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CCRN > Multisystem CCRN > Flashcards

Multisystem CCRN Flashcards

1
Q

MODS begins with _____ ,______ and ________ usually within the first ______of hospitalization. Chest film will show________

A

low grade fever, Dyspnea, Tachycardia; week; infiltrates

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2
Q

SOFA stands for _____ _____ _____ ______ and is a scale for predicting_____ ___ ______

A

Sequential Organ Failure Assessment; outcome of MODS

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3
Q

Antibody-antigen primarily associated with anaphylactic shock is _____

A

IgE

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4
Q

Antibody-antigen primarily associated with hemolytic blood transfusion reaction or activation of complement C5_____

A

IgM

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5
Q

Antibody-antigen primarily associated with bacterial infections____

A

IgG

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6
Q

Antibody-antigen primarily associated with inflammation associated with mucous and breast milk?

A

IgA

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7
Q

MODS affect _____organs has 100% mortality rate

A

4

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8
Q

Mortality chance ______has number of affected organs increases

A

increases

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9
Q

What percentage of admitted ICU patients have MODS

A

15%

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10
Q

What percentage of trauma patients have MODS

A

20-47%

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11
Q

MODS responsible for _____% of deaths in ICU

A

80%

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12
Q

After patient swallowed a lye-based substance, what should given

A

water or milk 150ml to dilute the substance.

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13
Q

Dexamethasone not given for emergency why?

A

It can take about 6 hours to work

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14
Q

Immediate treatment of anaphylaxis?

A

Adrenalin: reverse bronchospasm and hypotension
Benadryl: blunts histamine reaction
IV Fluids: restore BP and CO by restoring circulating volume

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15
Q

Up to _____ % of patients who die with MODS have no infection

A

30

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16
Q

A site of infection is ______needed to develop MODS

A

NOT

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17
Q

MODS involves multiple _______ from multiple members of the _____system

A

Cytokines; immune

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18
Q

In regards to ARDS, too much IV fluids does what? reduces ______________ and causes _______edema

A

reduces pulmonary surfactant and causes alveolar edema

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19
Q

Overzealous IV fluids resuscitation in the trauma patient can lead to complication and patient may develop______

A

ARDS

20
Q

What is the first emergency to treat in trauma?

A

Emergency involving airway or breathing.

21
Q

Emergency tx of tension pneumothorax

A

Needle Thoracotomy

22
Q

What are the 3 main causes of PEA in a trauma patient? (PTH)

A

Pericardial tamponade
Tension pneumothorax
Hypovolemia.

23
Q

Manifestation of SIRS in response ton an infectious process is

A

Sepsis

24
Q

Sepsis is

A

Systemic response to infection

25
Q

Name criteria for sepsis diagnosis

A

Temp 38. 0 or 100.4 F
HR 90 beats/min
WBC >12 or >10 % immature band forms

26
Q

Risk factors in the development of sepsis

A

Immunosuppresion
Malnutrition
Prolonged ABT use
invasive devices

27
Q

In Anaphylaxis shock, __________ is produced and secreted in response.

A

Histamine

28
Q

Histamine produces profound ___________ , SVR is __________ and capillary permeability is _________

A

Vasodilation; Decreased; lncreased.

29
Q

During anaphylaxis shock, fluid shifts from _________ compartment into the ________space causing (hyper or hypotension)___________ and ________cardiac output and ______preload meaning _______and _____ _____ ____ ____

A

vascular; extravascular; hypotension; decreased; decreased; CVP; PCWP

30
Q

_______infusion is contraindicated in _______shock

A

Dopamine; hypovolemic

31
Q

Cite the Parkland Formula:

A

%TBSA burned x weight (kg) x 4ml

32
Q

Signs and symptoms of overdose TCA:

A

Seizures, Coma, dysrhythmias, HF, and shock

33
Q

Signs and symptoms/ monitor for/ for PCP overdose

A

HYPERTENSIVE CRISIS
hallucinations
Seizures
Rhabdomyolosis

34
Q

What is rhabdomyolysis

A

Breakdown of muscle tissue that released a damaging protein in the blood.

35
Q

_______ lavage is indicated for patients with life-threatening ingestion as long as it within ______minutes or ______hours

A

Gastric; 120; 2 hours

36
Q

Lund and Bowder formula list trunk as what %

A

13

37
Q

List a TRIAD in complications of trauma

A

Acidosis, hypoxia, coagulopathies

38
Q

Salicyclates is toxic to what part of the kidney

A

Renal tubules.

39
Q

Why does a sodium bicarb gtt needed in salicyclates toxicity?

A

It promotes urinary alkalization and facilitates removal of salicyclate from the body.

40
Q

The most common cause of Cardiac contusion

A

Blunt trauma to the chest.

41
Q

Burn patient signs of airway obstruction

A 
singed nasal hairs
Hoarseness
black sputum
Expiratory wheezing
frequent swallowing. .
42
Q

Toxic ingestion that produce markedly elevated methomoglobin levels should be treated with ______ ________

A

Exchange Transfusion

43
Q

What is exchange transfusion

A

Removal of circulating blood while infusion banked RBCs and FFP

44
Q

Burns greater than ______% of the BSA trigger a ______ _____response which results in ______ capillary permeability and _______ systemic vascular resistance

A

205; systemic inflammatory; increased; decreased

45
Q

In burns fluid shifts from _________space into the ________ and _______spaces

A

intravascular; interstitium; intracellular space.

46
Q

________plays a role in vasodilation and ________SVR

A

HIstamine; decreased

CCRN (10 decks)

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