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NUR 222 UNIT 2 WITH COMPLETE QUESTIONS AND SOLUTIONS

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NUR 222 UNIT 2 WITH COMPLETE QUESTIONS AND SOLUTIONS

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Indications for assist-control (A-C)


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-the ventilator delivers a preset tidal volume at a preset rate of respirations
-every breath has the same tidal volume whether if the machine or the
patient initiates it




Identify the function of the following 3 components of blood and what may be
indicated by an abnormal number.
Erythrocytes (red blood cells)
Leukocytes (white blood cells)
Platelets (Thrombocytes)


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, -High RBCs: Dehydration. Heart disease. Polycythemia vera, a bone marrow
disease
-Low RBCs: Anemia. Leukemia, Malnutrition, blood loss
-High WBCs: infection, inflammation, injury and immune system disorders
-Low WBCs: lupus, rheumatoid arthritis, vitamin deficiencies, or a side effect
of cancer treatment
-High Platelets: internal bleeding, infection
-Low Platelets: immune disorder, cancer treatment, medications




- transtracheal


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-Nursing considerations: long term method of receiving O2
-How to measure effectiveness: measure O2 sat
-Percentage: less than 6L/minute




13). IV gamma-globulin


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-Compositions: immunoglobulin G antibodies
-Indications/ Considerations: Hypogammaglobulinemia (In CLL, recurrent
infections); ITP; primary immunodeficiency states




12). Albumin


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, -Compositions: albumin 5%, 25%
-Indications/ Considerations: Hypoproteinemia; burns; volume expansion
by 5% to increase blood volume;25% leads to decreased hematocrit




Warfarin (Coumadin)


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-Therapeutic effect: anticoagulant, to prevent and treat thromboembolism,
pulmonary embolism and embolism related to atrial fibrillation, also used
adjunct in the treatment of coronary occlusion, Cerbral transient ischemia
(TIA), and as a prophylactic in patients with artificial cardiac valves
-Side effects: bleeding
-Nursing considerations: To insure the correct dose, check lab values: PT
and INR. PT (prothrombin time) should be 1-1.5 x control. INR should be 2.0-
3.0




Indications for SIMV


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-Decreases Airway Pressures
-can provide full or partial respiratory support
-when the machine senses that the patient will breathe on their own, it
won't give them assistance




3). administration technique


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