SHOCK
What is the primary drug used in anaphylaxis?
Epinephrine
How is CO2 poisoning treated?
100% humidified oxygen
How do steroids positively impact spinal cord compression?
By decreasing spinal cord inflammation to decrease compression
Your patient had a stroke 3 weeks and now has dysphagia, he still has his gag reflex. As his nurse you know that which feeding device does he qualify for?
a PEG Tube
What are Delirium Tremens?
The most severe, life-threatening form of alcohol withdrawal, featuring severe confusion, shaking, and hallucinations
How do you expect kidney injury to be displayed in patients with shock?
Decreased urine output
Aside from the need for "quicker relief", why is PO medication administration not considered in patients with severe burns?
Due to GI dysfunction
Where is intrathecal chemotherapy administered?
Into the subarachnoid space, directly to the CSF.
What does Lactulose aid in excreting?
Ammonia
Normally converted by the liver into a less harmful substance called urea, which is then excreted through urine.
A patient has a COWS score of 15, what us there level of withdraw?
13-24 - moderate withdrawal
What does MAP signify?
It signifies the average pressure pushing blood into tissues, with a value ≥ 65 mmHg often considered necessary to maintain adequate organ perfusion.
What does carbon monoxide attach to in the body?
Hemoglobin
You notice your full code lung cancer patient has periorbital and upper extremity edema. As his nurse what is your top priority assessment?
Airway/Breathing
How does Rifaxamin and metronidazole aid in hepatic encephalopathy?
By reducing ammonia-producing anaerobic bacteria in the gut
Your patient takes methadone, knowing this can cause cardiac abnormalities, what do you look for on their EKG?
Prolonged QT
What can be given instead of methadone for withdrawal symptoms in opiate dependent patients?
Buprenorphine
What is a "narrow pulse pressure"?
A narrow pulse pressure occurs when the difference between the top (systolic) and bottom (diastolic) blood pressure numbers is small, specifically less than 25% of the systolic reading
Both legs (front and back) account for how much in the Rule of 9's
32%
Reed Sternberg Cells are only present with which malignancy?
Hodgkins Lymphoma.
What are 2 major and preventable causes for liver failure?
Excessive alcohol consumptionand acetaminophen (Tylenol) overdose
You're a nurse in the ED and a patient comes in requesting alcohol detox, you ask the patient when their last drink because you know delirium tremens (DTs) usually appear when?
48–72 hours after last drink
What are Inotropes?
Increase contractility of the heart and therefore Cardiac Output
What is the difference between enzymatic debridement and surgical debridement?
Your patient has small cell lung cancer and is now experiencing SIADH. As their nurse you know that frequent assessment of which lab value is important?
Sodium
Acute Liver Failure is classified by development within 26 weeks (usually a few days) of symptom onset with 2 key changes in labs/baseline. What are they?
INR >1.5 and encephalopathy
Your opioid dependent patient is in pain. They have a listed allergy to Morphine and state Dilaudid makes them itchy but when they take it with Benadryl they have no problems. As the nurse what is your next step?
Confirm with the LIP prior to administration.
It has been debated that asking for Benadryl and Dilaudid together is "drug seeking behavior" and increases the potency of the medications when combined.
Ultimately, no confirmation of it being dangerous has been published but it is always good to understand these behaviors and what to do