Diagnoses
Symptoms of this diagnosis may include tremors, auditory/visual hallucinations, confusion, nausea/vomiting, and anxiety. Symptom management most commonly includes use of benzodiazepines.
alcohol withdrawal
This type of antibiotic needs to be administered to patient's diagnosed with septic shock.
Broad spectrum
Bonus: what are 2 examples of broad spectrum antibiotics?
A physician may want to increase a patient's RR on the ventilator if this value is abnormally high
What is pCO2
The transducer of an arterial line should be level with this part of the patient's body
Phlebostatic axis (4th intercostal space)
A medication used for DVT prophylaxis
Lovenox
Bonus: how is this medication administered?
A patient presents with a right sided facial droop, slurred speech, and right sided weakness. A level 1 stroke is paged out. What is your priority for this patient upon arrival to the ED?
CT head
Bonus: What is the time frame from Last Known Well time for when TPA is eligible to be given?
Name the three most common types of distributive schock?
Septic Shock, Neurogenic Shock, Anaphylactic Shock
This setting is utilized when trying to wean patients off of ventilator support
CPAP
A patient receiving a continuous dobutamine infusion should show improvement in these 2 hemodynamic values
Bonus: what are the normal ranges for these values?
Medication commonly used for patients in atrial fibrillation with a rapid ventricular rate. A bolus is given prior to initiating a continuous infusion and may be titrated to achieve ordered parameters.
Cardizem
Bonus: What else should you take into consideration before starting this medication?
A patient presents to the ED complaining of nausea/vomiting, fatigue, and increased work of breathing. Patient states she has not been taking her insulin because she has felt so sick. These findings are consistent with this diagnosis.
DKA
Bonus: Are patients with DKA typically acidotic or alkalytic?
A patient admitted for a GI bleed may eventually progress to this type of shock depending on the severity.
Hypovolemic shock (due to extreme blood loss)
Check your circuit for kinks, suction inline, check your ET tube for placement/kinks, asynchrony with ventilator, need for increased sedation, auscultate for bilateral lung sounds
Name two early signs of elevated ICP.
Vomiting, irritability, headache, lethargy.
Bonus: What are some nursing interventions to help decreased ICP?
The only sedative that may be utilized in a patient who is not intubated
Dexmedetomidine (Precedex)
A patient presents with chest pain. An EKG is obtained showing ST inversion in several leads. You anticipate the patient to be admitted with this diagnosis.
NSTEMI
Bonus: why?
A nurse is checking in a patient who arrived via AMR to the ED. EPIC flags for septic shock. The nurse should anticipate the following orders for this patient.
Blood cultures, UA, urine culture, sputum culture (if necessary, lactic acid level, 30 mL/kg fluid resuscitation, broad spectrum abx
Non-invasive ventilation used to provide extra support to a patient, but requires the patient to be breathing on their own.
BiPap
Bonus: What are some common diagnoses this is used to treat?
A physician managing a patient admitted for cardiogenic shock would want to know these hemodynamic values.
cardiac output, cardiac index, and pulmonary capillary wedge pressure
Bonus: What medication may be utilized to increase these values in someone with cardiac issues?
A patient presents to the ED with a blood pressure of 260/189. You anticipate the doctor to order this medication infusion for BP control.
Cardene
Disseminated Intravascular Coagulopathy (DIC)
A patient experiencing this type of shock may present with the following symptoms: pulmonary congestion, JVD, angina, cool skin, and decreased UOP.
Cardiogenic Shock
A physician may utilize this ventilator setting in a patient with critically high peak inspiratory pressure levels.
Pressure control.
Bonus: If a patient is pulling 200 mL tidal volumes would this be an appropriate setting for them?
This measurement assesses preload of the right side of the heart.
CVP/RAP
Bonus: The normal range for CVP is...?
DDAVP (Desmopressin)