-
Treatment for asystole (in addition to CPR, ACLS, IVs, O2).
- transcutaneous pacing
- ET tube
- Sodium Bicarb
- Atropine, Epi
- (Demystified, p. 57)
-
Treatment for v-fib in addition to CPR & ACLS.
- ET tube
- Sodium Bicarb
- Epi
- Lidocaine, Bretylium, Procainamide
-
ECG: chaotic ventricular rhythm, QRS irregular & wide, P-wave barely noticable.
-
Treatment for V-tach.
- CPR & ACLS if no pulse
- ET, O2
- Epi, lidocaine, bretylium, procainamide
- amiodarone
- synchronized cardioversion
-
ECG: unusual QRS, no p-wave.
V-tach (Demystified, p. 60)
-
ECG: P-, QRS-, T-waves are barely noticeable or absent.
Asystole (demystified p. 56)
-
Treatment & interventions for Myocarditis.
- antiarrhythics (quinidine, procainamide)
- limit activities
- bedside commode
- monitor for dyspnea (fluid overload)
- monitor HR>100 (infection or inflammation)
- return slowly to activities
- no competitive sports
- (Demystified p. 42)
-
Treatment for pericarditis.
- corticosteroids (methylprednisone)
- NSAIDs
- (Demystified p. 42)
-
Nursing interventions for pericarditis.
- Full Fowler's posn
- rest periods during day
- coughing & deep breathing exercises
- slowly resume daily activities
-
Petecchiae on the palate, beneath the fingernails, osler nodes (painful, discolored, raised areas on fingers & feet), Janeway lesions (painful lesions on palms & soles). S/S of what?
Endocarditis (Demystified p. 29)
-
Treatment for endocarditis.
Abx based on result of culture & send
-
S/S of viral pneumonia.
(Reviews & Rationales p. 79)
- Low-grade fever
- Non-productive cough
- WBC normal to LOW
- (less severe than bacterial)
-
S/S of bacterial pneumonia.
(Reviews & Rationales p. 79)
- HIGH fever
- Productive cough
- WBC HIGH
-
Why isn't a chest tube usually used in a pt who had a lung tumor removed?
(HESI p.72)
So that the mediastinal cavity (where lung used to be) can fill with fluid to prevent the shift of organs into empty space
-
Why would fluctuations (tidaling) in the fluid of a chest tube occur?
(HESI p.72)
- No external suction
- good indicator that the system is intact
- should move UP w/ inspiration & DoWN w/ expiration
-
What to do if fluctuations in the fluid of a chest tube cease?
(HESI p.72)
- Check for: kinked tubing,
- accumulation of fluid in tubing,
- occlusions, or
- change in pt's position
-
What would make fluctuations (tidaling) in a chest tube cease?
(HESI p.72)
When EXTERNAL suction is applied
-
What PO2 value indicates respiratory failure in adults?
(HESI)
below 60
-
What blood value indicates hypercapnia?
(HESI)
PCO2 above 45
-
Hypoxemia exists when PO2 is less than ____ and FiO2 is greater than _____.
(HESI)
-
Interventions to prevent complications of pts on mech vent with ARDS.
(HESI)
- HOB at least 30 degrees
- Daily awakening (sedation vacation)
- oral hygiene
- mobilization
-
PCO2 & PO2 values signifying resp failure.
(HESI)
- PCO2>45 OR
- PO2 < 60 on 50% O2
-
How to determine cardiogenic shock rather than hypovolemic.
(HESI p.30-31)
- h/o MI w/ LV failure OR
- poss cardiomyopathy
- w/ symptoms of pulmonary edema
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