2026/2027 Update | 100% Correct-Galen
College of Nursing.
Causes vtach or torsades de point - ANSWER -What happens if pt is shocked mid
repolarization between the S-T?
CO= HR x SV - ANSWER -What is the cardiac output formula?
CO- 4-6
pink warm and dry
>30 ml/hr UO
SBP >90
AOx4
MAP >60
Skin perusing cap refill <2second - ANSWER -What are signs and symptoms that
cardiac output is good?
CVP 2-6 mmHg
Hypo/hypervolemic - ANSWER -What is the range for CVP?
signs of hyper/hypovolemia
hypovolemic=
skin tenting & dry mucous membranes
decreased CVP < 2
Hypervolemic=
Fluid overload/edema
increased CVP >6 - ANSWER -What are signs and symptoms of a preload
problem?
- if hypovolemic give fluids, albumin, blood
-if hypervolemic give a diuretic - ANSWER -How are CO problems related to
Preload/SV treated?
1. is CO low?
,2. Did the HR change?
3. Preload: What is CVP? hypo/hypervolemic s/s?
If normal move on...
4. Afterload, what is their BP? High or low?
if normal must be contractility...
5. (+) inotrope needed to increase contractility - ANSWER -What are the steps to
determine the cause of low cardiac output?
BP over 140
BP below 90 - ANSWER -If preload is fine and HR is fine it may be an afterload
problem. What changes do you look for in an SV/afterload problem?
you need to reduce the BP, administer any kind of antihypertensive medication
ACE, ARB, BB, CCB - ANSWER -If SV BP is over 140 what treatment is
expected?
You need to increase the BP administer a vasopressor/vasoconstrictor
Epi, Neo, dopamine, vasopressin, norepi - ANSWER -If SV BP is under 90 what
treatment is expected?
Poor contractility
Administer a (+) inotrope
Epi
Digoxin
dobutamine
milronone - ANSWER -If both afterload and preload have been ruled out as the
cause of low cardiac output what is the likely cause of low CO? and how is it
treated?
>90 - ANSWER -Stable BP
>60 - ANSWER -Stable MAP
2-6 - ANSWER -CVP
, 4-6 - ANSWER -CO
0.5-2.0 ng/dl - ANSWER -Therapeutic range for Digoxin
15 or less - ANSWER -Normal ICP
We are looking for changes from baseline this is how you know if a person is
getting worse or improving. - ANSWER -Why is a baseline assessment so
important in Neuro?
Vagus nerve
10th cranial nerve - ANSWER -what nerve is responsible for the regulation of
internal organ functions, such as digestion, heart rate, and respiratory rate, as well
as vasomotor activity, and certain reflex actions, such as coughing, sneezing,
swallowing, and vomiting
Balance
Eyes
Face
Arms
Speech
Time - ANSWER -BE FAST
Ischemic Stroke - ANSWER -What type of stroke that occurs when the flow of
blood to the brain is blocked?
Hemorrhagic Stroke - ANSWER -What kind of stroke is caused when a blood
vessel in the brain leaks or ruptures; also known as a bleed in the brain?
60 mins - ANSWER -What is the door to needle (TPA) time for a ischemic
stroke?
They are looking for bleeding on the scan. If bleeding is found TPA is
contraindicated. The patient will instead be taken directly to the OR to stop the
bleeding? - ANSWER -Why is a CT w/out contrast done when a stroke is
suspected?
Hemorrhagic Stroke - ANSWER -A patient comes the ED and c/o of the worst
headache of there life. What do you suspect?