Upon recognizing ventricular fibrillation in a safe environment, the nurse should then
establish unresponsiveness
The most important step in
... [Show More] preventing central venous catheter related sepsis is:
Thorough handwashing.
A routine check of your patient's blood gas values show a pH of 7.40, pO2 of 98mm Hg, pCO2 of 38 mmhg, and HCO3 of 25 mEq. These results reflect
Normal values
Nitropressin and Dobutamine
Reduce afterload and improve contractility
Cardizem
Atrial Flutter and Atrial Fib
QRS wider than 0.12
Bundle Branch Block
Length of PRI
0.12-0.20
Symptomatic Bradycardia
Atropine and externally pace patient
Initial Amiodarone dose for sustained Vtach with a pulse
150 mg For pulseless Vfib - 300 mg
Monophasic defibrillator
360 Jules
Biphasic Defibrillator
150 Jules
Antidote for Heparin
Protomine Sulfate
First sign of Lidocaine Toxicity
Confusion
What is the first thing you would do for a pt who c/o Angina or chest pain?
Rest
Rapid AV Conduction
Sign of Digoxin Toxicity
If pt is able to talk to you or make sounds with a ET tube in
Call the MD!!!! Check cuff??
Normal vacuum pressure for suctioning
Low intermittent suctioning best 120-140
Goals when responding to ventilator alarm
Always check patient first
Post operative care of chest tubes
Assess q15. Output of or close to 200 is too much
After removal of A-line
Hold the pressure for 5-10 mins
Normal PAP
Systolic = 21-30 Diastolic = 5-15
Normal PAOP is 6-12. an elevated PAOP would indicate
Left ventricle failure
CVP reads pressure in the
right atrium
Elevated CVP would indicate
right HF
If a pt has Atelectasis, you would auscultate
Diminished breath sounds
Causes of High Pressure Ventillator Alarm
Obstruction, Water in vent, Coughing, kinking, pt biting tube, secretions in airway, Bronchospasm, Tension Pnuemothorax
Causes of Low Pressure Ventillator Alarm
Disconnected tubing or an air leak.
How to verify ET tube placement
At the lip. Verify placement with chest xray
ET Tube Problems
Cuff pressure should be 20-30 if it is higher there can be necrosis.
Motor Vehicle or trauma victim at risk for
Pnuemothorax
Initial treatment for burn patients
Fluid resuscitation
For Aortic stenosis
You would hear systolic murmur in 2nd intercostal space
Neuro exam, most important assessment is
LOC
Indication of Increased ICP Pressure
Widening pulse pressure
Positive Babinski reflex in an adult
Abnormal - might be corticospinal lesion
C-spine or spinal injury, Immobilize head
Check breathing
DKA
FS >300, fruity breath, deep rapid breathing
Regular Insulin
Peaks in 2-4 hrs
NPH
Peaks in 8 hours or more
Sudden increase in body temp
Need to stop blood transfusion
Arterial line
Big wave form
PA line
Look for dicrotic notch
Purpose of swan ganz
Measure vasculature, blood volume and tissue perfusion
Drug to treat ICP
Mannitol
To measure CVP
Phlebostatic axis, 4th intercostal space and midthoracic line
best index of renal function
Bun and Creatnine
The cardiac rhythm of atrial flutter is
hazardous as a ventricular rate may suddenly increase
The major therapeutic goal in the treatment of cardiogenic shock is to
increase CO
Indication for use of external cardiac pacemaker include
symptomatic complete heart block
Signs of cardiac tamponade may include all of the following except
bradycardia
special care should be exercised when administering IV dopamine because
infiltration leads to tissue necrosis
s/s of diabetic ketoacidosis include
fruity breath deep and rapid breathing
A strong ventricular stimulation is potentially dangerous when it lands on
t-wave
Treatment for a-fib/a-flutter
Cardizem
The use of the a-lne may be indicated for all of the following except
admin of routine drugs
pt 4 days s/p femur fracture, develops SOB most likely cause is
fat embolus [Show Less]