- ANS-
Acute mgmt measures for ischemic stroke sufferers? - ANS-1. Aspirin within 24 hours
2. NS (Avoid hypotonic IV answers)
three. Blood glucose keep much less than or identical to 150 mg/dL
4. Surgical seek advice from
five. No indication for steroids or anticonvulsants
6. Rehab (PT/OT/SLP consults)
Aspiration precautions for gI affected person - ANS--raise hob 30-forty five degrees
-recall put up-pyloric placement of feeding tube if residuals stay above 500 mL
-Consider prokinetics to promote gastric emptying (such as erythromycin, metoclopramide, or
naloxone) after 3 consecutive residuals > 500 mL
Assessing for GI bleed - ANS-coffee ground drainage in suction container
Cardiac enzymes are accelerated wherein situations? In assessment, not expanded in what
situations? - ANS-MI
pericarditis
myocarditis
now not a lot accelerated in congestive coronary heart failure
CAUTI prevention measures - ANS--frequently determine want for catheter
-prevent structured loops
-constantly assure that bag is much less than half of full
-carry out peri care each shift
-preserve tubing freed from kinks
-if breaks in machine are noted, replace catheter and collecting machine
Describe technique for disposing of an artwork line - ANS-1. MD order
2. Widespread precautions
three. Do away with dressing and suture
4. Check and palpate pulse
5. Slowly pull line
6. Permit 1-2 pusations
7. Observe consistent strain for five-10 min
eight. Strain dressing
9. Take a look at website and pulses
, diet regulations in acute renal failure (What would a tube feed consist of)? - ANS-low potassium
low sodium
low phos
low protein
Do now not growth Na greater than ___ mEq/L in 24 hours duration d/t threat for significant
pontine myelinolysis - ANS-10
Do not begin an insulin infusion for treatment of DKA until it's far confirmed that the L level is
extra than ____ - ANS-three.Three mEq/L
Doses of dopamine - ANS-Low: 0.Five-2 mcg/kg/min (dopaminergic)
Intermediate: 2-10 mcg/kg/min (beta receptors, increases CO)
High: over 10 mcg/kg/min (alpha receptors, vasoconstrict)
drugs given for increased ICP? - ANS-three%
mannitol
23%
Drugs that DECREASE afterload? - ANS-dilators
-nitroprusside
-nitroglycerin
-amrinone
-alpha and calcium channel blockers
tablets that lower contractility? - ANS-beta-blockers
calcium channel blockers
Drugs that DECREASE preload? - ANS-•Dilators:
• Nitroglycerin
• Nitroprusside
• Amrinone
• Alpha and Calcium Channel blockers
tablets that boom afterload? - ANS-vasopressors!
-epinephrine
-norepinephrine
-dopamine
-neosynephrine
Drugs that boom contractility? - ANS-INOTROPES
-dobutamine
-dopamine