SHOCK
These are the 4 shock states?
What are
Obstructive
Hypovolemic
Cardiogenic
Distributive
Naloxone can be given for these two reasons
Patient is mulitple PVC in a row
What is a run of Vtac
Two types of Isotonic Crystalloids
Organ responsible for energy metabolism, drug metabolism and coagulation factor producation
What is the Liver
The two reasons for hypovolemic shock
Hypotensive patients need treatment with this solution at what rate
NS 500mls/ Rate is dependant on the individual patient and what they can tolderate
Rhythms that are fatal but you can shock
what is V tach, SVT and V-Fib
THis colloid is use as a volume expander due to the protein content that helps pull fluid into the vasculature
The NG tube isn't just for suction in this surgery but for stenting
What is an Esophagectomy
This is a cause of increase mortality in sepsis
What is delay in antibiotics
Trauma patients need nurses to do these three things
What is
Frequent monitoring
reduce stimuli
maintain MAP of 90 to reduce ICP
Elevate HOB
Avoid Fluid shifts and temperature changes
Pt has elevated ST segment and peaked T wave
Calcium is needed in an MTP
A patient with vacies, ulcer and tumor is likely to have what type of bleed
What is an upper GI
Epinephrine is the drug of choice
What is Anaphylactic Shock
Patients Air leak had resolved itself but now there is bubbling again in the fluid chamber
New Air leak, either in patient or in canister. Clamp along tubing to find the air leak.
Post op esophagectomy can develop this arrythmia
What is Atrial Fibrulation. This is due to the doctors compressing the heart during surgery
Cardiac Marker that trends up before it falls with treatment
What is Troponin
Patients with gallstones who have an attack with increase pain over 4 weeks who don't have their gallbladder out are at risk for
What is Pancreatitis
Your body starts with too many and then depletes itself of this blood component
What are White Blood cells
Patient has multiple IV Lines, drains, NG and foley. My job as the nurse is to
What is total my in's and out at the end of my shift
Nurse is to contact the doctor when this happens
Your body consumes this component every 24-26
What are platelets
Due to the acidity of the fluid and where the leak is, these post op patients are at high risk of deterioration