List 2 standard treatments for high serum ammonia levels.
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Lactulose, Rifaximin (antibiotic)
List 2 interventions for cardiogenic shock
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, Limit myocardial damage: reperfusion therapy for MI, correct dysrhythmias
NO FLUIDS
Reverse hypoxemia and acidosis: oxygen, coronary vasodilators, decrease
myocardial workload
ventricular tachycardia
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wide, jagged, saw tooth, rate > 200, slightly irregular, may
have p waves
Rifaximin (antibiotic)
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Removes/decreases production of nitrogenous waste in large intestine
What happens during the primary trauma assessment?
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, Initial assessment to ID and treat any life-threatening injuries
Airway maintenance with cervical spine protection
Breathing and ventilation
Circulation with hemorrhage control
Disability (neuro eval) = alert, verbal, painful, unresponsive-- Glasgow
Come Scale (sternal rub, eye-opening, verbal response, PERRLA, motor
movement)
Exposure: full body survey-- cut clothes off; check back (make sure neck is
stable)
Anabolic Stage post trauma (second)
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Decreased catecholamines
Normalized vital signs
Increased urine output
Decreased metabolic demands
Organ recovery occurs slowly
- takes longer than catabolism
- Physical and psychological support are needed
Acetylcysteine (Mucomyst)
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, Help scavenge free radicals that may be in blood stream
Antioxidant that prevents tubular necrosis
Given to prevent contrast dye induced injury
Neurogenic Shock
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Cervical and upper thoracic injuries
Loss of Brainstem and SNS control below level of injury --> vasodilation
(loss of control of blood vessels leads to poor perfusion)
Hypotension, bradycardia, hypothermia
How does the nurse check for proper ET tube placement?
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CXR is gold standard
Auscultation
Aspirate tube
Chest movement
CO2 detector on tube: if it changes color to yellow, placement is correct
Condensation
List 4 evidence-based interventions which prevent ventilator-associated pneumonia.
Give this one a try later!
Give this one a try later!
Lactulose, Rifaximin (antibiotic)
List 2 interventions for cardiogenic shock
Give this one a try later!
, Limit myocardial damage: reperfusion therapy for MI, correct dysrhythmias
NO FLUIDS
Reverse hypoxemia and acidosis: oxygen, coronary vasodilators, decrease
myocardial workload
ventricular tachycardia
Give this one a try later!
wide, jagged, saw tooth, rate > 200, slightly irregular, may
have p waves
Rifaximin (antibiotic)
Give this one a try later!
Removes/decreases production of nitrogenous waste in large intestine
What happens during the primary trauma assessment?
Give this one a try later!
, Initial assessment to ID and treat any life-threatening injuries
Airway maintenance with cervical spine protection
Breathing and ventilation
Circulation with hemorrhage control
Disability (neuro eval) = alert, verbal, painful, unresponsive-- Glasgow
Come Scale (sternal rub, eye-opening, verbal response, PERRLA, motor
movement)
Exposure: full body survey-- cut clothes off; check back (make sure neck is
stable)
Anabolic Stage post trauma (second)
Give this one a try later!
Decreased catecholamines
Normalized vital signs
Increased urine output
Decreased metabolic demands
Organ recovery occurs slowly
- takes longer than catabolism
- Physical and psychological support are needed
Acetylcysteine (Mucomyst)
Give this one a try later!
, Help scavenge free radicals that may be in blood stream
Antioxidant that prevents tubular necrosis
Given to prevent contrast dye induced injury
Neurogenic Shock
Give this one a try later!
Cervical and upper thoracic injuries
Loss of Brainstem and SNS control below level of injury --> vasodilation
(loss of control of blood vessels leads to poor perfusion)
Hypotension, bradycardia, hypothermia
How does the nurse check for proper ET tube placement?
Give this one a try later!
CXR is gold standard
Auscultation
Aspirate tube
Chest movement
CO2 detector on tube: if it changes color to yellow, placement is correct
Condensation
List 4 evidence-based interventions which prevent ventilator-associated pneumonia.
Give this one a try later!
