Neuro Dysfunction
Pancreas & Liver Dysfunction
Endocrine
Renal/GIB
100
Altered LOC, papilledema, headache, unilateral pupil dilation, vomiting, paralysis, Cushing's Triad (systolic HTN, widening pulse pressure, bradycardia)
What are symptoms of increased ICP?
100
Pleural effusion can be caused by enzymes from this organ leaking into pleural space.
What is the pancreas?
100
Patient is experiencing HHNS. Glucose: 800 Serum osmolarity: 367 Sodium: 155 What treatment would you anticipate?
What is IVF: 4000mL over 8 hours then 4000 mL over 16 hours?
100
Your septic patient's creatinine is 2.0. Your biggest concern is this:
What is acute renal failure?
200
Coughing, suctioning, neck and hips flexed, valsalva maneuver, pain, abdominal/bladder distention, head low
What can increase a patient's ICP?
200
You are concerned that your patient with pancreatitis is hemorrhaging. What sign are you looking for?
What is Grey Turner's sign (bruising of the flanks) or Cullen's sign (bruising of umbilicus)?
200
This condition produces metabolic acidosis.
What is DKA?
200
A patient in hypovolemic shock is at risk for what?
What is ARF or acute tubular necrosis (ATN)?
300
Patients with a SAH usually have this statement.....
What is, "The worst headache that I've ever had!"
300
hypertension, tachycardia, tachypnea, fever, seizures
What are physiological manifestations of AWS?
300
Avoid this type of insulin at bedtime.
What is regular insulin?
300
What can cause stress on esophageal varices?
What is anything that can increase pressure? (vomiting, retching, coughing, elevated pressure)
400
MAP-ICP
What is the CPP? (Cerebral perfusion pressure)
400
Can result in elevated ammonia levels.
What is hepatic encephalopathy?
400
Why does a patient in HHNS have high serum osmolality? (high plasma concentration)
What is osmotic diuresis? (Due to excessive urine output) In the presence of hyperglycemia, osmotic diuresis occurs. As a result, water is absobed into the vascular space from the interstitial spaces. Glucose and water is then diuresed through the kidneys.
400
What phase of renal failure is a patient likely to be in that is having a urine output of 15 mL/hour?
What is the pre-renal phase?
500
Your patient was diagnosed with an ischemic stroke that started 2 hours ago. What treatment would you anticipate?
What is tPA?
500
In order to be effective, activated charcoal must be given within what time frame after ingestion?
What is four hours?
500
Waht can precipitate DKA or HHNS?
What is an infection?
500
Your patient with a foley does not have any urine output. What nursing intervention should occur?
What is checking the patency of a foley?