AACN PRACTICE EXAM
- answers
3% saline
- answershypertonic
Na <120
Seizures
Anterior Wall MI
- answers-involves LAD artery
-Leads V1, V2, V3, V4 with ST elevation
-supplies blood to left anterior ventricle
-may result in left ventricular pump failure, cardiogenic shock, or death
-increased risk of death
Anterolateral MI
- answersV4-V6, I, aVL
Develop 2nd degree type II AV block
Chronic emphysema + PA catheter finding
- answerscor pulmonale
systemic HTN and Pulm HTN in arterioles
decreased LV filling
increased PVR
compartment syndrome
- answersDecreased sensation, pain, pulselessness
involves the compression of nerves and blood vessels due to swelling within the
enclosed space created by the fascia that separates groups of muscles
, Coronary artery dissection
- answerscan happen after PCI to RCA
low BP, increased HR, ST changes
Correcting Na too rapidly
- answerscentral pontine myelinolysis
Pulls water from brain cells
DI
- answersLow urine specific gravity
Decreased serum ADH
Increased serum osmolarity
Serum Na > 145
distributive shock
- answersdecreased venous return
loss of vessel tone low SVR
Low BP includes Septic (severe infection), Neurogenic (damage to the spinal cord),
Anaphylactic (reaction to substance), Psychogenic (feinting)
DKA
- answersBG > 250
Ketoacidosis
Metabolic acidosis
Type 1 diabetes
Polys: phagia, dispsia, uria
Kussmal breathing - deep and rapid
Bicarb <18 3%
acetone and keytones increase! once treated expect postassium to drop! have K+ ready
Endpoint of volume resolution
- answersOxygen consumption 250
Guillain-Barre syndrome
- answersmost important indicator - vital capacity
(like in MG)
measures how well respiratory muscles are working
autoimmune condition that causes acute inflammation of the peripheral nerves in which
myelin sheaths on the axons are destroyed, resulting in decreased nerve impulses, loss
of reflex response, and sudden muscle weakness
Heart failure most lethal arrythmia
- answersVTACH
- answers
3% saline
- answershypertonic
Na <120
Seizures
Anterior Wall MI
- answers-involves LAD artery
-Leads V1, V2, V3, V4 with ST elevation
-supplies blood to left anterior ventricle
-may result in left ventricular pump failure, cardiogenic shock, or death
-increased risk of death
Anterolateral MI
- answersV4-V6, I, aVL
Develop 2nd degree type II AV block
Chronic emphysema + PA catheter finding
- answerscor pulmonale
systemic HTN and Pulm HTN in arterioles
decreased LV filling
increased PVR
compartment syndrome
- answersDecreased sensation, pain, pulselessness
involves the compression of nerves and blood vessels due to swelling within the
enclosed space created by the fascia that separates groups of muscles
, Coronary artery dissection
- answerscan happen after PCI to RCA
low BP, increased HR, ST changes
Correcting Na too rapidly
- answerscentral pontine myelinolysis
Pulls water from brain cells
DI
- answersLow urine specific gravity
Decreased serum ADH
Increased serum osmolarity
Serum Na > 145
distributive shock
- answersdecreased venous return
loss of vessel tone low SVR
Low BP includes Septic (severe infection), Neurogenic (damage to the spinal cord),
Anaphylactic (reaction to substance), Psychogenic (feinting)
DKA
- answersBG > 250
Ketoacidosis
Metabolic acidosis
Type 1 diabetes
Polys: phagia, dispsia, uria
Kussmal breathing - deep and rapid
Bicarb <18 3%
acetone and keytones increase! once treated expect postassium to drop! have K+ ready
Endpoint of volume resolution
- answersOxygen consumption 250
Guillain-Barre syndrome
- answersmost important indicator - vital capacity
(like in MG)
measures how well respiratory muscles are working
autoimmune condition that causes acute inflammation of the peripheral nerves in which
myelin sheaths on the axons are destroyed, resulting in decreased nerve impulses, loss
of reflex response, and sudden muscle weakness
Heart failure most lethal arrythmia
- answersVTACH
