"The Game" - week 14

Question 1

Cardiac Output =

Answer 1

SV x PR

Average 3.5-5 Litres per minute

Question 2

Clinical manifestations of PE

Answer 2

• Dyspnoea • Chest pain • tachycardia • hypotension • Rising venous pressure (jugular venous distension) • Pulsus paradoxus • Haemoptysis

Question 3

Diabetes 3 P’s

Answer 3

Polyphagia • Polyuria • Polydipsia

Question 4

Priority nursing actions for a PE

Answer 4

• Met Call
• Sit pt in a high semi-Fowler’s
• O2
• Vitals
• ECG
• IV access
• Pharmacology
• Reassure

Question 5

3 different types of renal replacement therapy

Answer 5

• Haemodialysis • renal transplant • peritoneal dialysis

Question 6

Life threatening effects from renal failure

Answer 6

• Hyperkalaemia is the most immediate. But also:

* severe metabolic acidosis • pericarditis • pulmonary oedema

Question 7

Pulmonary oedema is primarily due to the function of which organ?

Answer 7

The heart

Question 8

First move to clear airway

Answer 8

Tilt the head back

Question 9

HR calc. of regular beat from ECG (1 version of many).

A 1-min strip contains 300 large boxes and 1500 smaller boxes.

Answer 9

Count the number of small boxes within an RR interval (gap between heartbeats). Eg. 10 small boxes between two R waves, HR is 1500 divided by 10 = 150; or 25 small boxes, 1500 divided by 25 = 60.
(Each small box = 0.04 secs. 5 sml boxes = 0.2 secs)

Question 10

Discharge advice for a chronic renal failure patient.

Answer 10

• Diet & exercise • Stop smoking

* Fluid restrictions • Monitor for infections

Question 11

Difference between law & ethics

Answer 11

• Law is system of rules set by the judiciary
• Ethics is a set of moral principles & right conduct, behaviours and expectations as set by society that govern conduct of the members of professions.

Question 12

Major contributing factor for oesophageal varices

Answer 12

• Portal hypertension

Question 13

What is quantitative research?

Answer 13

Studies where the variables of interest are measurable and the results are quantifiable and coded as numerical data.

Question 14

Risk factors for developing a DVT

Answer 14

• Obesity • Pregnancy • Travel • Immobilisation • Surgery • Age

Virchow’s Triad: 1. venous stasis 2. venous endothelial damage 3. Hyper-coagulability

Question 15

Ankle Brachial Index

Answer 15

Systolic BP of both arms (highest reading)
Systolic BP of both ankles
Divide

Question 16

Explain a “trial to void” process when planning to remove a suprapubic catheter.

Answer 16

A check to see if there is pain or difficulty to void before removing catheter . . . . duh!
If residual urine is less than 100 mL on 2 sep. occasions (mane & nocte) the catheter is usually removed.

Question 17

What are the coroner’s main responsibilities?

Answer 17

• Identify the deceased • Identify particulars needed to register the death • Identify the cause of death • Identify the circumstances surrounding the death

Question 18

What is an ethical dilemma?

Answer 18

When one must choose between two equally unfavourable choices.