Show:
SCI
ARDS
BURNS
Meds & Labs
MISC
100
Patients who sustain a SCI at this level will require sustained mechanical ventilation.
What is C1-C3?
100
Aspiration Inhalation of toxic substances Pneumonia Sepsis Chest trauma Embolism Burns
What are common causes of ARDS? Table 68-6 page 1756.
100
Types of inhalation injuries and nursing care.
What is carbon monoxide poisoning, inhalation injury above the glottis, and inhalation injury below the glottis? Nursing care- Table 25-6 (p. 478)
100
35-45 mm/hg and 80-100mm/hg
What is a normal Pco2 and a normal PO2? see lab sheet
100
Increase in Peak airway pressures Ascultation of adventitious breath sounds increase respiratory rate and sustained coughing Sudden or gradual decrease in SpO2
What are indications for suctioning a ventilated patient?pp 29
200
4 stages of mourning process for patients with a SCI.
What is shock & denial, anger, depression, & adjustment?
200
Interstitial and alveolar edema and atelectasis. Hypoxemia unresponsive to increasing concentrations of O2
What happens in the Injury phase of ARDS? page 1757
200
Nursing care and monitoring for patient who has sustained an electrical injury.
What is assess for bone fractures and cervical spine injury, dysrhythmias, severe metabolic acidosis, & ATN?
200
This lab value should be monitored in a patient with an inhalation burn injury.
What is carboxyhemoglobin?
200
Failure of two or more organs
What is MODS page 1739 and pp 5
300
Types of neurogenic bladder.
What is reflexic, areflexic, & sensory?
300
The phase in which pulmonary hypertension results from pulmonary vascular destruction and fibrosis.
What is the fibrotic phase? page 1758
300
Using Rule of Nines, determine the TSBA burned for a patient with burns on the anterior chest, right and left arm anterior, & left leg anterior.
What is 36%?
300
Versed Fentanyl Succinylcholine
What are medications used for intubation of patients? pp slide 8
300
Patients with this level of SCI will have full independence in self-care & in wheelchair, ability to drive with hand controls (in most patients), & independent standing in standing frame.
What is T1-T6?
400
This syndrome is caused by damage to the anterior spinal artery and is often caused by a flexion injury. Manifestations include motor paralysis & loss of pain & temperature sensation below the level of injury.
What is Anterior Cord Syndrome?
400
Increase work of breathing Tachypnea Intercostal/suprasternal retractions Decreased mentation cyanosis Pallor
What are the symptoms of ARDS progression? page 1758 under CM and Dx studies
400
Name 5 complications that can occur during the acute phase of burns.
What is infection, dysrhythmias, hypovolemic shock, respiratory compromise, pneumonia, disorientation, hallucinations, limited ROM, contractures, paralytic ileus, diarrhea, constipation, Curling's ulcer, & hyperglycemia?
400
A patient presents with burns covering 40% of his body. He weighs 100 kg. He arrived in the emergency room at 0400 and had not received any IVF. Determine the amount of IVF to be administered in the first 24 hours. What type of IVF will be used?
What is 4ml X kg X % burn 4 X 100 X 40= 16,000 total ml to be infused Give ½ of IVF in first 8 hours= 8,000 ml from 0400 to 1200= 1,000 ml/hr Give ½ of IVF in next 16 hours= 8,000 from 1200 to 0400= 500 ml/hr
400
Difference between spinal & neurogenic shock.
What is spinal shock- decreased reflexes, loss of sensation, & flaccid paralysis below level of injury; lasts days to months; may mask post-injury function & neurogenic shock- loss of vasomotor tone; hypotension & bradycardia; loss of SNS innervation causes peripheral vasodilation, venous pooling, & decreased CO; T6 or higher SCI.
500
Patients with a T6 or higher SCI are at risk for this condition, which is characterized by hypertension, bradycardia, piloerection, skin flushing above the lesion, & blurred vision. What is the condition and what are the nursing implications?
What is Autonomic Dysreflexia? Nursing- elevate head, assess cause- bladder, bowel, clothing, shoes, & contact MD.
500
To correct hypoxia by giving the lowest concentration amounts of O2 that result in a PaO2 of >60mm/hg.
What is the primary goal of O2 therapy in the ARDS patient? page 1760 under O2 administration.
500
Pathophysiology of fluid & electrolyte shifts that occur during emergent phase of burns.
What is see page 479-480
500
Protonix Zantac carafate
What is medication given to prevent stress ulcer in ventilated patients? pp slide 50
500
The respiratory system
What is usually the first system affected in MODS?