PASS the CCRN! Questions

A 56 yr-old male is admitted to the ICU with a blood pressure of 225/135 and complains of a headache and nausea. He reports he ran out of blood pressure meds three days ago, but also appears to be confused to the date and situation. What is the most appropriate treatment approach? A patient has sepsis, receives Lactated ringers 500ml IV bolus.Which finding in- dicate that this intervention is having it's intended effect? 72 male patient in ICU for 6 days on the ventilator for treatment of a COPD ex- acerbation. He has been receiving VTE prophylaxis and subcutaneous Heparin since admission.Today his platelet count decreased significantly to 43,000 and was found to have new DVT on his right upper extremity. What do you suspect is the most likely cause of these findings? TRALI: 2 Hallmark signs of HIT: Rapidly lower the diastolic pressure to 100 with IV antihypertensive meds, then continue to gradually reduce the diastolic pressure to 85 with oral antihypertensive meds. The maximum initial decrease should be no more than 25% reduction from initial presenting value. Reducing the blood pressure too quickly can lead to cerebral edema or renal failure. ScvO2 of 72% Early goal directed therapy for sepsis includes early fluid resuscitation at 30 ml/kg to maintain a CVP of 8-12 or 12-15 if mechanically ventilated, MAP greater than 65, ScvO2 greater than 70%, and urine output greater than 0.5 kg/hr HIT The hallmark sign of HIT is a signifi- cant decrease in platelet count over a 24 hours period (50%) within 5-10 days of administering Heparin. The other hall- mark sign is a new development of DVT despite being on VTE prophylaxis. is a complication from a blood transfu- sion reaction, which causes acute lung injury typically within 6 hours of a blood transfusion. Decrease in platelet count over a 24 hr period. New development of DVT despite being on VTE prophylaxis.