Labs
Cardiology
Nursing 101
Medications
100
True or False
A hemoglobin of 72 is concerning
True
Hemoglobin should be over >140
100
Demonstrate where you can find pulses.
Radial, Brachial, posterior tibial, pedal, femoral, carotid.
100
Which vital sign is the most concerning?
BP 110/78, HR 104, RR 17, SPO2 94%
HR 104
100
You are to give 300 mg of a medication but the tablets only come in 50mg. How many tablets are you giving.
6 tablets.
200
What are leukocytes?
What do they detect?
white blood cells. detecting infection.
Normal range: 4-10
200
What would you do if your patient told you they had chest pain?
Tell primary nurse, complete vital signs.
200
What should a COPD Pt's SPO2 be?
88-92%
200
Apixaban should be held in what instance?
Patient is bleeding.
300
What blood work indicates a patient is in Heart Failure?
BNP
(B- Type Natriuretic Peptides)
300
What is this ECG rhythm and What class of med would you expect the patient to be on?
A fib.
An anticoagulant. Apixaban for example.
300
what is the ratio of compressions to breath in CPR
30:2
300
What is pantoprazole used for?
GERD, prevention and treatment of stomach ulcers.
400
What hemoglobin level typically requires Red blood cell transfusion?
<70
400
What is the difference between a STEMI and NSTEMI
NSTEMI- Block in a minor artery or partial block in a major artery.
STEMI- complete block in a major artery
400
What lab are we most concerned about ?
Hgb 99, K 5.5, Na 131, Phos 1.4
K 5.5
Hyperkalemia can cause heart palpitations and even a heart attack
400
What is nitro spray used for?
Angina. (chest pain). If it is ordered in the MAR as a PRN you can give it to your patient but ensure you are still obtaining an ECG and trops. Usually can be ordered by nurse as protocol.
500
What does it mean to say troponin is positive?
higher than 0.04 can be in the thousands
Could indicate a heart attack.
When your heart muscle is damaged troponin leaks into blood stream.
500
What do patients go to the cath lab for?
Ablation (burns/ freezes electrical signals causing irregular beat), angiogram (checking health of arteries), angioplasty (opening a blocked artery usually via stent) and implantation of pacemakers / ICDs.
500
How to assess for fluid overload?
What order is MRP likely to give?
check for edema, listen to lung sounds, respiratory rate, check vitals (BP), stop any fluids running, restrict fluid intake. Call MRP
Diuretic (iv lasix if bad)
500
What is a -statin, -pril, -olol, -pam
statin- cholesterol
Pril- Ace inhibitor- BP/ HR
olol- Beta Blocker HR/BP
Pam- benzodiazepine, anxiety, calming effects.