Live Lecture Notes A Flashcards
Malignant hyperthermia
An inherited muscle disorder. Caused by anesthesia drugs, usually succinylcholine.
S/sx:
High Fever!
tachycardia
Muscle rigidity
Hypoxia (acidosis)
Dark urine
Hyperthermia (last stage).
Normal urine output
30 ml per hour for adults.
720 ml per 24 hour.
Or to be accurate: 0.5ml/kg/hr
Best indicator of intestinal function
Passing of stool and presence of bowel sounds.
What does MAP (mean arterial pressure) indicate?
It tells you about tissue perfusion. MAP needs to be atleast 60 to maintain adequate perfusion
What is SBAR?
Used for communicating important information among healthcare professionals.
S- situation (what is the problem)
B- background (current history)
A- assessment
R- recommendation (what you think should happen).
Natriuretic peptides are released by the
the Myocardium to promote diuresis.
Adrenocortropic hormone (ACTH) is released by
by the Anterior Pituitary to release stress hormones.
Vitamin D is activated by
the kidneys to help absorb calcium & phosphate
Kidney dysfunction is best assessed by the _____ status.
fluid status
Potassium levels _________ when kidneys are not functioning well because kidneys aren’t able to excrete potassium out
Increase
What type of line access would you assess for bruit and thrill?
For permanent dialysis fistula
SBAR
For better communication among healthcare team.
[S]ituation: brief description of current patient status and why you are calling
[B]ackground: patient history, Dx, meds, labs
[A]ssessment: nurse’s assessment (objective/subjective).
[R]ecommendation: nurse’s suggestion based on assessment
Trough levels
Trough level refers to the lowest concentration of a drug in the bloodstream just before the next dose is administered.
It is drawn right before the next dose of a medication.
Peak level
Refers to the highest concentration of a drug.
Peak level is drawn about 1 hour after first dose of medication was given.
Neuropathic pain
Pain caused by damage of the sensory nervous system
