/.6 hour sepsis bundle includes: - Answer-Measure lactate level
Draw blood cultures
Administer broad spectrum ABX
Administer 30mL/kg crystalloid fluid bolus
If persistent hypotension after fluid resuscitation:
Add vasopressors
Measure CVP & SvO2
Remeasure lactate level
/.A postrenal block is: - Answer-Obstruction of urine output.
Causes:
Enlarged prostate
Kidney stones
Bladder tumor
Bladder injury
/.A prerenal block is: - Answer-An interruption on the way to the kidneys.
/.ABCDEFG's of trauma: - Answer-Airway
Breathing & ventilation
Circulation with hemorrhage control
Disability or neurological status
Exposure with environmental considerations
Full set of V/S and family presence
Get resuscitation adjuncts
/.Acute burn phase care: - Answer-Begins 36-72 hours after time of burn
Priority care includes:
Assessing and maintaining respiratory, cardiovascular, and gastrointestinal systems
Wound care
Pain control
Psychosocial interventions
/.Afterload - Answer-How hard the heart has to contract to push the blood into the body
,/.Albumin - Answer-3.5 - 5.5g/dL (35 - 55g/L)
Low signifies inflammation, shock, and malnutrition
High signifies acute infections, burns, and stress from surgery or a heart attack
/.Amiodarone - Answer-Antiarrhythmics
Treats ventricular dysrhythmias
Do not drink grapefruit juice with this medication
Monitor pulse daily and report abnormalities
/.An intrarenal block is: - Answer-Direct damage to the kidneys.
/.Anaphylactic shock is caused by: - Answer-An allergic reaction
/.Anaphylactic shock S/SX: - Answer-Elevated HR, dysrhythmias, decreased BP,
angina, tachypnea, warm flushed skin, oliguria, restlessness, change in LOC, seizures,
N/V/D, abd cramping, dyspnea, cough, stridor, wheezing, dysphagia, urticaria,
angioedema, hives, low CO CI RAP PAP PAOP SCR SvO2, elevated IgE
/.Anaphylactic shock TX: - Answer-Remove offending agent
Flush skin with water
Volume expanding fluid (IV of LR or NS)
Maintain airway
Maintain MAP >65
Modify/Block epinephrine, antihistamines, steroids
/.Are meningitis patients placed on contact precautions? - Answer-Yes
Droplet
Can be discontinued after first 24 hours of antibiotic treatment
/.BUN - Answer->20mg/dL
Hypoperfusion
GI bleeding and catabolism
/.Burn injury degrees & depths: - Answer-1st degree: superficial
2nd degree: superficial partial-thickness to deep partial-thickness
3rd degree: full thickness
4th degree: full thickness
, /.Burn victim electrolyte imbalances include: - Answer-Decreased HCT
Hyponatremia from diuresis; resolves within 1 week after onset
Hypokalemia
Hypoproteinemia
Leukopenia r/t topical antimicrobial agent silver sulfadiazine
Hyperglycemia
/.C-Reactive Protein - Answer->3.0mg/L
Inflammation
/.Calcium - Answer-8.5 - 10.2mg/dL
Weakens bones, creates kidney stones, interferes with how your heart and brain work.
/.Calcium Gluconate - Answer-Prevents and treats cardiac toxicity related to increased
K+ levels
/.Cardiac Output (CO) - Answer-CO=HRxSV
The amount of blood pumped from the heart to the body per minute
/.Carvedilol - Answer-Beta-Blocker
Decreased BP by relaxing blood vessels and slowing the heart rate
PO
Do not skip doses
Do not take additional doses
/.Causes of inaccuracy in arterial line readings: - Answer-Air bubbles in the catheter
system
Failure to zero the transducer air-fluid interface
Blood in the catheter system
Blood clot at the catheter tip
Kinking of the tubing system
Catheter tip lodging against the arterial wall
Soft, compliant tubing
Long tubing
Too many stopckcks (>3)
/.Cerebral perfusion pressure (CPP) - Answer-The pressure required to perfuse the
brain
CPP = MAP - ICP
Normal is 60 - 100 mm Hg
/.Chemical burns are caused by: - Answer-Acid
Alkalis
Organic compounds
/.Chloride - Answer-96 - 106mEq/L
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