Busy. Please wait.
Log in with Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

N303

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Question
Answer
Balance of Fluids & Electrolytes   Homeostasis  
🗑
is vital to neuromuscular function and acid based balance   Electrolyte balance  
🗑
Inflammation and decreased protein cause   Fluid shifts  
🗑
Fluids are drawn to   Na+ and glucose  
🗑
Decreased concentration to increased concentration (cell -> Vasc. space)   Osmosis  
🗑
Increased concentration to decreased concentration (vasc. space -> cell)   Diffusion  
🗑
Pulls fluid in   Osmotic pressure  
🗑
Push fluid out   Hydrostatic pressure  
🗑
Decreased BP, Hypovolemia, Hyponatremia, Hyperkalemia cause:   Adrenal gland to secrete aldosterone; Kidney retains H2O & Na+, Excretes K+  
🗑
The concentration of fluid that affects the movement of water between fluid compartments   Osmolality  
🗑
The higher the osmolality the greater the pulling power of water. (_______ pressure)   Osmotic  
🗑
Drawn to H+ ions   Chloride  
🗑
Maintain acid balance   Bicarbonate  
🗑
Move fluids into diff. spaces Intravasc. -> ICF/ECF   Crystalloids  
🗑
D5 & H2O: Iso in bag, _____ in body. Body metabolizes sugar, H2O is _____.   Hypotonic  
🗑
Hypotonic solution   Cells grow  
🗑
Isotonic Solution   Volume Expansion  
🗑
Hang Blood   Hang ISO  
🗑
D5 1/2 NS ________ in bag ________ in body   Hyper Hypo  
🗑
Hypertonic solution   Cells Shrink  
🗑
Contain proteins (ex. albumin) that remain intravascular and pull fluid from cells & interstitial space (very high osmotic pressure)   Colloid  
🗑
Interstitial edema, +2 pitting edema Swollen legs -> fluid in interstitial spaces   Second Spacing  
🗑
M: 37 - 49 F: 36 - 46   Hematocrit (HCT)  
🗑
8 - 22 mg/dL   Blood Urea Nitrogen (BUN)  
🗑
135 - 145 mEq/L   Na+  
🗑
70 - 110 mg/dL   Glucose  
🗑
Fluid accumulates where fluid is not normally at in large amounts: anasarca   Third Spacing  
🗑
Give colloids + diuretics to get the fluid back where it belongs   Third Spacing  
🗑
98 - 106 mEq/L   Chloride (Cl-)  
🗑
8.5 - 10 mg/dL   Calcium (Ca+)  
🗑
3.5 - 5.0 mEq/L   Potassium (K+)  
🗑
1.3 - 2.1 mEq/L 1.6 - 2.6 mg   Magnesium (Mg+)  
🗑
1.7 - 2.6 mEq/L 2.5 - 4.5 mg   Phosphate (PO4-)  
🗑
275 - 295 mOsm/kg   Serum Osmolality  
🗑
M: 14 - 18 gm/dL F: 12 - 16 gm/dL   Hemoglobin (Hgb)  
🗑
First line med for V-tach   Amiodarone  
🗑
2nd line med for V-tach   Lidocaine  
🗑
Shockable???   V-tach V-fib  
🗑
Unstable, pulseless V-tach   Call Help Call Code Start CPR D-fib Epinephrine Vasopressin Amiodarone Lidocaine Resuscitation  
🗑
Stable V-tach w/pulse   Amiodarone Lidocaine Mg+, K+ Sync Cardiovert  
🗑
HR >180 Acute MI, CAD, Cardiomyopathy, Heart Failure, Valvular disease K=, Mg+ imbalance Artifact - Ck. Pt.   V-Tach  
🗑
Amiodarone Lidocaine   Antiarrhythmics  
🗑
40 - 60 bpm No P wave - No Atrial Kick Always Regular   Junctional Escape  
🗑
HR 150 - 250 bpm Always Regular May or may not see P waves Drug of choice: Adenosine   Superventricular Tachy (SVT)  
🗑
O2 IV access Heart monitor Vagal maneuvers Adenosine   Stable SVT Treatment  
🗑
ADENOSINE - Chest pain, Dropping BP, other distress Ca+ Chan Blocker Beta Block Cardiovert - LAST RESORT   Unstable SVT Treatment  
🗑
Control HR & Rhythm Diltiazem Amiodarone Digoxin   Atrial Tachy Treats  
🗑
Sinus Node Disease Meds (Beta Blocks) Hypoxia Athletes   Sinus Brady Causes  
🗑
O2 IV Access Atropine Sulfate(if symptomatic) Continuous Monitoring   Sinus Brady Treats  
🗑
Blocks PNS to Increase HR anticholinergic   Atropine Sulfate  
🗑
"Early" Atrial depolar Usually Asymptomatic Treat the cause   PAC - Premature Atrial Contraction  
🗑
Stress, anxiety, fatigue, infection, lack of sleep, meds, cafiene, Heart failure, Electrolyte imbalance, MI   PAC causes  
🗑
Chaotic firing of Atrium - No Pattern Irregularly - Irregular No meaningful P waves Loss of Atrial Kick Decrease C.O. 20 - 30%   A-Fib  
🗑
Amiodarone   A-fib (treats arrhythmias)  
🗑
HR 100 - 150 ALWAYS has a cause: anxiety, pain, fever, activity, dehydration, Heart fail, anemia FIX CAUSE -> FIX RHYTHM   Sinus Tachy  
🗑
FIX CAUSE -> FIX RHYTHM Give O2 Beta Blocks (lopressor) Ca+ Chan Blocks (Decrease HR)   Sinus Tachy Treats  
🗑
Beta Blocker - Decreases HR   Lopressor  
🗑
HR>250 bpm - SAWTOOTH Conduction Ration P:QRS -> 4:1   A-Flutter  
🗑
Cardioversion Ca+ Channel Blocks Beta Blocks Digoxin   A-Flutter Treats  
🗑
Ideal RASS Score   -2: Lt. Sedation - Briefly awakens w/eye contact to voice (<2 secs)  
🗑
HOB > 30* Prevent Stress Ulcer DVT Prophylaxis Sedation Vacation Oral Care q2hrs Weaning Trial   Vent Bundle  
🗑
Low Pressure Alarm   Leak in Line or disconnection  
🗑
High Pressure Alarm   Resistance in circuit: Kinked Tube Pt. Biting Tube  
🗑
AIR IN Amt air delivered to lungs -> 1 breath 5-12 mL   Tidal Volume  
🗑
3-5 cm H2O > 20 + Dmg can occur Keeps Alveoli inflated during expiration   PEEP  
🗑
Hyper inflated lungs take space from Heart -> Heart can't fully open and close -> Increases PEEP ->   Increased PEEP -> Decreased C.O.  
🗑
Assist Control Vent (set # of guaranteed breaths)   CPAP to wean from vent (Pt breathes on own -> alarm for Apnea)  
🗑
Coumadin Reversal   Fresh Frozen Plasma  
🗑
Left Heart Failure Manifestations?   Decreased C.O. -> Weak peripheral Pulses  
🗑
Electrical CHAOS!!! Vents wiggle -> No Squeeze -> No Pulse -> Pt. Always Unconscious #1 Cause: Acute MI D-Fib w/in 5 mins or DEAD! SHOCKABLE!!!   V-Fib  
🗑
#1 Cause of V-Fib   Acute MI  
🗑
Hypo & Hyperkalemia can cause:   V-Fib  
🗑
Hypovolemia Hypoxia Hypoglycemia Hypothermia   V-Fib Causes  
🗑
Conduction problem in the AV Node   AV Blocks  
🗑
A-V Node Conduction Delay PR >.20 Usually age, Asymptomatic & Benign   1st* AV Block  
🗑
Mobitz I (Wenkebach) Mobitz II   2nd* AV Block  
🗑
PR Lengthens PROGRESIVELY Less Serious Treat Symptoms AV Node can't keep up - usually temporary and fixes itself   Mobitz I (Wenkenbach)  
🗑
PR same & constant More Serious Some QRS's Drop   Mobitz II  
🗑
MI AV Node/Bundle Branch disease More serious than Type I   AV Block Type II  
🗑
Atropine Dopamine Epinephrine Temporary Pacemaker, if unstable   AV Block Type II - Treatments  
🗑
AV Node can't keep up _-> P progressively lengthens until QRS drops off -> Starts over -> Temporary, No treatment   Mobitz I (Wenkenbach) 2nd* AV Block  
🗑
P wave w/o QRS -> usually rqrs. Pacemaker (if unstable) -> Atropine, Dopamine, Epinephrine   Mobitz II 2nd* AV Block  
🗑
Complete Heart Block Decreased C.O. LOC, Syncope, can progress to Asystole SERIOUS!!!   3rd* AV Block  
🗑
Atria <- No Communication with -> Ventricle ALWAYS more P's than QRS's   AV Block Type III  
🗑
Meds: Digitalis toxicity Degenerative Heart Disease Acute MI Myocarditis   3rd* AV Block Causes  
🗑
Treat symptoms Usually gets perm. pacemaker Atropine, Dopamine, Epi. - while awaiting pacemaker   3rd* AV Block Treats  
🗑
One of the 2 Bundle Branches is blocked Wide QRS >0.12 12 lead EKG -> determine R or L Not treated unless acute   Bundle Branch Blocks (BBB)  
🗑
Causes Acute conditions - MI or Heart Fail Increased HR   Bundle Branch Blocks (BBB) Temporary  
🗑
Causes: Infarct of Bundle Branch Congenital Heart Disease Rheumatic Heart disease Cardiomyopathy Severe aortic stenosis Any heart disease causing scarring of conduction system   Bundle Branch Blocks (BBB) Permanant  
🗑
Pt: HR 40, Sinus Rhythm, SOB, Chest pain, BP 87/60   Symptomatic Bradycardia Give Atropine 1 mg IV to increase HR  
🗑
Pt: Heart beating out of chest, diaphoretic, Tachypneic, BP 70/40 Heart Monitor: SVT Valsalva & 3 doses Adenosine - NOT working Immediate action??   Unstable SVT Valsalva & Adenosine Failed... Prepare for Synchronised Cardioversion  
🗑
8 hrs. post CABG: Report what? Mediastinal drainage of 100 mL/hr T: 98.8* BP 160/80 K+ 3.8   Increased BP -> Increased Vascular pressure may cause bleeding @ incision sites  
🗑
35 - 45   PaCO2  
🗑
22 - 26   HCO3-  
🗑
Necrosis of Heart Muscle do to lack of O2 Decreased O2 & Increased Demand   MI  
🗑
Peripheral Edema Jugular Vein Distension Ascites Heptomegaly Fatige   R Sided Heart Failure  
🗑
Tachycardia Dyspnea Decreased Cerebral perfusion SOB, Wt Gain, Confusion   L Sided Heart Failure  
🗑
CHEST PAIN?? M.O.N.A.   Morphine O2 Nitro Aspirin  
🗑
Congestive Heart Failure UNLOAD FAST   Upright Nitrates Lasix O2 Ace inhibitors Digoxin Fluid Restrict Afterload Decreased Sodium restiction Test (Dig, ABG, K+)  
🗑
Block Beta Receptors in Heart: Decrease HR, Force of contraction, Rate of AV Conduction   Beta Blockers  
🗑
Bradycardia, Lethargy, CHF, Depression, GI Disturbances, Decreased BP   Beta Blockers S/E  
🗑
PropranOLOL (Inderal) AtenOLOL (Tenormin) MetroprOLOL (Lopressor)   Beta Blockers  
🗑


   

Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
 
To hide a column, click on the column name.
 
To hide the entire table, click on the "Hide All" button.
 
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
 
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.

 
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
Created by: lost little girl
Popular Nursing sets