NUR 425 Critical Care Exam 1 UPDATED ACTUAL
Questions and CORRECT Answers
_ __ first then treat assess
what is he gold standard verbal
for pain assessment
what does inadequate delirium or reduced healing
pain control increase the
risk of?
critical care pain tool --> scale of 0 - 8
(greater than 3 indicates pain)
1. Facial: Grimacing-2
CPOT 2. Body movements: restelessness/ agitation-2
3a. Ventilator compliance (intubated):fighting vent-2
3b. Vocalization (extubated):cyring out/sobbing-2
4. Muscle tension:very tense/ rigid-2
when assessing CPOT after assessing other components of the tool
when should you assess
passive movements?
Useful with intubated, critically ill patients;
Behavioral Pain Scale measurement of bodily indicators of pain; and
tolerance of intubation.
total score obtained from estimate what score would have been if they could
pain assessment tools is speak
not intended to what?
, always treat ___ before pain
sedation
suggested RASS score -1 to +1
ways to promote sleep cluster care, decrease stimuli, control noise/light
when in the ICU
tolerance, withdrawal, reduced REM sleep,
problems that come with
immunosuppression, hyper coagulability, SNS
sedation
response
midazolam (versed), propofol (diprivan),
types of sedation meds
dexmedetomidine (precedex)
which sedation drug has a dexmedetomidine
rapid onset and offset
delirium is not dementia or psychosis
approximately ___ IU 50%
patients will develop
delirium
what can delirium look like delusions, restlessness, lethargy
how do you assess CAM-ICU
delirium
Confusion Assessment Method for ICU
CAM-ICU
- Assess delirium
ABCDEF bundle awakening + breathing coordination,
Nursing Care for Delirium delirium prevention + management, early physical
mobility, family involvement
GABA B agonist - used for muscle spasms - acts
Baclofen MOA
centrally
drowsiness/sedation due to CNS depression,
Baclofen side effects dizziness, weakness, fatigue, nausea, constipation,
urinary retention, hypotension
Questions and CORRECT Answers
_ __ first then treat assess
what is he gold standard verbal
for pain assessment
what does inadequate delirium or reduced healing
pain control increase the
risk of?
critical care pain tool --> scale of 0 - 8
(greater than 3 indicates pain)
1. Facial: Grimacing-2
CPOT 2. Body movements: restelessness/ agitation-2
3a. Ventilator compliance (intubated):fighting vent-2
3b. Vocalization (extubated):cyring out/sobbing-2
4. Muscle tension:very tense/ rigid-2
when assessing CPOT after assessing other components of the tool
when should you assess
passive movements?
Useful with intubated, critically ill patients;
Behavioral Pain Scale measurement of bodily indicators of pain; and
tolerance of intubation.
total score obtained from estimate what score would have been if they could
pain assessment tools is speak
not intended to what?
, always treat ___ before pain
sedation
suggested RASS score -1 to +1
ways to promote sleep cluster care, decrease stimuli, control noise/light
when in the ICU
tolerance, withdrawal, reduced REM sleep,
problems that come with
immunosuppression, hyper coagulability, SNS
sedation
response
midazolam (versed), propofol (diprivan),
types of sedation meds
dexmedetomidine (precedex)
which sedation drug has a dexmedetomidine
rapid onset and offset
delirium is not dementia or psychosis
approximately ___ IU 50%
patients will develop
delirium
what can delirium look like delusions, restlessness, lethargy
how do you assess CAM-ICU
delirium
Confusion Assessment Method for ICU
CAM-ICU
- Assess delirium
ABCDEF bundle awakening + breathing coordination,
Nursing Care for Delirium delirium prevention + management, early physical
mobility, family involvement
GABA B agonist - used for muscle spasms - acts
Baclofen MOA
centrally
drowsiness/sedation due to CNS depression,
Baclofen side effects dizziness, weakness, fatigue, nausea, constipation,
urinary retention, hypotension
