ARDS/ Acid Base/Vent
What position would promote optimal oxygenation in ARDS?
prone
What would cause you to think your client might have acute hypoxemia as a primary concern with a PE
Dyspnea suddenly
What kind of med will help COPD with dyspnea and productive cough?
Bronchodilators
What is priority intervention if client has an accucheck of 425 mg/dL?
Give prescribed prn order of short acting insulin.
how many units/hr for Insulin drip ordered to be 0.2units/kg/hr. Client weighs 90 kg.
18 units/hr
250 ml positive fluid balance
Priority nursing diagnosis for PE, Hr 110 Spo2 is 88% with cyanosis.
Impaired Gas Exchange
Pt has COPD - how many puffs of inhaler would you give in 24 hrs if order reads to give 2 puffs every 6 hrs?
8
Client has glucose over 600 mg/dL with severe dehydration and osmo over 320 mOsm/kg and pH of 7.35. HHS has been diagnosed. What is priority intervention
Fluid resuscitation
Order is to give 250 ml of fluid at 75 ml/hr. How many hours will it take to infuse?
3.33 hours
When do you need to give more oxygen to client with ARDS?
ABG shows 55% on 70% FiO2
What test would show a positive dx of PE?
CT
Client has COPD with ABG showing PaCO2 55. Is this critical?
No this is consistent with chronic respiratory acidosis in COPD pts.
what would you give first for DKA client to address fluid deficit: Hypertonic saline or isotonic saline?
Isotonic saline
How many units/hr if order is to give 16 units/kg/hr and the client weighs 80 kg.
1280 units/hr
What vent setting for tidal volume would you use for an ARDS client?
low tidal volume ventilation
Client has severe chest pain and dyspnea - What is the priority intervention to give?
Give oxygen therapy
What test would provide best measure of oxygenation and carbon dioxide levels in COPD?
ABG
What would cause you to believe there is need for increase in fluid adjustment in HHS client?
low urine output
How many ml would you give if you had order to give 0.7 gm and drug is 250mg/ml?
2.8 ml
What would indicate client is ready to be extubated after having ARDS?
SpO2 98% on 30% FiO2
What would PE show on inspection with R sided heart strain?
Jugular vein distention
What does it mean if client has paradoxical breathing with COPD?
Severe respiratory failure
Would you have fruity breath with HHS?
No - this is only in DKA
how many ml would you give with an order for 7 mg of med. available is 5mg/ml?
1.4ml