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Critical Care > Test 2 > Flashcards

Test 2 Flashcards

1
Q

What is the best lab test to look at malnutrition

A

Prealbumin

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2
Q

What is a normal albumin level

A

3.4-5.4 g/dL

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3
Q

What does albumin look at

A

Malnutrition over time

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4
Q

What is a normal protein value

A

60-80 g/dL

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5
Q

What is protein a good indicator of

A

Certain disease processes

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6
Q

Normal ammonia level

A

Below 50 mcg/ dL

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7
Q

How do we get rid of ammonia in the body?

A

Lactalose…laxative because you are clearing ammonia out of system through stools it decreases ammonia level

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8
Q

What is generally the time difference between acute and chronic pain

A

3 months

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9
Q

What medication is given to treat delirium

A

Haloperidol

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10
Q

Does somebody with chemical paralysis know what’s going on?

A

YES!

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11
Q

What does a neuromuscular blockade do?

A

Chemical paralysis it does nothing for pain or awareness! So you also need to sedate the patient as well. Used to facilitate intubation and mechanical ventilation, decrease ICP, and facilitate bedside procedures

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12
Q

What do you have to watch for with elderly on opioids

A

Renal or hepatic insufficiency because they are not clearing things correctly so they may need smaller doses

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13
Q

Nursing action with opioids

A

RESPIRATIONS

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14
Q

Opioid reversal agent

A

Naloxone (Narcan)

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15
Q

Adverse effects of NSAIDs

A

Gi bleed, platelet inhibition, renal insufficiency

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16
Q

What patients do you not administer NSAIDs to?

A

Asthma or aspirin sensitivity

17
Q

What patients do you use caution with acetaminophen

A

Hepatic dysfunction

18
Q

What is the max dose of Tylenol you can take in one day

A

4 grams

19
Q

What percentage of blood loss is 1 L?

A

25%

20
Q

How can you estimate blood loss?

A

Systolic BP less than 100 and postural change greater than 10 and/or HR is over 120 you can estimate 1,000 ml blood loss

21
Q

What does IV albumin do

A

Pull fluid into vascular space

22
Q

What is a normal INR

A

Around 1

23
Q

What is a normal platelet count

A

150-400

24
Q

What to do with ischemic pain?

A

Restore blood flow..fluid. 0.9 normal saline

25
Q

What is propofol

A

IV general anesthetic but lower dose = sedative effect. Rapid onset and short duration. Needs its own line. May result in hypotension, bradycardia, and pain at infusion site

26
Q

Normal prealbumin level

A

19-38 my/dL

27
Q

Why is Pepcid used

A

To prevent ulcers

28
Q

What are the three treatments of sickle cell

A

Fluids, pain control, oxygen

29
Q

What is the most common type of sickle cell crisis

A

Vado-occlusive crisis…it is extremely painful

30
Q

What clotting factor is lacking with hemophilia A

A

8

31
Q

What clotting factor is lacking with hemophilia B

A

9

32
Q

What clotting factor is lacking with hemophilia C

A

11

33
Q

What is biggest concern with hemophilia

A

Bleeding

34
Q

What is ITP

A

Immune thrombocytopenia purpura…increased destruction of platelets in the spleen

35
Q

What is the most common bleeding disorder in children

A

ITP

36
Q

What is train of four

A

Used to check sedation..Nerve stimulation of facial or ulnar nerve look at level of twitching to see amount of sedation patient needs

37
Q

What is virchows triad

A

Venous stasis, altered coagulability, damage to vessel wall

38
Q

What are most Pulmonary embolus caused by

A

Dvt in lower extremity

Critical Care (4 decks)

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