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ANCC Adult Gerontology Acute Care Questions and Answers
with Complete Solutions UPDATED!!!
Cardiac Index - ANSWER 2-4
SVR/Afterload - ANSWER 800-1200
MAP - ANSWER mean CVx80/CO
PA pressure - ANSWER 15-30
Wedge PCWP pressure - ANSWER 6-12
Hypovolemic Shock Parameters - ANSWER Preload CVP
decreased, SVR afterload increased, CI decreased, Oxygen
delivery Decreased, Venous Oxygen saturation increased
Types of hypovolemic shock - ANSWER Hemorrhage, burns,
pancreatitis
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Cardiogenic shock parameters - ANSWER CVP preload
increased, SVR afterload increased, CI decreased, oxygen
delivery decreased, SV02 decreased
Types of cardiogenic shock - ANSWER Post mi, malignant
dysrhythmia, acute myocarditis
Obstructive shock parameters - ANSWER Preload either, SVR
increased, CI decreased, oxygen delivery decreased, SV02
decreased
Types of obstructive shock - ANSWER Tension pneumo, cardiac
tamponade, PE
Distributive shock parameters - ANSWER Preload CVP
decreased, afterload SVR decreased, CI increased, SV02
decreased, oxygen delivery increased
Types of distributive shock - ANSWER Septic shock, anaphylaxis,
neurogenic shock
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CVP Preload - ANSWER 2-8
Cardiac Output - ANSWER 4-8
MAP - ANSWER 70-90
Fractional Excretion of NA <1% - ANSWER Prerenal state of
kidney dysfunction (i.e. dehydration)
Fractional Excretion of NA >2% - ANSWER ATN (acute tubular
necrosis)
CPP equation - ANSWER MAP-ICP
SIADH Hyposmolar hyponatremia "inappropriate water
retention" - ANSWER serum sodium low, serum osmo low <280,
urine osmo high >100, no dehydration, tx restrict fluids
if neuro symptoms give 3%NS
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DI Hyperosmolar hypernatremia dry - ANSWER Serum sodium
high, serum osmo high >290, urine osmo low <100, urine spec
grave 1.005 (urine is like water), urine sodium >20, dehydration,
if serum Na >150 give D5W to replace ½ volume deficit in 12-24
hours, avoid rapid lowering of Na, DDAVP for acute situations
Serum Osmo - ANSWER 280
Urine Osmo - ANSWER 300-800
Sodium - ANSWER ~140
Total cholesterol - ANSWER <200
Triglycerides - ANSWER <150
HDL - ANSWER >40
LDL - ANSWER <100
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ANCC Adult Gerontology Acute Care Questions and Answers
with Complete Solutions UPDATED!!!
Cardiac Index - ANSWER 2-4
SVR/Afterload - ANSWER 800-1200
MAP - ANSWER mean CVx80/CO
PA pressure - ANSWER 15-30
Wedge PCWP pressure - ANSWER 6-12
Hypovolemic Shock Parameters - ANSWER Preload CVP
decreased, SVR afterload increased, CI decreased, Oxygen
delivery Decreased, Venous Oxygen saturation increased
Types of hypovolemic shock - ANSWER Hemorrhage, burns,
pancreatitis
1|Page
, Page |2
Cardiogenic shock parameters - ANSWER CVP preload
increased, SVR afterload increased, CI decreased, oxygen
delivery decreased, SV02 decreased
Types of cardiogenic shock - ANSWER Post mi, malignant
dysrhythmia, acute myocarditis
Obstructive shock parameters - ANSWER Preload either, SVR
increased, CI decreased, oxygen delivery decreased, SV02
decreased
Types of obstructive shock - ANSWER Tension pneumo, cardiac
tamponade, PE
Distributive shock parameters - ANSWER Preload CVP
decreased, afterload SVR decreased, CI increased, SV02
decreased, oxygen delivery increased
Types of distributive shock - ANSWER Septic shock, anaphylaxis,
neurogenic shock
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CVP Preload - ANSWER 2-8
Cardiac Output - ANSWER 4-8
MAP - ANSWER 70-90
Fractional Excretion of NA <1% - ANSWER Prerenal state of
kidney dysfunction (i.e. dehydration)
Fractional Excretion of NA >2% - ANSWER ATN (acute tubular
necrosis)
CPP equation - ANSWER MAP-ICP
SIADH Hyposmolar hyponatremia "inappropriate water
retention" - ANSWER serum sodium low, serum osmo low <280,
urine osmo high >100, no dehydration, tx restrict fluids
if neuro symptoms give 3%NS
3|Page
, Page |4
DI Hyperosmolar hypernatremia dry - ANSWER Serum sodium
high, serum osmo high >290, urine osmo low <100, urine spec
grave 1.005 (urine is like water), urine sodium >20, dehydration,
if serum Na >150 give D5W to replace ½ volume deficit in 12-24
hours, avoid rapid lowering of Na, DDAVP for acute situations
Serum Osmo - ANSWER 280
Urine Osmo - ANSWER 300-800
Sodium - ANSWER ~140
Total cholesterol - ANSWER <200
Triglycerides - ANSWER <150
HDL - ANSWER >40
LDL - ANSWER <100
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