Correct Answers.
2 nursing care priorities in ARDS patients - Answer Optimizing oxygenation (supplemental
oxygen) and ventilation (invasive vs non-invasive) : By repositioning and promoting airway
clearance
3 initial interventions for flail chest - Answer 1. Adequate ventilation (oxygen)
2. Administrations of Fluids (crystalloid IC)
3. Pain management
3 preventions of PE - Answer - Early ambulation
- Compressive devices to mimic valvular compression
- prophylactic anticoagulants
4 purposes of the URT? - Answer 1. The nose warms,cleans and humidifies air before it enters
the lungs
2. Vibrational sounds originate in the larynx which is how we vocalize
3. Provides protection to lower airways: nasal passages and epiglottis
4.Has olfactory receptors
4 S&S of left sided heart failure? - Answer - Pulmonary edema
- Crackles
- Increased HR
- Orthopnea
4 things to ask for in a respiratory assessment? - Answer 1. past health history 2. medications
(what worked and didn't work for them?) 3. recent surgery or other treatments 4. current
history
5 S&S of Right sided heart failure? - Answer - Peripheral edema
- Weight pain
, A BNP of <100pg/ml....? - Answer HF is unlikely
A BNP of >400pg/ml means...? - Answer There is a heart failure is likely
A BNP of 100-500pg/ml...? - Answer HF is possible but other diagnoses needs to be
considered
Anticoagulation therapy: 1 direct thrombin inhibitors and its antidote - Answer Dabigatran
(paradax)
antidote: Praxbind
Anticoagulation therapy: 1 vitamin K antagonist and its antidote - Answer Warfarin
Antidote: Vitamin K
Anticoagulation therapy: 2 direct Xa inhibitor and their antidote - Answer Apixaban- Eliquis
Rivaroxaban - Xarelto
Antidote: PCC (prothrombin complex concentrate)
Anticoagulation therapy: 3 indirect thrombin inhibitors and their antidote - Answer 1.
unfractionated heparin
2. LMWH
3. Enoxaprin
Antidote: Protamine sulpahate (RISK OF ANAPHYLAXIS)
Clinical manifestation of tension pneumothorax - Answer - Respiratory distress, tachypnea
- Anxious
- Pale
- Diaphoresis
- Weak and thready pulse, high pulse