Review Final (Old)

Dysrhythmias

100

Drug for all 4 lethal dysrhythmias, also name all 4 lethal

Epinephrine

Vtach w/o a pulse, Vfib, Asystole, PEA

200

What are the shockable rhythms?

Vfib & Vtach w/o a pulse

300

Which heart block has extra P waves but a PR interval that is CONSTANT?

2nd degree Type 2 (Mobitz 2)

400

Which do you do H's & T's for? List them

PEA 

H: hypoxia, hypovolemia, hypothermia, hyperkalemia, hydrogen ion (acidosis)

T: tension pneumothorax, cardiac tamponade, thrombosis, toxins

500

List the causes for each failure to pace

A. Failure to pace (fire)

B. Failure to capture

C. Failure to sense

A. low battery

B. lead malpostion 

C. sensitivity needs turned up

Cardiac

100

Which medication increases afterload

A. Lisinopril

B. Nitroprusside

C. Nitroglycerin

D. Norepinephrine

D. Norepinephrine

200

Which coronary artery is blocked with a Inferior MI, also name the leads?

RCA- II,III, and aVF

300

SVR means?

A. left preload

B. left afterload

C. right preload

D. right afterload

B. Left Afterload 

400

Which 2 hemodynamic values represent preload and which 2 represent afterload?

Preload: CVP & Wedge

Afterload: SVR & PVR

500

What type of shock is this;

Tachycardia, Decreased SVR/CVP/PAD/Wedge, Increased CO

Sepsis (only one with increased CO)

Vents/ARDS

100

The patients Pa02 is 70 and Fi02 is 60. Identify what stage of ARDS this is (mild, moderate, severe)

Moderate

200

What type of ventilator mode is considered protective?

Pressure Assist-Control

300

Signs and symptoms of ARDS (SATA):

A. Pulmonary edema

B. Bilateral infiltrates

C. Hypoxemia

D. Collapsed lungs

A, B, C

400

Decreased 02 levels despite supplemental 02

Refractory Hypoxemia

500

The patient is on Morphine, Propofol, and Nimbex. Their TOF is 4/4. Their BIS is 20. Which would you titrate?

TOF not paralyzed enough you would titrate Nimbex UP; 

BIS; too sedated, turn down the Propofol

Neuro

100

Autonomic dysreflexia occurs at what level?

T6 or above

200

Treatment for vasospasm

Nimopidine

300

The patient has a CVP of 10, UO last hour 50mL, BP low, HR low. Which would you give first?

A. Norepinephrine

B. Mannitol

C. 3% hypertonic solution

D. Nitroglycerin

A. Norepinephrine 

400

What type of dural hematoma is caused by an arterial bleed?

Epidural hematoma

500

The patient’s ICP monitor reads 18 mmHg, and the mean arterial pressure (MAP) is 80 mmHg. The nurse notes that the patient's ICP has increased to 22 mmHg after 10 minutes. Also whats the CPP now?

Given the situation, which of the following actions is the priority to prevent further brain injury?

A. Administer a second dose of Mannitol and increase sedation with Propofol.

B. Increase the head of the bed to 45 degrees and assess for signs of increased intra-abdominal pressure.

C. Increase the rate of hyperventilation to lower the PaCO2 further and decrease ICP.

D. Notify the healthcare provider immediately for a potential surgical intervention, such as a craniectomy.

A. Administer a second dose of Mannitol and increase sedation with Propofol.  

CPP= 58 indicates brain injury 

Misc.

100

What type of aphasia is characterized by the ability to comprehend but not speak?

Expressive (Brocas)

200

The patient has tracheal deviation, what type of shock would they have?

Obstructive

300

Which are signs and symptoms of Autonomic Dysreflexia?

HTN, bradycardia, headache

400

Solve the ABG

Ph: 7.25

CO2: 40 

HCO3: 15 

O2: 95

Uncompansated Metabolic Acidosis 

500

Will this person pass there Spontaneous Breathing Trail (SBT)?

- RR 25

- HR 70

- BP 115/75

- O2 90%

- Fi02 40%

- C02 50

- Sweating

Won't pass cause C02 and sweating