Summary Adult complex care 2025 (Chamberlain University) Med Surg book

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Adult complex care 2025
(Chamberlain University)


(Use Med Surg book and can use Critical Care book by Sole)
• Cardiac Exam 1: 70 questions o How to study

 Go to cardiac workshop
 Read textbook- according to calender
 Test questions are not on test bank: read textbook and
use YT video + powerpoints o Know what is number
one to do as a nurse for each dysrhythmia
 Be able to see the strip, read the scenario (BP down,
HR, down, etc) and know that that’s that dysrhythmia
and answer choices will have the intervention - so you
can’t answer the intervention if you don’t know the
condition
o INR warfarin - give vit K o Digoxin adverse

effects - yellow vision o Nitroglycerin, patient
has headache - normal adverse effect o
Troponin I - main indicator for damage to
heart (should be <0.1) o Femoral cath, notice
hematoma - apply pressure (20 min)
o Artifact, patient has fever and EKG shows -

shivering (picture) [look at yt video] o One
med calc - know mcg to mg conversion o Left
antecubital cath - check left radial pulse o
Hypokalemia - causes what changes in the
EKG segments ?
o Hospital has team set in place for

complications - rapid response team o Sinus



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bradycardia - give atropine o Asystole and
you did CPR, give epinephrine o KNOW order
(helps with answering many questions)
 Unresponsive: asses circulation,

airway, breathing (CAB)
 Responsive: monitor airway,

breathing, circulation (ABC) o Do you
check vitals first, do EKG, labs? (know
priority of what to do when) o STEMI - ST
elevation
o VT: what to assess first? Neuro

check - LOC o While doing CPR
and before defib, check carotid
pulse o What meds to give for
SVT o What rhythms are related
to potassium o When to give
atropine, amiodarone
o Defibrillate and cardiovert with

what conditions
 Know when to
do it o Treatment for
each dysrhythmia
O What to do when patient
is unresponsive o Lab values
 PT, PTT, Hct, Hgb,
platelet, K o How CABG works
and treatment o Check for
hypokalemia when giving
furosemide o What test for MI
damage - troponin
o Prolonged QT wave showed what




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o Patient has cardiac cath done -
rest for at least 6 hours o
Nitroglycerin tablet
 Take 1, call 911 if not relieved, then take 2
more till ambulance comes o A lot about
myocardial infarction o Code management
powerpoint is very helpful!!! (and YT video for it) o
Know what causes changes in the segments of the
PQRST complexes o Cause of QRS being wide
• Exam 2 (Exam 1 in Canvas): 70 questions o
https://quizlet.com/208774311/cas-review-exam-1-nr-341-flash-
cards/ o Most of it is shock and ventilation
o 1 med calc - lb to kg conversion (easy ) o 2 ABG Qs

 Metabolic acidosis with partial compensation o
Know values for CVP, PAP, PAWP, etc
 Be able to see values + HR and BP up and down,
know what shock it is and determine what to do 
CVP: 2-6 mmhg  PAP:
 PAWP:
 PEEP:
 EF:
 MAP: 65-70 mmhg
o Nursing priority for each shock  Cardiogenic:

 Oxygen
 High Fowler’s
 Diuretics
 Monitor for hypokalemia, increase dig toxicity 
Hypovolemic:
 Identify and treat underlying cause
 Restore circulating volume  Obstructive:




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