Meds, Labs, Procedures
This increase in serum level suggests a worsening of a client with cirrhosis and ascites.
What is an increase ammonia level?
A client with COPD has this primary imbalance
What is respiratory acidosis?
The inability of a client to copy a drawing accurately or a three-dimensional construction
What is constructional apraxia?
Trauma to the chest can be caused by either of these ways
What are blunt or penetrating trauma?
A rapid onset of severe dyspnea after a precipitating event
What is acute respiratory distress syndrome (ARDS)?
Vecuronium is a neuromuscular blocking agent that facilitates easier tracheal intubation by doing what
Interpret this ABG
pH 7.51
pCO2 32 mmHg
HCO3 24 mEq/L
What is respiratory alkalosis?
Impaired brain function that occurs in clients with advanced liver failure is categorized as this
What is hepatic encephalopathy stage 1 to 4?
Stage 1 is mild with mood changes and sleep problems...progresses to a Stage 4-coma
Water-seal chest drainage systems have these three chambers
What are a collection chamber, a water-seal chamber, and suction control chamber?
1. Collection chamber is a reservoir for fluid draining from the chest. 2. Water-seal has a one-way valve. There is an increase in the water level with inspiration and return to baseline with exhalation (tidaling). Intermittent bubbling is okay. Continuous bubbling indicates an air leak. 3. Suction control regulates negative pressure applied to chest. Usually set at 20 cm H2O. Some bubbling should occur.
In a client with a chest tube in place and there is no tidaling occurring, the nurse assesses for
What is re-expansion of the lung or an obstruction?
This IV infusion may be given during a paracentesis in a patient with complications of cirrhosis with ascites
What is albumin?
Interpret ABG:
pH 7.33
PaCO2 40 mmHg
HCO3 30 mEq/L
What is metabolic acidosis?
Clinical manifestations include intermittent mild fever, vascular spider angiomas, palmar erythema, ankle edema, hepatomegaly, spleenomegaly, and abdominal pain
What is cirrhosis with ascites?
Positive pressure builds up in the pleural space, collapsing the affected lung, causing a life-threatening situation
What is a tension pneumothorax?
Keep in mind a simple pneumothorax can occur in a healthy person in the absence of trauma.
If the tubing of the chest tube becomes disconnected from the chest drainage system, the nurse will do this
What is place the disconnected end of the tube into a container of sterile water?
This common loop diuretic is given IV push for pulmonary edema
What is furosemide (Lasix)?
These conditions can cause a chronic respiratory acidosis
What are sleep apnea and COPD?
Sudden onset of severe abdominal pain, nausea, abdominal distention, decreased peristalsis, and elevated serum amylase and lipase levels.
What is acute pancreatitis?
These are types of non-invasive positive pressure support for clients who are experiences a severe COPD exacerbation and mechanical ventilation is not an option.
What is CPAP or BIPAP?
CPAP- Continuous positive airway pressure
BIPAP- Bilevel positive airway pressure
This type of ventilatory support is used to open the alveoli in conditions such as atelectasis and ARDS
What is a high-frequency oscillatory support ventilator?
These tests may be done to diagnose an obstruction of the pulmonary artery?
What are a ventilation-perfusion scan (VQ scan), D-dimer, chest x-ray, and spiral CT?
When metabolic acidosis worsens potassium moves from intracellular to extracellular fluid causing
What is hyperkalemia?
These conditions of the liver are transmitted through fecal-oral route and when contaminated blood and body fluids are transmitted from an infected person
What are hepatitis A, B, and C?
This setting on a mechanical ventilator helps prevent alveolar collapse
What is PEEP (positive end-expiratory pressure)?
This serious condition presents as paradoxical breathing, where the chest moves in the opposite direction when breathing
What is a flair chest?