Emergency & Critical Care Nursing

Question 1

Nitroglycerin

Answer 1

…A preferential venous dilator affecting the venous system at low doses, relaxing arterial smooth muscle at higher doses.

Question 2

Morphine

Answer 2

…most widely used Opiod and serves as the gold standard against which other Opiods are compared. Used for pain management and esp. in episodes of acute chest pain.

Question 3

Atropine

Answer 3

…Initial therapy for symptomatic bradycardia.

Question 4

Isoproterenol

Answer 4

…Potent pure beta receptor agonist. Used typically for temporizing life-threatening bradycardia,

Question 5

Mannitol

Answer 5

…an osmotic diuretic commonly used in patients with increased intracranial pressure (ICP).

Question 6

Adenosine

Answer 6

…Depresses the SA node automaticity and atrioventricular nodal conduction. Used for the acute termination of atrioventricular and nodal and reentrant tachycardia, and for supraventricular tachycardias.

Question 7

Verapamil

Answer 7

…IV calcium channel blocker. Used in the acute care setting for ventricular control.

Question 8

Diltiazem

Answer 8

…Calcium channel blocker. Used for vasodilation. Slows and strengthens the heart.

Question 9

Amiodarone

Answer 9

…An antiarrhythmic agent with calcium channel blocking and beta blocking properties. Used frequently for atrial fibrillation and atrial flutter.

Question 10

Lidocaine

Answer 10

…Sodium channel blocking agent decreasing the rate of contractions of the heart, specifically used to treat Ventricular Tachycardia.

Question 11

Procainamide

Answer 11

…An arrhythmical medication used for treatment of cardiac arrhythmia.

Question 12

Magnesium Sulfate

Answer 12

…Magnesium is the first-line anti-arrhythmic agent for patients in cardiac arrest.

Question 13

Epinephrine

Answer 13

…Aka: Adrenalin, used mainly for cardiac arrest, anaphylaxis, and superficial bleeding.

Question 14

Furosemide

Answer 14

…Medication used to treat excessive fluid accumulation and edema of the body caused by heart failure.

Question 15

Vasopressin

Answer 15

…An antidiuretic hormone secreted by the pituitary gland. A primary drug used in pulseless arrest.

Question 16

Naloxone

Answer 16

…Aka: Narcan. Used to reverse the effects of narcotic drugs.

Question 17

Flumazenil

Answer 17

…Aka:Romazicon. Used to treat benzodiazepine overdoses and also to help reverse anesthesia.

Question 18

Dopamine

Answer 18

…A neurotransmitter produced by the brain with several functions. In blood vessels it inhibits norepinephrine release and acts as a vasodilator.

Question 19

Dobutamine

Answer 19

…Used in the treatment of heart failure and cardiogenic shock. Direct stimulation of Beta 1 receptors of the sympathetic nervous system. Tx Acute HF.

Question 20

Labetalol

Answer 20

…Alpha and Betablocker. Decreases blood pressue by decreasing systemic vascular resistance.

Question 21

Norepinephrine

Answer 21

…Mobilizes the brain and body for action. Mainly used for treatment of critically low blood pressure.

Question 22

Nitroprusside

Answer 22

…Vasodilator working by relaxing the muscles in the blood vessels to help dilate, thus lowering blood pressure.

Question 23

Rapid response Team

Answer 23

…A team of healthcare providers that responds to hospitalized patients with early signs of clinical deterioration on non-intensive care units to prevent respiratory or cardiac arrest.

Question 24

Forensic Nursing

Answer 24

…A group of specialty professions that serve unique and critical roles to the health care and judicial systems. Frequently assess and treat assault victims, investigate crime scenes or provide health care in a correctional facility.

Question 25

Trauma NP

Answer 25

…Trauma NP rounds on admitted patients, write daily orders, provides discharge planning, follow up care on the trauma patients both in the ICU and Trauma units.

Question 26

Triage

Answer 26

…Sorts/classifies patients into priority levels according to illness or injury severity.

Question 27

Emergency Severity Index (ESI)

Answer 27

Emergency Severity Index. A 5 level tool for use in ED triage. Levels range from 1-5.

Question 28

Primary Survey

Answer 28

…Introduction, organization of order of approach to patient by: ABCD (Disability), and E (Exposure) of pt.

Question 29

Secondary Survey

Answer 29

…Introduction, Preparation, assessment, and resuscitation of pt.

Question 30

Mass Casualty Incident

Answer 30

…Local medical capabilities are overwhelmed. May require collaboration of multiple agencies and health care facilities to handle crisis.

Question 31

FEMA

Answer 31

…Federal Emergency Management Agency of the U.S. Dept. of Homeland Security.

Question 32

CERT

Answer 32

…Community Emergency Response Teams assisting others in the community following a disaster when professional responder’s are not readily available.

Question 33

DMAT

Answer 33

…Disaster Medial Assistance Team. A group of professional and para-professional medical personnel organized to provide rapid response medical care or casualty decontamination during a terrorist attack, natural disaster, or other incidence in the U.S.

Question 34

Debriefing

Answer 34

…A process of receiving feedback, explanation, information on situation, reporting measures of action,further investigation of a study or situation after an immense activity is complete. Examples: Code Blue, Disaster debriefing process to learn and improve n next situation.

Question 35

AACN

Answer 35

…American Association of Critical-Care Nurses. Supporting nurses with knowledge, support, and resources to ensure optimal care for patients and families.

Question 36

High Acuity

Answer 36

…Caring for patients who have potentially life-threatening conditions.

Question 37

Suchman’s Stages of Illness

Answer 37

5 stages: 1. Symptom experience, 2. Assumption of the sick role, 3. Medical care contact, 4. Dependent role, 5. Recovery or Rehabilitation.