Exam 3 Review Flashcards
what to assess for with vtach
pulse and symptoms
assess for what in sinus Brady
hypoxia
what if a patient has a strip but no pulse
PEA
sinus tach underlying casue
fever
stress
caffeine
pain
exercise
shock
hypoxemia
increased sympathetic tone
what could cause PVC
hyperkalemia
A1C goal
less than 7
type 1 what in urine
increased protein
Novolog onset
15 min
what should we haveinfront before Novolog given
food tray
Lantus duration
20-26hr
symptoms of hypoglycemia
hunger
anxiety
tachycardia
HA
lightheaded
confusion
hypoglycemia can swallow treatment
1/2 cup juice and then starch and protein
hypoglycemia cannot swallow
1 amp D50
DKA type
1
DKA glucose
> 250
DKA pH
<7.3
- acid
DKA potassium
increase
DKA breathing
kussmaul breathing
DKA smell
ketone
fruity
DKA treatment
insulin
HHS type
2
HHS blood glucose greater than
600
HHS pH
greater than 7.3
normal
HHS osmo
increase 320
HHS treatment
rapid rehydration
electrolyte replacement
sick day rules
keep taking meds
check BS 3-4 hrs
modify diet to include and check ketones
notify provider about not tolerating diet
SIADH NA
decrease
SIADH ADH amount
high
DI ADH amount
decreased
DI urine
a lot
DI urine osmo
decreased but increased when given ADH
DI NA
increased
pericardial tamponade triad
becks
- distened jugular veins
- muffled heart sounds
- pulses paradoxus
tension pneumo perfusion
hyperresonants
tension tracheal deviation
unaffected side
hemothorax s/s
decreased or absent breath sounds
dullness on precision
compartment syndrome
unrelenting pain
compartment syndrome treatment
fasciotomy
increase ICP
infection, increase CO2, hypoglycemia, suction
earliest sign of increase ICP
change in LOC
decrease GFR causes what electrolytes
hyperkalemia and hypocalcemia
AKI
oliguria
increase in BUN and CR
treatment of AKI
decrease sodium, K, and phos
acute tubular necrosis phase
onset
maintence
recovery
acute tubular necrosis
- onset
hours or days
acute tubular necrosis
- mainence
decrease in GFR, low urine output, edema, increase K
acute tubular necrosis
- recovery
diuresis
grey turners sign
retroperitoneal bleeding
11-12th rib
what is jaundice
hyperbilirubinemia
asterixis
flapping
hepatic factor
smell
what is the treatment for portal HTN and cirrhosis
TIPS
fulminant hepatic failure
severe acute liver failure
fulminant hepatic failure s/s
bleeding
fulminant hepatic failure med
neomycin
lactulose
fat embolism s/s
long bone
resp failure
cerebral dysfunction
skin petechiae (dose not blanch)
fat embolism time
3-4 days
primary mods
well defined insult in which organ dysfunction occurs early and is directly attributed to the insult itself
secondary mods
widespread sustained systemic inflammation
DIC increase
pt ptt fibrinogen split
DIC causes
blood transfusions
sepsis
trauma
surgery (hypothermia)
what is the crystalloid that most resembles the plasma composition
LR
Kehrs sign
pain in the left shoulder
rib fractures of the 10 to 12th ribs can be associated with
damage to spleen
days for stress ulcer
5 days
acute pancreatitis treatment
NPO
pancreatitis replacement of fluids
yes, loss into retroperitoneal and peripancreatic spaces
hypocalcemia
chovstek
trousoues
what nerve innervates diaphragm
phrenic
C spine for ventilation
c3-c6
autonomic dysrelfexia
hypertension
due to noxious stimuli
- full bladder and fecal impaction
other spinal cord complications
DVT, temp, bladder, bowel, skin
neurogenic shock
hypotension
vasodilation
bradycardia
spinal shock time peroid
6-13 wks
hypovolemia shock ABG
r alk and then m acid
PE s/s
right ventricular failure
chest tube milk it
no
chest tube no fluctiaion
blocked
when to add Dextrose for DKA
200-250
