CRITICAL CARE HESI FINAL EXAM 2023 SOLVED QUESTIONS

Critical Care Hesi Final Real Exam 2023
Latest Update:Complete Document

what should be corrected before administration of vasoactive agents -correct answer- Hypovolemia
should be corrected before the administration of any vasoactive agents



vasopressors -correct answer- act to increase blood pressure



They mimic the effects of the sympathetic nervous system by stimulating alpha, beta, and other vascular
receptors



dopamine -correct answer- low dose: increase in renal blood flow and urine output



median dose: increase in HR, contractility, and CO



high dose: increase in vasoconstiction



ONLY GIVE THROUGH A CENTRAL LINE



side effects of dopamine -correct answer- tachycardia



chest pain



nausea

,vomiting



arrythmias



epinephrine -correct answer- low dose: increase in HR, contractility, bronchodilation



high dose: vasoconstrictor, decrease renal blood flow, decrease urine output, increase glucose

-second choice for septic shock



CENTRAL LINE ONLY



side effects of epinephrine -correct answer- increase in lactic acid, tremors, palpitations, arrhythmia,
hyperglycemia



norepinephrine -correct answer- POTENT vasoconstrictor that will also increase HR and stroke volume =
greater cardiac output.



CENTRAL LINE ONLY



drug of choice for septic shock



phenylephrine -correct answer- Extreme peripheral vasoconstriction



Monitor BP, EKG, renal function, and electrolytes



USED for patients with hypotension and profound tachycardia

, CENTRAL LINE ONLY



side effects of norepinephrine -correct answer- bradycardia, arrhythmia, digital ischemia



side effects of phenylephrine -correct answer- bradycardia, arrhythmia, increase urine output



vasopressin -correct answer- ALWAYS a second line agent



Constricts vascular smooth muscle



increases responsiveness of vasculature to the catecholamines



Replacing a deficiency--this is not a titratable "pressor"



drainage of chest tubes more than 200mL/hr or more usually means -correct answer- bleeding
complication



rise in water level in the chest tube means -correct answer- increased negative pressure which can cause
tissue or lung damage



bubbles in chest tubes -correct answer- Bubbles initially are okay, but if there are bubbles later their
may be a leak or the lung may be collapsed again.



tidaling in chest tubes -correct answer- the water should rise and fall with inhalation and exhalation.



main thing to monitor with chest tubes -correct answer- breath sounds