Early compensated shock - Study guides, Class notes & Summaries

CCRN Comprehensive Exam (2024) || Questions & Solutions (Graded A+) CCRN Comprehensive Exam (2024) || Questions & Solutions (Graded A+) A patient has sepsis, receives Lactated ringers 500ml IV bolus. Which finding indicate that this intervention is having it's intended effect? - ANSWER - ScvO2 of 72% Early goal directed therapy for sepsis includes early fluid resuscitation at 30 ml/kg to maintain a CVP of 8-12 or 12-15 if mechanically ventilated, MAP greater than 65, ScvO2 greater than ...

Tx of anaphylaxis with diphenhydramine (dosage) - 50 mg (1ml) IV stat Note: this is NOT done before Epi; in allergy may start with 12.5 to 25 mg IVP Assessing peripheral (emergency) blood pressure; no BP cuffs - Radial pulse = AT LEAST 80 (Systolic) Femoral pulse = AT LEAST 70 Carotid pulse = AT LEAST 60 Emergency oxygen** - Adult RR <12 or >20 Child RR <15 or >30 Infant RR <25 or >50 Croup Tx - Supportive care, watch child, have parents watch for fever, dyspnea; PE fo...

TNCC 8TH EDITION PROVIDER EXAM REAL EXAM QUESTIONS AND CORRECT ANSWERS A GRADE. Which of the following pulse pressures indicate early hypovolemic shock? dysrhythmias Patients with a crush injury should be monitored for which of the following conditions? subdural hematoma A 35 y/o M presents with facial trauma after being struck in the face with a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected? compensated A pt with a complete spinal cord injur...

Expedite transfer to the closest trauma center - A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the following is the priority intervention for this patient? a pertinent medical hx is crucial - Which of the following considerations is the most important when caring for a geriatric trauma ...

1. A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? a. Heart rate 90/min b. Absent bowel sounds c. Hgb 8.2 g/dl d. Gastric pH of 3.0 Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging. 2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer? a. Desmopressin b. Reg...

1. A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? a. Heart rate 90/min b. Absent bowel sounds c. Hgb 8.2 g/dl d. Gastric pH of 3.0 Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging. 2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer? a. Desmopressin b. Reg...

Afterload The force or resistance against which the heart pumps. Anaphylactic Shock Severe shock caused by an allergic reaction. Anaphylaxis An extreme, life-threatening, systemic allergic reaction that may include shock and respiratory failure. Aneurysm A swelling or enlargement of a part of an artery, resulting from weakening of the arterial wall. Autonomic Nervous System The part of the nervous system that regulates involuntary activities of the body, such as ...

PASS the CCRN Questions and Answers (2022/2023) (Complete and Accurate) A 56 yr-old male is admitted to the ICU with a blood pressure of 225/135 and complains of a headache and nausea. He reports he ran out of blood pressure meds three days ago, but also appears to be confused to the date and situation. What is the most appropriate treatment approach? Rapidly lower the diastolic pressure to 100 with IV antihypertensive meds, then continue to gradually reduce the diastolic pressure to 85 with or...

CCRN Questions with 100% Correct Answers A 56 yr-old male is admitted to the ICU with a blood pressure of 225/135 and complains of a headache and nausea. He reports he ran out of blood pressure meds three days ago, but also appears to be confused to the date and situation. What is the most appropriate treatment approach? - Answer- Rapidly lower the diastolic pressure to 100 with IV antihypertensive meds, then continue to gradually reduce the diastolic pressure to 85 with oral antihypertens...

You are treating a 27-year old male in respiratory distress who was involved in a house fire. Calculating TBSA burned is deferred d/t the need for emergent intubation. At what rate should you begin fluid resuscitation? A) 1000 mL/hr B) 500 mL/hr C) 250 mL/hr D) 125 mL/hr B) 500 mL/hr A patient has been in the ED for several hours waiting to be admitted. He sustained multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and c/o leg pain. His wife report...