Cardio
Med Surg
Medications
Key Items
Abnormal Findings
100
During cardio assessment, what are the landmarks for auscultation?
Atoric Valve- 2nd ICS R Midsternal
Pulmonic valve - 2nd ics L Midsternal
Tricuspid valve - 5th ics L midsternal
Mitral valve - 5th ics mid clavicle line
100
What is the normal range of a COPD patients oxygen saturation?
88-92%
100
What are the 10 rights of Medication administration?
Right Patient
Right Medication
Right Dose
Right Route
Right Time
Right Documentation
Right Reason
Right Education
Right Response (evaluation)
Right to Refuse
100
If you walk into your patients room they are unresponsive. You check for a pulse and it is absent. What do you do?
Press the code blue button or pull the call bell and start your compressions.
100
What are the clinical manifestations of someone with compartment syndrome?
The 6 p's.
Pallor, Paresthesia, Pain, Pressure, Paralysis, Pulselessness
200
What class of medication is used to treat Atrial Fibrillation?
Beta-blockers
Bonus - name a medication?
200
What is the term for a blood clot that travels to the lungs?
Pulmonary embolism
200
What is the antidote of warfarin and the therapeutic range of INR with someone on warfarin?
Vitamin k
2.0-3.0
200
What two Cardiac Arrhythmias do you defibrillate durring a Code Blue?
Ventricular Tachycardia and Ventricular Fibrillation
200
What are the normal ranges for your ABGs (pH, CO2, HCO3)
pH- 7.35 - 7.45
CO2 - 35 - 45
HCO3 - 22 - 28
300
What does the acroynm MONA stand for when someone is experiencing a MI?
Morphine
Oxygen
Nitroglycerin
ASA (160mg and chew)
300
Name 3 symptoms for each Hyperglycemia and Hypoglycemia?
Hyperglycemia: Increased Respiratory Rate (Kussmaul Breathing), Polydispia, Polyuria, Hot Dry.
Hypoglycemia: Cool, Diaphoretic, lethargic, Shakiness,
300
What is the name of a common Diuretic to treat Heart failure?
Furosemide (Lasix)
300
What do you do in your 60 second assessment?
ABC's
Tubings (IV lines, Cardiac monitor cords, O2 tubes, Catheter Tubes)
Suction / Oxygen
Environment
300
What is the regular lab value for potassium?
3.5 to 5
400
Your patient is experiencing chest pain and has history of Angina. What medication would you use to help relieve the pain and how often would you use it before calling a doctor?
Nitroglycerin
Spray under the tongue every 5 minutes max 3 times
400
Where would a patient with acute pancreatitis feel pain? What lab value indicates Pancreatitis?
Left Upper Quadrant Radiating to their back
Lipase (0-160U/L)
400
Administrating Fast or high doses of Metoclopramide (maxeran) can cause what movement disorder?
Tardive Dyskinesia (Involuntary Repetitive Body movements, grimacing, sticking out tongue, or lip smacking).
400
Massive blood loss would be considered what type shock?
Hypovolemic shock
400
What Rhythm is this?
Ventricular Tachycardia
500
Does right sided OR Left sided heart Failure cause Peripheral Edema?
Bonus: What Lab Value due we use to detect Heart Failure?
Right Side
BNP (B-Type Natruiretic Peptide)
500
What Type of bleed would you suspect if you assess black tarry stools?
Upper GI Bleed
500
Your patient has Hepatic Encephalopathy and has Altered LOC. You notice that their Ammonia level is elevated. What medication do you give to lower their Ammonia level?
Lactulose (QID until Bowel movements or GCS improves)
500
If your patient has an elevated potassium level, what are the risk and how do you lower the potassium?
Cardio arrhythmia's
A potassium shift - 10 units of humlin R, 50mmol of 50ml dextrose, ventolin neb/puffers
500
For a stroke assessment, what does FAST-VAN stand for?
Face
Arms
Speech
Time
Vision
Aphasia
Neglect