ATI Med-surg Study Guide Rated A+

ATI Med-surg Study Guide Rated A+ Chapter 2: Emergency Nursing Principles and Management Class 4: Black tag: Penetrating head wound Airway – head lift chin lift unless SCI Breathing Circulation Disability- LOC by Glasgow coma scale A&O Exposure- EX. Hypothermia increase temp of room, warm iv fluids, a warm blanket, heat lamps Poisoning 1. Activated charcoal 2. Gastric Lavage 3. Hold bowel irrigation Cardiac emergencies: Pulseless V-Tach & V-Fib  CPR, IV access, epinephrine Amiordiane, lidocaine, magnesium, vasopressor Alpha 1: Vasoconstriction  helps with congestion, bleeding, increases BP Beta 1: Stimulate the heart  increases HR, TREATS AV BLOCK AND CARDIAC ARREST Beta 2: Heart/lungs Bronchodilator  Asthma Dopamine  Renal blood vessels to dilate Epinephrine(INCREASES HR, INCREASES BP, BRONCHODILATION): Alpha 1, beta 1& 2 Alpha Vasoconstrictor increase BP Beta 1 Increase HR Beta 2 Bronchodilator SE: HYPERTENSION and lead to Dysrhythmias and angina Dopamine : USED FOR HF & SHOCK Beta 1: Increase HR high doses alpha and beta 1: increases HR and Increase BP SE: Dysrhythmias and angina 1 Dobutamine USED FOR HF Beta 1: increases HR Chapter 3: Neurologic Diagnostic Procedures Cerebral angiography: Visualizes brain vessels in the brain inserted through the neck/groin • Uses contrast dye check allergies(shellfish/iodine) • No pregnant (toxic) • Check renal functions (BUN(10-20), creatinine(0.6-1.2) check ability to excrete dye • ANTICOAGULANT RISK OF BLEEDING • Monitor for bleeding/distal pulses • 4-6 hr NPO before procedure CT SCAN: contrast dye EEG: used to detect seizures, sleep disorders, behavioral issues • wash hair • sleep deprived • expose the patient to bright lights and hyperventilate • 1 hr procedure • NO FASTING Glass cow coma scale: LOC