Critical Care > Final Exam > Flashcards

Final Exam Flashcards

(62 cards)

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1
Q

Assault

A

Intentional Harm or threatening harm

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2
Q

Battery

A

Occurs with failure to obtain informed consent

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3
Q

V fib / V tach Tx:

A

Epi and SHOCK

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4
Q

PEA - asystole

A

CPR NO SHOCK

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5
Q

Bradycardia Tx:

A

Atropine/Dopamine/Epi

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6
Q

Tachycardia Tx:

A

BB and Cardioversion

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7
Q

Torsades Tx:

A

Magnesium

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8
Q

Dopamine is effective for

A

HYPOTENSION

when client does not have hypovolemia

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9
Q

PaCO2 for Hyperventilation

A

Respiratory Alkalosis

Acid being blown out

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10
Q

PaCO2 for Hypoventilation

A

Respiratory Acidosis

Acid being held in

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11
Q

PaCO2 for DKA

A

Metabolic Acidosis

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12
Q

Vent Bundle

A
  • HOB 30 degrees
  • Ulcer Prevention (PPI)
  • Oral Care (q2-3)
  • DVT prevention
  • Weaning
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13
Q

Client is having difficult weaning look at

A

hemoglobin

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14
Q

Factors that cause reduced respirations promotes respiratory acidosis

A

Failure of ventilation and accumulation of carbon dioxide

(Airways - Asthma & COPD - cant blow acid out)

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15
Q

Chest tubes can cause

A

pneumothorax and tension pneumothorax

can cause deviated trachea

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16
Q

Complications of ET tube

A
  • ETT displacement
  • Tracheal Injury
  • Oral/ Nasal Injury
  • Barotrauma – injury because of air or body pressure
  • Volutrauma – overdistention of the lung
  • O2 toxicity
  • VAP
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17
Q

Safety is improved with a focus on

A

alarms

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18
Q

Tubing connections for arterial lines

A

should be tight

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19
Q

Clients with enteral feedings should have HOB at

A

30 degrees to prevent aspiration and pneumonia

Prevent VAP

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20
Q

If a client has a unilateral respiratory condition,

A

good lung down will promote perfusion.

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21
Q

ARDS occurs because of

A

increased capillary permeability

  • Fluid builds up in alveoli, leaves no room for air. Causes from infection and injury. Tx; increase Blood oxygen levels, breathing support.
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22
Q

Hypoxemia S/S and Tx

A

S/S DLOC, restlessness, decreased tissue perfusion, tachypnea, increased HR then decreased, headache, pallor, cyanosis

Tx: Meds: Bronchodilators & steroids, diuretics (get rid of fluid in lung), Oxygen

LOW OXYGEN IN BLOOD

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23
Q

Client to be weaned from vet

A
  • RR <25
  • FiO2 <40%
  • SpO2 >90%
  • SBP 100-150, DBP 60-90
  • HR 60-100 BPM
  • Sedation weaned
  • Acceptable labs for 24 hours
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24
Q

What meds lower K in blood

A

Diuretics (Mannitol), Laxatives, Insulin, ACE, ARBS, Sodium polystyrene sulfonate, Glucocorticoids

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25
What med causes vasodilation of kidney
DOPAMINE
26
Pain on urination and bacteria in the urine could indicate
post renal injury
27
Decreased CO s/s
- Fatigue - Edema of arms and legs - SOB - Abdominal Pain
28
Client taking amlodipine should avoid
grapefruit juice
29
Hypovolemia S/S
Tachycardia Tachypnea Low BP
30
MI Interventions
-EKG – STEMI versus NSTEMI -MONA (Monitor Pain, Oxygen, Nitroglycerin, Aspirin) -STEMI – goal is to reperfusion therapy is 90 minutes door to balloon time, fibrinolytic therapy in patients with no contraindications who present within 12 hrs of onset of symptoms
31
R sided ♡ failure
Body edema
32
L sided ♡ failure
pulmonary edema
33
Patho of MI
MI – thrombotic occlusion of artery caused by rupture of plaque. Ischemia to infarction.
34
A coronary artery bypass graft will be done for
significant blockage to the left main coronary artery.
35
In ACLS, know what follows defibrillation
- After D fib continue compressions for 2 minutes
36
Im ACLS, know what follows 2 min of CPR
- After 2 min CPR do pulse check.
37
Increasing HOB
decreased ICP
38
High PaCO2 and low PaO2 causes
vasodilation in brain
39
CPP
MAP – ICP
40
MAP
SBP + 2 DBP 3
40
MAP
SBP + 2 DBP 3
41
During a splenectomy there is an
increased PLT count (150,000- 400,000)
42
Erythropoietin stimulated
RBC production
43
Passive immunity
body recieves antibodies
44
Active immunity
produces own antibodies
45
When client is not tolerating enteral feeding
Stop feeding
46
PPI's
Used to decrease acid in stomach For Peptic ulcers Does not cause hypokalemia
47
Malfunctioning liver
Produces few clotting factors NO HYPERCOAGULATION
48
Famotidine
Histamine 2 receptor for Peptic ulcers
49
When ascites occurs with pancreatitis
Monitor for BP and dehydration Give fluids at greater than 10 mL per hour
50
What causes peptic ulcers
HYPOVOLEMIA – ISCHEMIA OF GI – PEPTIC ULCERS INCREASED GASTRIC SECRETIONS – PEPTIC ULCERS
51
Med for adrenal crisis
Glucocorticoid
52
Glucocorticoid can cause
peptic ulcers - adm PPI (omeprazole)
53
PPI electrolyte imbalances
hyperkalemia, hypercalcemia, and hyponatremia.
54
SIADH
SIADH: decreased urine output, fluid overload, decreased serum sodium levels
55
Minor (green) MCI
Can walk and open commands
56
Decreased (black) MCI
no respiration after head tilt
57
Immediate (red) MCI
respirations over 30 or radial pulse absent or unable to follow commands
58
Large volume of blood/fluid replacement can lead to
ARDS increased cap permeability in lungs
59
Primary Survey (1-2 min)
A - airway B - breathing C - circulation D - disability (neuro) E - expose
60
Atropine is for
Bradycardia
61
GO OVER FLUID RESUSCITATION PROBLEMS
Critical Care
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