CCRN from AACN
Hypercalcemia associated with what electrolyte imbalances - Answer-hypophosphatemia
AKI after cancer diagnosis, should suspect? ... what electrolyte imbalances should you expect? - Answer-
Tumor lysis syndrome
Hyperkalemia, hyperphosphatemia, increased uric acid and hypocalcemia.
Think about cells lysing and spilling into the bloodstream... also remember high phosphate will decrease
calcium always
Increase intensity of pulmonary s2, think of what - Answer-Increased pressure in pulmonary system.. so
think like pulmonary embolism (of heart sounds are audible) if muffled heart sounds with intense pulm
s2 sound the think pleural effusion or pneumothorax(if absent or distant on effected side)
Syncope, SOB, chest pain while excercising.. anticipate what medication? - Answer-Beta blockers to
decrease o2 consumption as these are symptoms of hypertrophic cardiomyopathy
After cardiac cath you note creatinine increase and decreased urine output... - Answer-Think
nephrotoxicity from contrast.. give fluids initially
Thyroid storm sx - Answer-hypertension, tachycardia, high fever, hyperglycemia, arrhythmias, confusion,
seizures, low or undetectable TSH
CSF bacterial vs viral meningitis - Answer-bacterial is cloudy/turbid appearing, and glucose is decreased
, Csf in traumatic injury or hemorrhaging into Csf - Answer-Nonclear Csf
Tension test used for - Answer-In myasthenia gravis it will improve muscle fatigue in 60 seconds
But if patient is experiencing a cholinergic crisis (overdose of acetylcholinesterase inhibitor) the tension
test will worsen the symptoms
symptoms of epidural hematoma and tx - Answer--possible brief loss of consciousness followed by a
lucid period
-true medical emergency. Needs surgery (burr holes/clot evacuation)
DIC labs - Answer-prolonged PT/PTT/BT
elevated D-dimer
Low fibrinogen
Why purpuric rash on lower extremities in chronic alcoholism patient? - Answer-Cirrhosis may occur
resulting in portal htn and splenomegaly disrupting blood components which cause thrombocytopenia
which is the cause of the rash
Missed dialysis appt, what to expect - Answer-Hypertension hyperkalemia and fluid overload
During trauma when you see facial asymmetry, edema, ecchymosis what priority do you think about -
Answer-Possible surgical airway
Patient hurts to turn head. when neck is flexed, the hips and knees flex. When hips are flexed to 90
degrees, there is inability to straighten leg... temperature 103... what do we prioritize - Answer-Lumbar
puncture FIRST.. then head CT is indicated
Hypercalcemia associated with what electrolyte imbalances - Answer-hypophosphatemia
AKI after cancer diagnosis, should suspect? ... what electrolyte imbalances should you expect? - Answer-
Tumor lysis syndrome
Hyperkalemia, hyperphosphatemia, increased uric acid and hypocalcemia.
Think about cells lysing and spilling into the bloodstream... also remember high phosphate will decrease
calcium always
Increase intensity of pulmonary s2, think of what - Answer-Increased pressure in pulmonary system.. so
think like pulmonary embolism (of heart sounds are audible) if muffled heart sounds with intense pulm
s2 sound the think pleural effusion or pneumothorax(if absent or distant on effected side)
Syncope, SOB, chest pain while excercising.. anticipate what medication? - Answer-Beta blockers to
decrease o2 consumption as these are symptoms of hypertrophic cardiomyopathy
After cardiac cath you note creatinine increase and decreased urine output... - Answer-Think
nephrotoxicity from contrast.. give fluids initially
Thyroid storm sx - Answer-hypertension, tachycardia, high fever, hyperglycemia, arrhythmias, confusion,
seizures, low or undetectable TSH
CSF bacterial vs viral meningitis - Answer-bacterial is cloudy/turbid appearing, and glucose is decreased
, Csf in traumatic injury or hemorrhaging into Csf - Answer-Nonclear Csf
Tension test used for - Answer-In myasthenia gravis it will improve muscle fatigue in 60 seconds
But if patient is experiencing a cholinergic crisis (overdose of acetylcholinesterase inhibitor) the tension
test will worsen the symptoms
symptoms of epidural hematoma and tx - Answer--possible brief loss of consciousness followed by a
lucid period
-true medical emergency. Needs surgery (burr holes/clot evacuation)
DIC labs - Answer-prolonged PT/PTT/BT
elevated D-dimer
Low fibrinogen
Why purpuric rash on lower extremities in chronic alcoholism patient? - Answer-Cirrhosis may occur
resulting in portal htn and splenomegaly disrupting blood components which cause thrombocytopenia
which is the cause of the rash
Missed dialysis appt, what to expect - Answer-Hypertension hyperkalemia and fluid overload
During trauma when you see facial asymmetry, edema, ecchymosis what priority do you think about -
Answer-Possible surgical airway
Patient hurts to turn head. when neck is flexed, the hips and knees flex. When hips are flexed to 90
degrees, there is inability to straighten leg... temperature 103... what do we prioritize - Answer-Lumbar
puncture FIRST.. then head CT is indicated
