Critical Care HESI review what are things you should do first?(ANS- assess and safety i.e. with PE - listen to lung sounds with a bleed - put on gloves
vent pressure alarm causes (ANS- kinked tubing, secretions, coughing, biting, need suctioning, laying on tube
what should you do if there are vent issues you cannot fix?(ANS- bag the patient until respiratory comes
what kind of patient would you assign a new nurse?(ANS- easiest heart rhythm I.e. afib w controlled ventricular response
acetaminophen overdose (ANS- acetylcysteine (mucomyst)
a young teen is in the ER with friends and his mom, when should you assess his pain?(ANS- when he is alone
addison crisis treatment (ANS- give steroids and fluids then monitor electrolytes
what is the best assessment of renal function?(ANS- I & O
Milrinone (ANS- vasodilator and increases contractility run in a with a different IV than lasix - they are not compatible
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what should you do when a burn patient complains about swallowing?(ANS- assess their breath sounds - they may have inhalation injury
SCI and paralysis (ANS- if injury occurs below cervical spine, patient may be able to move arms. if cervical - could cause quadriplegia and respiratory paralysis
SCI/skull fracture we look for...(ANS- CSF leakage - nasal drip do halo test and check for glucose
GCS (ANS- never totals 0 scores range from 3-15 less than 7 is comatose highest is 11 on patient we ventilator
during a PAP insertion, it is the nurse's job to...(ANS- assess the waveform and make note of the pressures
hypokalemia ekg (ANS- flat and high t waves
hyperkalemia ekg (ANS- tall tented t waves
if a patient misses dialysis, what would their EKG look like?(ANS- tall tented t waves (hyperkalemia)
BNP (ANS- 100 or less is normal
D dimer (ANS- should be less than 0.5 it is high with a PE
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