Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
complex final
| Question | Answer |
|---|---|
| Actions to prevent CLABSI | hand hygiene, scrub hub with alcohol/chlorexidine, dressing changes q7days, CHG bath, sterile technique |
| Triage: Red | injuries are life threatening but survivable with minimal intervention *treat first |
| Triage: Yellow | significant injuries requiring medical care, but can wait hours without threat to life or limb |
| Triage: Green | minor injuries and treatment can be delayed hours to days |
| Triage: Black | extensive injuries and unlikely chance of survival |
| Hypovolemic shock manifestations | hemorrhage, dehydration, tachycardia, dizziness |
| Cardiogenic shock causes | MI, heart diease |
| Red triage signs | RR >30 or <10, cap refill >3sec, decreased perfusion, doesn't follow commands |
| Initial stage of shock | mild decrease in perfusion, difficult to detect |
| Compensatory stage of shock | urine output decreases, mild acidosis, restlessness, irritability, narrowing pulse pressure, increased HR RR, mild hyperkalemia, thirst |
| Progressive stage of shock | vital organs develop hypoxia, rapid weak pulse, pallor, low bp, increased lactic acid and potassium, must be corrected in an hour |
| Refractory stage of shock | MODS, rapid loc, shallow respirations, code! |
| Angina descriptions | Stable angina: most common, predictable Unstable angina: occurring at rest or activity, risk for MI Prinzmetal angina: often at night, coronary spasms |
| MI labs | Troponin: shows up the longest Myoglobin: earliest marker of injury |
| Complications after cardiac catheterization and assessing circulation | Artery dissection: hypotension, tachycardia Cardiac tamponade: hypotension, JVD< muffled heart sounds Blood clots: cap refill, pulses, hold pressure for bleeding |
| Identifying dysrhythmias: Sinus bradycardia, V-Tach, V-fib, Atrial Fibrillation | Bradycardia: <60 Vtach: 3 or more PVC’s in a row, wide QRS Vfib: chaotic pattern, nothing discernible Afib:no discernible p wave |
| Pt education for nitro transdermal | Don’t cut patch, place on hairless area, remove old patch and wash with soap and water, remove patch at night |
| CABG complications | Fluid/electrolyte imbalance, atelectasis, pulmonary edema, pneumonia, dysrhythmias, hypotension, hypothermia, HTN, bleeding, cardiac tamponade, pain, infection |
| treating increased intracranial pressure | Elevate HOB >30, maintain body neck alignment, maintain airway, limit suctioning, stool softeners, low stimulus, space out activities, treat fever Treatment: mannitol, barbiturates, antiepileptics, opioids |
| Interventions for spinal cord injury | Monitor for shock, thrombi, change in sensation Prevent pressure ulcers, give stool softeners, urinary devices, monitor for ileus |
| Interventions for autonomic dysreflexia | sit pt up for bp, assess and remove the cause, administer antihypertensives |
| Priority for burns | Stop the burn by removing clothes/jewelry, ABC’s, fluid, pain, wound care, body temp |
| Phases for burns | Emergent: fluid resuscitation Acute: nutrition and caloric intake needs to be 2-3x more, increase protein Rehabilitative: most of burn has healed |
| indications for use of pancuronium | Prevents dyssynchrony |
| risks in mechanically ventilated patient | Barotrauma, fluid retention, oxygen toxicity, aspiration, VAP, GI ulcer |
| Guillain Barre Syndrome: identifying | Progressive paralysis after infection, flu vaccine, epstein barr virus, HIV |
| signs of DKA | Polyuria, polydipsia, polyphasia, kussmaul respirations, ketones present, elevated BUN creatinine, confusion, coma, acetone breath |
| client education about causes of Addison’s disease | Primary: idiopathic Secondary: steroid withdrawal |
| client education about complications of cushings syndrome | Hirsutism, acne, HTN, buffalo hump/moon face, insulin resistance, hyperglycemia, infection risk, thinning scalp, breast atrophy, salt and fluid retention, amenorrhea |
| Intra renal AKI causes | Clot, antibiotics, NSAIDS, contrast dye, rhabdo, trauma |
| AKI: phases | Onset: ends when oliguria starts Oliguria: 100-400ml/day Diuresis: kidneys recover, large amounts of fluid Recovery: until kidney function restored |
| Renal diet | Low sodium 2,000mg, carbs most calories, limit cholesterol, saturated/trans fat, vitamin D supplements, decreased potassium, phosphorus, protein |
Created by:
yeaitsliv