change in mental status
while receiving tpa, what would warrant for you to stop the medication
aortic stenosis
systolic murmur that is
... [Show More] ausculatated at the 2nd intercostal space, right sternal border is ?
8-10 minutes
removing a line hold pressure for?
right atrium
CVP reading directly reflects presue in the
right heart failure
elevated CVP may indicate?
left ventricle
pulmonary artery occlusive wedge pressure reflects pressure where?
10-20/0-4 mean 5-10
normal pulmonary artery pressure is
6-12
mmhg normal PAOP
Left ventricle failure
elevated PAOP indicates
diltizepam
68 year old complains of feeling a little funny in his chest and ecg shows afib/flutter. what medication should be used to treat?
bundle branch block
qrs complex longer that .12 indicates
infiltration leads to tissue necrosis
care should be excercised when administering IV dopamine becuase?
t wave
strong ventricular stimulus is potentially dangerous when it lands where
symptomatic complete heart block
indication for use of external cardiac pacemaker includes
amiodarone 150mgIV bolus over 10 minutes
initial durg treatment for sustained ventricular tachycardia when a pulse is present
epineprhine
patient become apneic and pulseless . the monitor shows asytole. the drug used initially?
protamine sulfate
antidote for heparin
thorough handwashing
most improatnt step in preventing central venous related sepsis is
150
excessive amount of chest tube drainage during the first few hours following surgery is how many ml/hr
normal values (22-28 HCO3, 35-45 PCO2 normal)
ph 7.4, pO2 98, pco2 38, HCO3 25 --? what is this
120mmHg of __ pressure
before sucitioning a patient, you should adjust the vacuum pressure so that it is
atelectasis
your post op patient has left anterior chest tube. Whn you ausculatate the lung fields bilaterally you hear dminshed breath sounds in the right posterior base. THis is most likely due to?
disconnected tubing
patient on ventilator and low volume alarm sounds. THis is due to?
leaking cuff
high pressure alarm on respirator will NOT be triggered by what?
development of pneumothorax
most important reason for diminshing breath sounds in motor vechile crash victim with closed chest trauma is
fat embolus
trauma patient 4 days post fracture suddenly develops SOB, most likely cause is?
handwashing and gloves when suctioing
preventing Ventilator pna, most important action is
immbolize head
most imporant nursing acticity for patient with dx of cervical spinal cord injury is
change in LOC
earliest sign of increase ICP is?
listen for bilateral breath sounds
assess proper positioning of et tube, most important nursing action?
widened pulse pressure
deepening ICP characterized by
mannitol
drug of choice to reduce ICP
abnormal finding
positive babinski in adult represents
initiating tpa if within 8 hours
which of the folliwng is wrong -- acute phse of stroke treatment
evaluating LOC
most improtant part of nuero check
fruity breath, deep and rapid breathing
DKA sx
weakness, headache, diaphoresis
sx of hypoglycemia
dextrose
what would you NOT give to someone in DKA coma
higher dose of insluin
DM acutely ill require __ insulin dose
urine output
psychophyisoligc stress response fro acute illness and being in an icu can result in decrease
regular
which of the following insluins will have peak action within 2-4 hours
1-2 hours (NOT 3-4)
NPH - when would you expect an insulin reaction to occur
check cuff
patient with ET tube audbily speaks - what do you do?
DI
Pt post op craniotomy fasting bs of 100, extreme thirst and urine output greater than 1000mls over two hours, suspect
30
150 pound person normal urine out put
d/c enterla tube feeing if diarrhea occurs
practices to decrease catheter associated urinary tract infection does not include which of the following
decrease in dosage (NOT D/C)
pt has acute renal failure. Medications that are normally excreted through the kidneys will be?
restricted protein, low potassium, low sodium
enteral feeding in acute renal failure commonly includes
fluid overload
sudden development of dyspnea and sinus tachy is an acute ranl failure patient would most likely inidcate which of the following
wide QRS, tall peaked T waves
ecg changes in hyperkalemia
keep HOB elevated
when feeding patient with tube feedings, most important action to prevent aspiration
control bleeding
low intermittent suction of gastric contens is not generally used in which response below
obtaining radiographic confirmation
safe placement of NG tube best assessed by
normal finding
coffeegroun ematerial post ex lap? [Show Less]