CAPA review
CAPA review
Study online at https://quizlet.com/_frwe4y
1. DIC (Disseminated · Heparin prevents further microclots and prevents platelet aggregation
Intravascular Coag- - Heparin induced thrombocytopenia- platelet less than 100,000, or decrease
ulation) of 40%-50 % from a baseline platelet count.
-evicende in labs will show decrease platelets
2. Heparin reversal - Protamine is the drug to reverse Heparin, reaction time is 5 min
3. IVC filter complica- · Assess for firmness at the puncture site -indication of hematoma (can
tions compromise circulation)
4. Internal Mammary · Bleeding is more likely to occur with IMA grafts as a result of the extensive
Artery (IMA chest wall dissection required to free the IMA.
· If bleeding excess of 150ml/hr in post op administer clotting factor such as
FFPs, fibrinogen and platelets), protamine or desmopressin
5. EXTUBATION temp 36.8, ability to lift head on request, spontaneous respirations, hemody-
WEANING criteria namic stability, alertness, commands, RR < 30, peep < 5 cm H20, tital volume
> 50%,
6. Hetastarch (Hes- artificial colloid · Volume expanders- colloids, indication: early mamang-
pan) ment of shock ( burns, hemorrhage, surgery, sepsis, trauma) use cautious-
ly in bleeding disorders, renal impairment, HF, Pul edema. no more than
1.5L/day.
· hetastarch has minimal coagulation efects, .
7. HYPERKALEMIA Tall Peaked T waves and widening QRS complex
(ECG)
8. obstructive sleep impotence, nocturia, esophageal reflux, depression, high blood pressure,
apnea (S&S) loud snoring, excessive sleepiness
9. Bronchospasm cough, expiratory wheezing, dyspnea, use of accessory muscles and tachyp-
(S&S) nea
1
, CAPA review
CAPA review
Study online at https://quizlet.com/_frwe4y
10. Bronchospasm Oxygen, inhaled bronchodilators, epinephrine. Depending on the cause an-
treatment tihistamine or dexomethasone. Beta 2 agonist therapy PP376 (blue blook)
11. Non Cardiogenic dyspnea, cough, tachypnea, fatigue, pedal edema, paroxysmal nocturnal
Pulmonary Edema dyspnea, severe alveolar dema, rales, diminshed breath sounds and pink
(S&S) frothy sputum
12. Non-cardiogenic Treatment: albumin, diuretics (Bumetanide, Lasix), and continous positive
pulmonary edema pressure airway
(treatment) and risk
factors Risk fatcors: post- extubation laryngospasm
13. Abdominal Com- ·result of prolonged surgery, fluid resusitation, edema of the abodminal
partment Syndrome organs, compression of the inferior vena cava.
· Treatment: is emergent decompression laparotomy with packing of abdom-
inal wound and delayed closure
14. Assessment after Ili- assessment of limbs: color, warmth, sensation, movement and pulses, should
ac Thrombectomy be given in handout
15. Laryngospasm paradoxic rocking motion of chest, stridor, high-pitched crowing respirations.
(S&S) absent breath sound is total obstruction
16. Laryngospasm Positive Pressure Ventilation, Succidocholine (o.1 to 0.2mg/kg)
(treatment)
17. Ketamine · Disasociative agent
-Consist of a state of profound analgesia combined with state of unconscious-
ness
· Beneficial with Asthma (bronchodilator effect)
· Can develop Nystagmus
· Increase ICP
2
CAPA review
Study online at https://quizlet.com/_frwe4y
1. DIC (Disseminated · Heparin prevents further microclots and prevents platelet aggregation
Intravascular Coag- - Heparin induced thrombocytopenia- platelet less than 100,000, or decrease
ulation) of 40%-50 % from a baseline platelet count.
-evicende in labs will show decrease platelets
2. Heparin reversal - Protamine is the drug to reverse Heparin, reaction time is 5 min
3. IVC filter complica- · Assess for firmness at the puncture site -indication of hematoma (can
tions compromise circulation)
4. Internal Mammary · Bleeding is more likely to occur with IMA grafts as a result of the extensive
Artery (IMA chest wall dissection required to free the IMA.
· If bleeding excess of 150ml/hr in post op administer clotting factor such as
FFPs, fibrinogen and platelets), protamine or desmopressin
5. EXTUBATION temp 36.8, ability to lift head on request, spontaneous respirations, hemody-
WEANING criteria namic stability, alertness, commands, RR < 30, peep < 5 cm H20, tital volume
> 50%,
6. Hetastarch (Hes- artificial colloid · Volume expanders- colloids, indication: early mamang-
pan) ment of shock ( burns, hemorrhage, surgery, sepsis, trauma) use cautious-
ly in bleeding disorders, renal impairment, HF, Pul edema. no more than
1.5L/day.
· hetastarch has minimal coagulation efects, .
7. HYPERKALEMIA Tall Peaked T waves and widening QRS complex
(ECG)
8. obstructive sleep impotence, nocturia, esophageal reflux, depression, high blood pressure,
apnea (S&S) loud snoring, excessive sleepiness
9. Bronchospasm cough, expiratory wheezing, dyspnea, use of accessory muscles and tachyp-
(S&S) nea
1
, CAPA review
CAPA review
Study online at https://quizlet.com/_frwe4y
10. Bronchospasm Oxygen, inhaled bronchodilators, epinephrine. Depending on the cause an-
treatment tihistamine or dexomethasone. Beta 2 agonist therapy PP376 (blue blook)
11. Non Cardiogenic dyspnea, cough, tachypnea, fatigue, pedal edema, paroxysmal nocturnal
Pulmonary Edema dyspnea, severe alveolar dema, rales, diminshed breath sounds and pink
(S&S) frothy sputum
12. Non-cardiogenic Treatment: albumin, diuretics (Bumetanide, Lasix), and continous positive
pulmonary edema pressure airway
(treatment) and risk
factors Risk fatcors: post- extubation laryngospasm
13. Abdominal Com- ·result of prolonged surgery, fluid resusitation, edema of the abodminal
partment Syndrome organs, compression of the inferior vena cava.
· Treatment: is emergent decompression laparotomy with packing of abdom-
inal wound and delayed closure
14. Assessment after Ili- assessment of limbs: color, warmth, sensation, movement and pulses, should
ac Thrombectomy be given in handout
15. Laryngospasm paradoxic rocking motion of chest, stridor, high-pitched crowing respirations.
(S&S) absent breath sound is total obstruction
16. Laryngospasm Positive Pressure Ventilation, Succidocholine (o.1 to 0.2mg/kg)
(treatment)
17. Ketamine · Disasociative agent
-Consist of a state of profound analgesia combined with state of unconscious-
ness
· Beneficial with Asthma (bronchodilator effect)
· Can develop Nystagmus
· Increase ICP
2
