LEFTOVER CARDIAC AND RESP
These are the most common cardiac labs complete in the acute setting.
What are CBC, CMP, CPK, Troponin, BNP?
This rapid and easy numeric neurologic assessment is often used in the assessment of acute neuro trauma patients.
What is the Glasgow Coma Scale (GCS)?
A patient admitted with acute kidney injury has the following morning labs:
GFR 90 mL/min, BUN 17 mg/dL, potassium 4.9 mEq/L, and creatinine 1.1 mg/dL.
The UO is WNL.
What stage of AKI is this patient in?
What is the Recovery Stage?
This is the primary symptom reported in patients who are diagnosed with Hashimoto's thyroiditis.
What is extreme fatigue?
Besides a GI assessment, these two secondary assessments/measurements are priority in a patient admitted with liver failure and abdominal ascites.
What are daily weights and abdominal girth measurement?
This is the most common cause of an empyema.
What is pneumonia?
This is the optimal HOB positioning for a patient with increased ICP.
What is HOB elevated at 30-44 degrees?
In a patient with renal disease, this is the most accurate indicator of fluid status.
What are daily weights?
This is the most important patient teaching associated with taking Prednisone.
A patient in liver failure is admitted to the hospital in fulminant hepatic failure and high ammonia levels. The nurse anticipates an order for this medication in response to the elevated ammonia.
What is lactulose?
A patient with ARDS is becoming progressively more hypotensive. Explain the patho of the ARDS hypotension.
What is inflammatory fluid leaks into the interstitial spaces leading to a relative hypovolemia?
This finding is common in patients with Diabetes Insipidus (DI).
What is a large volume of dilute urine output in a short increment of time?
These medications are often utilized in the emergent treatment of extreme hyperkalemia and metabolic acidosis in AKI or CRF patients.
What are Regular insulin IV, D50, Calcium gluconate, and sodium bicarbonate?
This is the primary presenting symptom for patient's who are diagnosed with Addison's Disease.
What is emotional lability?
The nurse is caring for a patient with a large and acute esophageal variceal bleed. The nurse should anticipate orders for these two fluids/medications.
What are IV octreotide and volume expanders?
This type of cardiomyopathy is particularly common among young people who appear otherwise healthy.
What is hypertrophic cardiomyopathy?
Prior to scheduled cerebral aneurysm surgery, what type of hospital room environment should the nurse provide for the patient?
What is a calm, dark, non-stimulating environment?
This type of AKI (Prerenal, Intrarenal, or Postrenal) is due to direct damage in the kidney caused by inflammation, toxins, drugs, or infection.
What is Intrarenal?
After a thyroidectomy procedure, the patient develops sudden onset of tetany and and changes on the cardiac monitor. The nurse is aware that the most likely cause of these symptoms is what?
What is hypocalcemia due to inadvertent removal of a portion of the parathyroid gland?
This is the primary pathophysiology of the increased risk of bleeding in patients with chronic liver disease.
What is the inability of the liver to utilize the available Vitamin K?
This antiarrhythmic works by blocking aspects of the potassium channel and slows the movement of potassium across the cellular membranes.
What is amiodarone (Cordarone)?
This type of fluid is utilized to treat acute and severe episodes of hyponatremia.
What are hypertonic fluids (like 3% NS)?
This stage of AKI occurs when the patient's diagnostic findings reveal casts, WBC's, and RBC's in the urinalysis, the laboratory findings reveal hyperkalemia and hyponatremia, and the ABG's reveal a metabolic acidosis.
What is the Oliguric Stage?
This medication is used to treat hyperthyroidism and prevent thyroid storm in patient who is receiving radioactive iodine treatments.
What is Tapazole (methimazole)?
This medication is given alongside vasopressin to reduce portal pressures in a patient with portal hypertension.
What is propranolol?