NURS 5355 Final Exam
<pO2 60 & <O280%, oxyhemoglobin saturation curve? - anssteep, large changes in oximetry mean small changes in oxygenation
1% Lidocaine with epi used on? - ansThoracostomy & Paracentesis
2 kinds of failure lead to error? - anserror of execution (poor handwashing)
error of planning
3rd leading cause of death? - ansmedical errors
A-a gradient normal? - ansreduced alveolar ventilation/hypoventilation
A-a gradient? - ansPAO2 - PaO2
absolute CI for paracentesis? - ansfibrinolysis or DIC
absolute CI in endotracheal intubation? - anstotal upper airway obstruction or loss of oropharyngeal landmarks from trauma or burns
absolute CI in LP? - ansinfection in tissue at puncture site
absolute CI in Thoracentesis and Thoracostomy? - ansnone for Thoracentesis
lung adherent to entire hemithorax or when thoracotomy should be performed
absolute CI to ETT intubation? - anstotal upper airway obstruction or loss of oropharyngeal landmarks; need surgical airway
adequate BVM depends on? - anspatent airway, proper mask seal, and proper ventilation
airway adjuncts used for? - ansBVM; to open the airway
airway management per AHA? - ansCAB
albumin replacement for total paracentesis? - ans25%, 6-8g/L removed
albumin with less volume and less sodium load? - ans25% Albumin
aligns the oral, pharyngeal, and laryngeal axes? - anssniffing position for intubation Aline steps? - ansinsert catheter/needle, then stabilize the introducer and advance guide wire using actuating lever, push needle/catheter another 1-2mm, hold wire and remove needle while advancing catheter, remove wire
Allen's Test performed? - ansprior to radial arterial line placement; Doppler eval in high risk patients
apply constant negative pressure when? - ansinserting needle for CVC placement
Ascites? - ansaccumulation of fluid in the peritoneal cavity >25mL
aseptic technique? - ansreduce/prevention of flora and re-growth
blades for laryngoscope? - ansMacintosh or Miller- size 3 or 4 for adults
carotid sheath? - ansIJ vein, carotid artery, and vagus nerve
causes postexpansion pulmonary edema? - ansremoving more than 1500ml of pleural fluid during thoracentesis
central lines sit in? - ansSVC, except femoral is in IVC
chest tube air leak beyond 2 days? - anssurgical consult
CI to CVC placement? - ansNo absolutes; Relative:coagulopathy & thrombocytopenia- plt <50, INR >1.5, PTT >50
common ALine sites? - ansRadial then Femoral
common and less severe complications of ALine placement? - anstemporary occlusion due to arterial spasm, hematoma, and bleeding
RICE or pressure to treat
common complications with intubation? - ansdental trauma and right mainstem bronchial intubation
consistent features in procedural documentation? - ansindication, time out, consent, and
anesthesia
cover open port during CVC placement to prevent? - ansair embolization
Crash intubation? - ansno RSI in unconscious or apneic patient due to cardiac arrest
criteria to distinguish transudate from exudate? - ansLight's criteria- 1 or more are met
CSF glucose in bacterial infection? - ans20-50mg- half of blood glucose level
<pO2 60 & <O280%, oxyhemoglobin saturation curve? - anssteep, large changes in oximetry mean small changes in oxygenation
1% Lidocaine with epi used on? - ansThoracostomy & Paracentesis
2 kinds of failure lead to error? - anserror of execution (poor handwashing)
error of planning
3rd leading cause of death? - ansmedical errors
A-a gradient normal? - ansreduced alveolar ventilation/hypoventilation
A-a gradient? - ansPAO2 - PaO2
absolute CI for paracentesis? - ansfibrinolysis or DIC
absolute CI in endotracheal intubation? - anstotal upper airway obstruction or loss of oropharyngeal landmarks from trauma or burns
absolute CI in LP? - ansinfection in tissue at puncture site
absolute CI in Thoracentesis and Thoracostomy? - ansnone for Thoracentesis
lung adherent to entire hemithorax or when thoracotomy should be performed
absolute CI to ETT intubation? - anstotal upper airway obstruction or loss of oropharyngeal landmarks; need surgical airway
adequate BVM depends on? - anspatent airway, proper mask seal, and proper ventilation
airway adjuncts used for? - ansBVM; to open the airway
airway management per AHA? - ansCAB
albumin replacement for total paracentesis? - ans25%, 6-8g/L removed
albumin with less volume and less sodium load? - ans25% Albumin
aligns the oral, pharyngeal, and laryngeal axes? - anssniffing position for intubation Aline steps? - ansinsert catheter/needle, then stabilize the introducer and advance guide wire using actuating lever, push needle/catheter another 1-2mm, hold wire and remove needle while advancing catheter, remove wire
Allen's Test performed? - ansprior to radial arterial line placement; Doppler eval in high risk patients
apply constant negative pressure when? - ansinserting needle for CVC placement
Ascites? - ansaccumulation of fluid in the peritoneal cavity >25mL
aseptic technique? - ansreduce/prevention of flora and re-growth
blades for laryngoscope? - ansMacintosh or Miller- size 3 or 4 for adults
carotid sheath? - ansIJ vein, carotid artery, and vagus nerve
causes postexpansion pulmonary edema? - ansremoving more than 1500ml of pleural fluid during thoracentesis
central lines sit in? - ansSVC, except femoral is in IVC
chest tube air leak beyond 2 days? - anssurgical consult
CI to CVC placement? - ansNo absolutes; Relative:coagulopathy & thrombocytopenia- plt <50, INR >1.5, PTT >50
common ALine sites? - ansRadial then Femoral
common and less severe complications of ALine placement? - anstemporary occlusion due to arterial spasm, hematoma, and bleeding
RICE or pressure to treat
common complications with intubation? - ansdental trauma and right mainstem bronchial intubation
consistent features in procedural documentation? - ansindication, time out, consent, and
anesthesia
cover open port during CVC placement to prevent? - ansair embolization
Crash intubation? - ansno RSI in unconscious or apneic patient due to cardiac arrest
criteria to distinguish transudate from exudate? - ansLight's criteria- 1 or more are met
CSF glucose in bacterial infection? - ans20-50mg- half of blood glucose level
