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Critical Care > Final Exam > Flashcards

Final Exam Flashcards

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
Q

What med causes vasodilation of kidney

A

DOPAMINE

26
Q

Pain on urination and bacteria in the urine could indicate

A

post renal injury

27
Q

Decreased CO s/s

A
  • Fatigue
  • Edema of arms and legs
  • SOB
  • Abdominal Pain
28
Q

Client taking amlodipine should avoid

A

grapefruit juice

29
Q

Hypovolemia S/S

A

Tachycardia
Tachypnea
Low BP

30
Q

MI Interventions

A

-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
Q

R sided ♡ failure

A

Body edema

32
Q

L sided ♡ failure

A

pulmonary edema

33
Q

Patho of MI

A

MI – thrombotic occlusion of artery caused by rupture of plaque. Ischemia to infarction.

34
Q

A coronary artery bypass graft will be done for

A

significant blockage to the left main coronary artery.

35
Q

In ACLS, know what follows defibrillation

A
  • After D fib continue compressions for 2 minutes
36
Q

Im ACLS, know what follows 2 min of CPR

A
  • After 2 min CPR do pulse check.
37
Q

Increasing HOB

A

decreased ICP

38
Q

High PaCO2 and low PaO2 causes

A

vasodilation in brain

39
Q

CPP

A

MAP – ICP

40
Q

MAP

A

SBP + 2 DBP
3

40
Q

MAP

A

SBP + 2 DBP
3

41
Q

During a splenectomy there is an

A

increased PLT count (150,000- 400,000)

42
Q

Erythropoietin stimulated

A

RBC production

43
Q

Passive immunity

A

body recieves antibodies

44
Q

Active immunity

A

produces own antibodies

45
Q

When client is not tolerating enteral feeding

A

Stop feeding

46
Q

PPI’s

A

Used to decrease acid in stomach

For Peptic ulcers

Does not cause hypokalemia

47
Q

Malfunctioning liver

A

Produces few clotting factors

NO HYPERCOAGULATION

48
Q

Famotidine

A

Histamine 2 receptor for Peptic ulcers

49
Q

When ascites occurs with pancreatitis

A

Monitor for BP and dehydration

Give fluids at greater than 10 mL per hour

50
Q

What causes peptic ulcers

A

HYPOVOLEMIA – ISCHEMIA OF GI – PEPTIC ULCERS

INCREASED GASTRIC SECRETIONS – PEPTIC ULCERS

51
Q

Med for adrenal crisis

A

Glucocorticoid

52
Q

Glucocorticoid can cause

A

peptic ulcers - adm PPI (omeprazole)

53
Q

PPI electrolyte imbalances

A

hyperkalemia, hypercalcemia, and hyponatremia.

54
Q

SIADH

A

SIADH: decreased urine output, fluid overload, decreased serum sodium levels

55
Q

Minor (green) MCI

A

Can walk and open commands

56
Q

Decreased (black) MCI

A

no respiration after head tilt

57
Q

Immediate (red) MCI

A

respirations over 30 or radial pulse absent or unable to follow commands

58
Q

Large volume of blood/fluid replacement can lead to

A

ARDS

increased cap permeability in lungs

59
Q

Primary Survey (1-2 min)

A

A - airway
B - breathing
C - circulation
D - disability (neuro)
E - expose

60
Q

Atropine is for

A

Bradycardia

61
Q

GO OVER FLUID RESUSCITATION PROBLEMS

A

Critical Care (20 decks)

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