Study guides, Class notes & Summaries

Prophecy General ICU RN A v2complete top solutions | 2024 Upate rated A+ Common complications of massive transfusions are Correct Answer: Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L Correct Answer: Metabolic Acidosis Long term use of TPN may lead to: Correct Answer: Liver Failure Which of the following is a potential complication of high PEEP Correct Answer: Pneumothorax What is a common assessment finding for a patient retu...

Which of the following medications is MOST commonly indicated for patients with CHF? - ANSWER- Ace inhibitors A patient was involved in a motor vehicle accident and CAT scan results reveal a right sided SDH. What would be an expected neurological assessment finding in this patient? - ANSWER- Dilated right pupil What is the most common symptom of SIADH? - ANSWER- Fluid retention Upon arrival to the unit, you receive report on four PCU patients. Which patient should you attend to FIRST? - ANSWE...

Which of the following medications is known to cause orange-colored urine? - ANSWER- phenazopyridine (Pyridium) You are ordered to give digoxin. Your patient's vital signs are as follows: Blood Pressure 130/75, Temp 97.9 oral, HR 52, O2 Sat 100% room air. What should you do next? - ANSWER- Hold digoxin and call the provider Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood transfusion because: - ANSWER- Normal Saline is an isotonic solution and prevent...

Anesthesia Alert - One liner Allergies Previous intubations Labs: K, Cr, Echo EF Drips Ht wt IDBW Acidosis lactate Intubation - Suction Oxygen- bag mask, opa Airway- glidescope Pharm/ position Table IV access Monitors Everybody Ards net protocol - Lung Protective ventilation: TV 4-6cc/kg Plateau Pressures <30 Permissive hypercapnia >7.2 PO2 >55 Key sign of resp failure - Tachypnea Loss of cough Gaga

Asymptomatic bradycardia treatments - ANSWER- What is cardiac tamponade? - ANSWER- Fluid in the pericardial sac causing decreasing preload. This decreases SV and ultimately CO. Effects of Hyper/Hypokalemia and calcemia on EKG - ANSWER- Hypokalemia causes U waves Hyperkalemia causes peaked T waves Normal BP? - ANSWER- 90-120/60-80 Normal HR? - ANSWER- 60-100 bpm Normal CO? - ANSWER- 4-8 L/min Normal SVR? - ANSWER- 800-1,200 dynes/seconds Normal PVR? - ANSWER- 37-250 dynes/sec/cm5 Normal...

Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy? A) Eat a light diet for the rest of the day B) Rest for the next 24 hours since the preparation and the test is tiring. C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days D) Measure the urine output for the next day and immediately notify the health care provider if it should decrease. D) Measure the urine output for the next day and immediately...

Prophecy General ICU RN A V1 What is cardiac tamponade? Fluid in the pericardial sac causing decreasing preload. This decreases SV and ultimately CO. Effects of Hyper/Hypokalemia and calcemia on EKG Hypokalemia causes U waves Hyperkalemia causes peaked T waves Normal BP? 90-120/60-80 Normal HR? 60-100 bpm Normal CO? 4-8 L/min Normal SVR? 800-1,200 dynes/seconds Normal PVR? 37-250 dynes/sec/cm5 Normal SVo2? 60-80% Normal PAP? Systolic: 15-30 mm Hg Diastolic: 4-12 mm Hg Normal...

Common complications of massive transfusions are - ANSWER- Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L - ANSWER- Metabolic Acidosis Long term use of TPN may lead to: - ANSWER- Liver Failure Which of the following is a potential complication of high PEEP - ANSWER- Pneumothorax What is a common assessment finding for a patient returning from a small bowel resection? - ANSWER- Hypoactive bowel sounds Your patient suddenly becomes diaph...

One of your patients coded but is now stabilized and you are catching up on charting. The step-down unit calls to get report on your other patient who is to be transfered. The nurses near you do not appear busy. How should you prioritize your time? - ANSWER - Give report and ask the nurses to prepare the patient for transfer. Your patient was intubated but still has oral medications on their list of medications. How should you ensure they receive their medications? - ANSWER - Ask the provider t...