Fluid electrolyte ABG
Respiratory
Cardiac
Anticoagulants
Misc.
100

Role of albumin in Fluid balance

Oncotic pressure. In low albumin states caused by medication toxicity, kidney disease or malnutrition we have acites or edema.

100

Clinical manifestations of Asthma

Sudden onset of Wheezing, bronchospasms, dyspnea, mucous productive cough.

100

What part of the RAAS system does an ace inhibitor block?

Blocks Angiotensin 1- from becoming angiotensin 2 and vasodilation.

100
Patient is bleeding with INR of 4.5, what is Warfarin antidote

Vitamin K

100

Inflammatory mediator from mast cells that causes vasodilation and swelling?

Histamine 

200

Purpose of isotonic IVF.

Increase volume, replace loss,  maintatin BP. 

200

Triggers of asthma

Allergic response, igE, odors, animal dander

200

Why is a beta blocker ordered for a patient after MI?

Reduce anginal episodes, preventative.
200

Heparin drip is subtheraputic, what do you do?

Increase the drip.

200

White blood cells are called?

Leukocytes, leukocytosis, leukopenia

300
pH: 7.30

HCO3: 19

What imbalance?

Metabolic acidosis

300
Benefit for using an inhaled steroid over oral steroid in asthmatic patient?

Less systemic side effects. Watch for oral thrush, clean mouth after inhaled. 

300

Purpose of diuretics in CHF?

Reduce fluid volume, edema, sob, fluid in lungs and peripheral

300

What is included in bleeding precautions?

Anticoag education, antiplatelet education, Lab values to monitor, saftey with razors, fall risk, surgeries, avoid invasive procedures.

300

Why do we have peak and trough values on some drugs, ie antibiotics?

To monitor a narrow therapeutic window, assess for toxicity.

400

Client on a PCA pump is lethargic and ABG comes back respiratory acidosis. What's nursing priority?

Treating the cause. 

400

What is patho of COPD-Emphasema?

CO2 trapping or Expiratory disfunction

400

What happens if HTN is not well controlled?

Vessel disease, can lead to kidney failure hemodialysis, MI, CVA, TIA, visual issues

400

Name the drug that is the "clot buster" or dissolves existing thrombus?

tPA altaplase. 
400

What type of anemia would you see pancytopenia?

Aplastic anemia, low everything

500

What happens to the potassium in DKA/Metabolic acidosis?

Slips out of tissues to balance pH, false Hyperkalemia until you give insulin then true hypokalemia shows as K is being moved into cell with glucose.
500

Thickened bronchial walls, with excessive mucus production is what type of COPD?

Chronic Bronchitits

500

What lab value, when normal may rule out MI and make you switch from Cardiac to GI assessment when client has chest pain?

CKMB Troponin, cardiac enzymes.
500

Contraindications for Anticoagulants/antiplatelets.

Taking more than one at same time, recent surgery, NSAIDS, bleeding disorder. 

500

Side effects for NTG ?

hypotension