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Respiratory
Even More Respirtory!
Critical Care Nursing
End of Life and Transplants
100
chest pain, SOB, known presence of a DVT, decreased oxygenation
What are symptoms of a PE?
100
80-100 mm Hg
What is the normal PaO2?
100
I: Introduce yourself N: Now; Explain the current situation
What does the "IN" in "INOROUT" stand for?
100
Immunosuppressants
What drug type does every transplant recipient have to take?
200
Initially: heparin gtt or Lovenox Long term: warfarin (Coumadin)
A patient with a pulmonary embolism will be treated with what anticoagulants?
200
Handwashing is the most important thing that we can do as a health care worker.
How do we prevent nosocomial infections such as VAP?
200
What tool did nursing borrow from the military to improve communication?
SBAR Situation: I am concerned about... Background: The physical findings are... Assessment: This is what I think the problem is.... Recommendation: I suggest (the required course of action)
200
Absence of oculocephalic and oculovestibular reflexes
What are tests used to determine brain death?
300
VQ ratio of <0.8
What is when ventilation is decreased and perfusion is normal? (Perfusion exceeds ventilation) Ex: shunting in COPD, ARF, and ARDS
300
The ventilator's high-pressure alarm goes off when the patient does this.
What is a cough, or what is excessive sputum?
300
Impaired gas exchange; since it results from a breakdown of oxygen transport from the alveolus to the arterial flow
Name the nursing diagnosis for Type 1 Hypoxemic Failure?
300
Coma, apnea, absence of brain stem reflexes
What are the cardinal findings of brain death?
400
Sepsis, burns, severe trauma w/multiple blood transfusions, drug overdose, cardiopulmonary bypass, acute pancreatitis, intracranial HTN, drug overdose (pg. 66 of text)
What are indirect lung injuries that can cause ALI?
400
Pt with respiratory failure: Ph: 7.50 PaCO2: 19 PaO2: 90 HCO3: 27
What is respiratory alkalosis?
400
Caused by: polypharmacy, the presence of infection, organ dysfunction, disruption of sleep pattern Treated with: Haldol and lorazepam (Ativan) around the clock, with larger doses in the evening
What are the causes of delirium and the treatment?
400
Pt has a creatinine level of 2.2 and decreased urine output. Treatment: larger than maintenance doses of immunosuppressants
What are the signs of kidney rejection and how might they treat it?
500
Low pressure alarm is going off on the ventilator.
What is an air leak or possible circuit disconnect?
500
Pneumonia, pulmonary edema, ARDS, aspiration, atelectasis
What are the causes of Type 1 Respiratory Failure?
500
Guaiac solution was removed from the floor so nurses could no longer get the results themselves, they had to send it to the lab.
What is forcing a function or a system firewall?
500
"We have decided not to put dad on the ventilator. We just want to make him comfortable." This is an example of what?
What is limitation of care?