NUR 2115 Exam 2 QUESTIONS WITH COMPLETE
SOLUTIONS
<13
<90, <65, >40
Oliguria, >2
<100,000
>2
Metabolic acidosis
>1.5, >60
>4 Correct Answers Criteria for MODS:
-Acutely altered mental status (Glascow Coma Score
___________)
-Increased O2 needed to maintain SPO2 >90
-Arterial hypotension (SBP ________________ or MAP
__________ or SBP decreased __________________)
-Acute __________________-Output <30mL/hr x 2 hrs or
Creatinine _______________
-Thrombocytopenia (Platelets ___________________)
-High bilirubin _______________mg/dL
-Unexpected ________________________ (pH <7.3 or Base
excess >5.0)
-Coagulation abnormalities (INR ______ or aPTT _____ sec)
-Serum Lactate ______________mmol/L
>25
Compartment Syndrome
Neurovascular
Elevated
Over-resuscitation
,Escharotomy Correct Answers Cardiovascular Alterations w/
Burns:
Burn Edema:
TBSA: __________%--> Massive systemic edema--> Maximal
after 24 hours
Avoid over-resuscitation
Monitor for __________________________ in circumferential
burns
--Pressure builds up from swelling and edema and puts pressure
on blood vessels and nerves--> leading to obstruction and
ischemia
---Do _______________________ Q1hr
---Extremity ________________
---Avoid _____________________
---Treat CS with ___________________________
>50-70, 1500
<50
17, <400
1.010-1.030
protein and glucose Correct Answers Normal Urine Values:
Output: hr? day?
Anuria: day?
Oliguria: hr? day?
Specific gravity:
Negative for ___________ and _____________
0.6 x WT kg x Na/140-1 Correct Answers Formula for DI
Volume Replacement:
Body water deficit in L = (____) x (________) x
[(_____/_____)-1]
,125 Correct Answers Normal GFR?
15-30
8-15
2-6
6-12
4-8
Fluids, drugs Correct Answers Pulmonary Artery Catheter:
Distal port (Yellow)- Pulmonary Artery Pressures:
-PAS=_____________________mmHg
-PAD=____________________mmHg
Proximal port (Blue)- Rt. Atrium/ Central Venous Pressures:
-RAP or CVP= _____________________mmHg
Balloon port (Red)- Pulmonary Capillary Pressures:
-PCWP/PAOP= ___________________mmHg
Thermistor:
CO= __________________ L/min
White port= _______________ and _________________
15, 750
15-30, 750-1500
30-40, 1500-2000 Correct Answers Hypovolemic Shock S&S:
1. Initially:
- Volume loss up to ____________% or _______________mL
-No clinical S&S
, 2. Compensatory Stage:
-Volume loss ___________% or ______________ mL
-Clinical S&S present
3. Progressive Stage:
-Volume loss ____________% or _____________ mL
-Clinical S&S present
1st Degree Correct Answers Depth of Burn :
S&S: Tingling, Hyperparesthesia (sensitive), Pain soothed by
cooling
Appearance: Reddened, Blanches with pressure, Dry, Minimal
or no edema
Complete recovery within a week; no scarring
May peel
1st Degree Correct Answers Depth of Burn:
Superficial
Epidermis involved
Caused by sunburn, Low-intensity flash, Superficial scald
2
Insulin deficiency
Hyperglycemia
Osmotic diuresis
Extracellular space
Hypernatremia and hyperosmolarity Correct Answers HHS
Pathophysiology:
1. Diabetes Type _____________
SOLUTIONS
<13
<90, <65, >40
Oliguria, >2
<100,000
>2
Metabolic acidosis
>1.5, >60
>4 Correct Answers Criteria for MODS:
-Acutely altered mental status (Glascow Coma Score
___________)
-Increased O2 needed to maintain SPO2 >90
-Arterial hypotension (SBP ________________ or MAP
__________ or SBP decreased __________________)
-Acute __________________-Output <30mL/hr x 2 hrs or
Creatinine _______________
-Thrombocytopenia (Platelets ___________________)
-High bilirubin _______________mg/dL
-Unexpected ________________________ (pH <7.3 or Base
excess >5.0)
-Coagulation abnormalities (INR ______ or aPTT _____ sec)
-Serum Lactate ______________mmol/L
>25
Compartment Syndrome
Neurovascular
Elevated
Over-resuscitation
,Escharotomy Correct Answers Cardiovascular Alterations w/
Burns:
Burn Edema:
TBSA: __________%--> Massive systemic edema--> Maximal
after 24 hours
Avoid over-resuscitation
Monitor for __________________________ in circumferential
burns
--Pressure builds up from swelling and edema and puts pressure
on blood vessels and nerves--> leading to obstruction and
ischemia
---Do _______________________ Q1hr
---Extremity ________________
---Avoid _____________________
---Treat CS with ___________________________
>50-70, 1500
<50
17, <400
1.010-1.030
protein and glucose Correct Answers Normal Urine Values:
Output: hr? day?
Anuria: day?
Oliguria: hr? day?
Specific gravity:
Negative for ___________ and _____________
0.6 x WT kg x Na/140-1 Correct Answers Formula for DI
Volume Replacement:
Body water deficit in L = (____) x (________) x
[(_____/_____)-1]
,125 Correct Answers Normal GFR?
15-30
8-15
2-6
6-12
4-8
Fluids, drugs Correct Answers Pulmonary Artery Catheter:
Distal port (Yellow)- Pulmonary Artery Pressures:
-PAS=_____________________mmHg
-PAD=____________________mmHg
Proximal port (Blue)- Rt. Atrium/ Central Venous Pressures:
-RAP or CVP= _____________________mmHg
Balloon port (Red)- Pulmonary Capillary Pressures:
-PCWP/PAOP= ___________________mmHg
Thermistor:
CO= __________________ L/min
White port= _______________ and _________________
15, 750
15-30, 750-1500
30-40, 1500-2000 Correct Answers Hypovolemic Shock S&S:
1. Initially:
- Volume loss up to ____________% or _______________mL
-No clinical S&S
, 2. Compensatory Stage:
-Volume loss ___________% or ______________ mL
-Clinical S&S present
3. Progressive Stage:
-Volume loss ____________% or _____________ mL
-Clinical S&S present
1st Degree Correct Answers Depth of Burn :
S&S: Tingling, Hyperparesthesia (sensitive), Pain soothed by
cooling
Appearance: Reddened, Blanches with pressure, Dry, Minimal
or no edema
Complete recovery within a week; no scarring
May peel
1st Degree Correct Answers Depth of Burn:
Superficial
Epidermis involved
Caused by sunburn, Low-intensity flash, Superficial scald
2
Insulin deficiency
Hyperglycemia
Osmotic diuresis
Extracellular space
Hypernatremia and hyperosmolarity Correct Answers HHS
Pathophysiology:
1. Diabetes Type _____________
