CCRN AACN Multisystem Questions with
Correct Answers
APAP OD Tx
gastric lavage, NAC, charcoal
ETOH S/S
resp depression, seizures, liver failure
ETOH Tx
airway, gastric lavage, IV fluids, seizure precautions, treat electrolytes
Carbon Monoxide s/s
aLOC, headache, seizures, flu-like complaints,
Carbon Monoxide Tx
100% O2 until carboxyhemoglobin <15%, Hyperbaric chamber within 30 minutes
Cocaine OD
like epinephrine, sympathetic mimicking, hypoxic, stroke, MI, high temp
Cocaine Tx
sedation, vasodilation, cool, seizure treatment
Cyclic antidepressant OD
ECG changes- QT prolong- heart block-pacer, hypotension, aloc, halflife- long, not removed
by HD
Cyclic Antidepressant OD Tx
, bicarb- r/t acidosis, lavage, charcoal
Opiates
decrease everything, HR, BP, RR
Opiate reversal
Naloxone
ASA OD
hyperventilation, resp alkalosis, metabolic acidosis, mixed bg? hyperpyrexia
ASA Tx
ABG, coag, charcoal, lavage, IV fluids, cool, treat seizures, can hemodialyze, watch platelets
Rhabdomyolysis Causes
muscle ischemia, extreme temperatures, endocrine disorders, toxins, exercise, burns/lightning
Rhabdo s/s
myoglobinuric renal failure, metabolic acidosis, coagulopathies, electrolyte disturbance,
check serum CK, myoglobinuria, bun:creatinine
Rhabdo Tx
support renal clearance, flush- uo>150ml/hr, loop diuretics-lasix, alkalinization of urine,
mannitol
Sleep apnea can lead to
delirium, pain, stimulation of immune and stress responses, acute and chronic psych and
physiological complications
Correct Answers
APAP OD Tx
gastric lavage, NAC, charcoal
ETOH S/S
resp depression, seizures, liver failure
ETOH Tx
airway, gastric lavage, IV fluids, seizure precautions, treat electrolytes
Carbon Monoxide s/s
aLOC, headache, seizures, flu-like complaints,
Carbon Monoxide Tx
100% O2 until carboxyhemoglobin <15%, Hyperbaric chamber within 30 minutes
Cocaine OD
like epinephrine, sympathetic mimicking, hypoxic, stroke, MI, high temp
Cocaine Tx
sedation, vasodilation, cool, seizure treatment
Cyclic antidepressant OD
ECG changes- QT prolong- heart block-pacer, hypotension, aloc, halflife- long, not removed
by HD
Cyclic Antidepressant OD Tx
, bicarb- r/t acidosis, lavage, charcoal
Opiates
decrease everything, HR, BP, RR
Opiate reversal
Naloxone
ASA OD
hyperventilation, resp alkalosis, metabolic acidosis, mixed bg? hyperpyrexia
ASA Tx
ABG, coag, charcoal, lavage, IV fluids, cool, treat seizures, can hemodialyze, watch platelets
Rhabdomyolysis Causes
muscle ischemia, extreme temperatures, endocrine disorders, toxins, exercise, burns/lightning
Rhabdo s/s
myoglobinuric renal failure, metabolic acidosis, coagulopathies, electrolyte disturbance,
check serum CK, myoglobinuria, bun:creatinine
Rhabdo Tx
support renal clearance, flush- uo>150ml/hr, loop diuretics-lasix, alkalinization of urine,
mannitol
Sleep apnea can lead to
delirium, pain, stimulation of immune and stress responses, acute and chronic psych and
physiological complications
