Fortis Med/surg 2 Exam 4 Questions And Answers

Fortis Med/surg 2 Exam 4 Questions And Answers Normal CVP - 2-8 What is the first thing you do if the patient is fighting the vent? - Coach and educate the patient What can cause low pressure alarms? - Leaks. etCO2 normal - 35-45 mmHg ScvO2 normal - 60-80 Treatment for hypovolemic shock - IVF (isotonic, NS, LR), vasopressors (norepinephrine, levophed) Treatment for cardiogenic shock - Do not give fluids! Do give dobutamine to increase contractility, NTG, digoxin, beta blockers, diuretics, ACE inhibitors Treatment for septic shock - IVF, antibiotics, vasopressors, steroids Major complication of septic shock - DIC - abnormal PT/INR, PTT normal is 25-35 seconds. PTT around 60 is concerning. Treatment of anaphylaxic shock - Epinephrine, 100% O2, raise HOB. Treatment for neurogenic shock - Give atropine d/t bradycardia Complication of vasopressin - Chest pain Goal of Buck's traction - Decrease muscle spasm and pain for hip fractures What to monitor for with vertebral fractures? - Incontinence - can indicate cord compression and ischemia. Report immediately!!! 6 P's of neurovascular assessment - Pain