CPAN CAPA CERT EXAM III CERTIFICATION
PREPARATION GUIDE
◉ Craniotomy Treatment (triple H's).
Answer: - hemodilution
- hypertension
- hypervolemia
(this forces constricted blood vessels to dilate and perfuse tissue)
◉ Transverse Colostomy.
Answer: soft stool
typical stool odor
stool damages the skin
empties several times per day
may or may not be at risk for fluid/electrolytes imbalances
may irrigate
◉ sigmoid colostomy.
Answer: - formed stool
◉ ileosotomy.
,Answer: - high up
- liquid pasty stool
◉ Roux-en-Y gastric bypass.
Answer: Small pouch created from stomach
Part of small intestine (DUODENUM) bypassed
Restriction and malabsorption
◉ Post-op Stroke symptoms.
Answer: - double vision
- headache
- sudden dizziness
◉ Metoclopramide (Reglan).
Answer: - controls post-op NV
- can have extrapyrmidal side effects like tardive dyskinesia
◉ Gastrectomy Interventions.
Answer: - encourage deep breaths
- and position shifts
◉ clonic seizure.
, Answer: repetitive jerking movements
◉ petit mal seizure.
Answer: Also called absence attack. A seizure that is characterized
by a spike-and-wave EEG and often involves a loss of awareness and
inability to recall events surrounding the seizure.
◉ Tonic seizure.
Answer: sustained muscle contraction
◉ Emergence excitement safety interventions.
Answer: ok to use wrist restraints
◉ Shivering first interventions .A
nswer: - anticipate order for demerol
(over warm blankets)
◉ Septic Shock/ Early Respiratory Distress.
Answer: - Hyperventilation
- Respiratory Alkalosis
- Elevated Lactate Levels
PREPARATION GUIDE
◉ Craniotomy Treatment (triple H's).
Answer: - hemodilution
- hypertension
- hypervolemia
(this forces constricted blood vessels to dilate and perfuse tissue)
◉ Transverse Colostomy.
Answer: soft stool
typical stool odor
stool damages the skin
empties several times per day
may or may not be at risk for fluid/electrolytes imbalances
may irrigate
◉ sigmoid colostomy.
Answer: - formed stool
◉ ileosotomy.
,Answer: - high up
- liquid pasty stool
◉ Roux-en-Y gastric bypass.
Answer: Small pouch created from stomach
Part of small intestine (DUODENUM) bypassed
Restriction and malabsorption
◉ Post-op Stroke symptoms.
Answer: - double vision
- headache
- sudden dizziness
◉ Metoclopramide (Reglan).
Answer: - controls post-op NV
- can have extrapyrmidal side effects like tardive dyskinesia
◉ Gastrectomy Interventions.
Answer: - encourage deep breaths
- and position shifts
◉ clonic seizure.
, Answer: repetitive jerking movements
◉ petit mal seizure.
Answer: Also called absence attack. A seizure that is characterized
by a spike-and-wave EEG and often involves a loss of awareness and
inability to recall events surrounding the seizure.
◉ Tonic seizure.
Answer: sustained muscle contraction
◉ Emergence excitement safety interventions.
Answer: ok to use wrist restraints
◉ Shivering first interventions .A
nswer: - anticipate order for demerol
(over warm blankets)
◉ Septic Shock/ Early Respiratory Distress.
Answer: - Hyperventilation
- Respiratory Alkalosis
- Elevated Lactate Levels
