nursing: tx underlying cause, fluid bolus, PRBCs, pressure, anticoagulants, trendelenburg position, elevate affected area, notify doc, FFP (fresh frozen plasma) *urine output of less than 30 ml/hour is NOT NORMAL!
300
50-70%
What is neutrophils?
300
When perfusion exceeds ventilation, a shunt exists. Blood bypasses the alveoli without gas exchange occurring. This is seen with obstruction of the distal airways and is seen in these complications. Name two.
What is pneumonia, atelectasis, tumor, or a mucus plug?
300
Patients with altered consciousness are placed with the head of the bed at a 30-45 degree angle in this position.
What is semirecumbent?
400
Patient is admitted with pulmonary embolism. The patient complains of SOB, pain in the chest, RR 26. The ABGs are pH 7.48, paCO2 32, paO2 88, HCO3 22, O2 sat 91%. Interpret the ABGs and give me the priority intervention.
What is respiratory alkalosis? What is oxygen therapy? also give anticoagulant Has dead space, and is hyperventilating.
400
Wound healing classification that typically uses a cyanoacrylate tissue adhesive to close the incision or just a dry sterile dressing.
What is first intention healing?
400
Inhaled salmeterol (serevent diskus) classification.
What is long acting beta 2 agonists?
400
Shunting mainly causes this.
What is hypoxia?
400
Your patient has asked what are some ways that ensure that evidenced based practice is being used for my surgery and recovery. You state at least 3 SCIP measures.
What is 1. prophylactic antibiotic recieved within one hour prior to surgical incision. 2. prophylactic antibiotic selection for surgical patients. 3. prophylactic antibiotics discontinued within 24 hours of surgery time. 4. cardiac surgery patients with controlled postoperative blood glucose. 5. surgery patients with appropriate hair removal. 6. catheter removed post op day 1 or post op day 2 7. surgery patients have perioperative temp management 8. patients receive beta blocker prior to surgery. 9. patients receive appropriate venous thromboembolism prophylaxis within 24 hours prior to surgery to 24 hours after surgery.
500
A 20 year old that has been on your med surg floor for a couple of days comes out with a PaCO2 reading of 65. Based soley on this reading, you as the nurse know that the priority intervention for this patient is this.
What is intubate and mechanical ventilation?
500
Shallow respirations, decreased or absent lung sounds, crackles, coughing, hx of smoking, low O2
What is atelectasis? Nursing: IS (10 x every hour while awake), ambulation, cough and deep breathe and change positions every 2 hours, RT
500
Works by inhibiting vitamin k synthesis by bacteria in the gastrointestinal tract. Inhibits production of clotting factors II, VII, IX, and X.
What is Coumadin? *Coumadin takes 3-5 days to reach a therapeutic level
500
Focused respiratory assessment includes. Name 5
What is LOC, RR (depth, effort, and pattern), accessory muscles, lung sounds, shape and chest symmetry, skin color, O2Sat/ABG, SOB, clubbing, oxygen use, diagnostic test results (chest xray, PFTs)?
500
The first step for drawing blood from a CVAD.
What is turn off IV infusions? 1. turn off iv infusion. 2. prep port for 15 seconds with antiseptic 3. flush with NS 10 ml 4. withdraw 5-10 ml of blood and discard 5. draw amount of blood needed and put into lab tubes 6. flush catheter with 10 ml of 0.9 NS after obtaining specimen