BKAT Questions & Answers
high amount of UO (100/hr-ish) and not just in neuro patients - diabetes insipidus
Answerchest pain and possible MI - look for ST elevation
Answerblunt injury on chest from MVA or pericarditis or CV surgery - elevated trops /
cardiac enzymes
Answerelevated trops / cardiac enzymes not seen in - CHF
Answercardiogenic shock goal - increased CO
Answernipride and dobutamine = - decreased preload, decreased afterload, and
increased contractility
AnswerSTOP tpa if you see a - change in LOC
Answernormal CVP - 2-6
Answernormal wedge pressure - 6-12
AnswerCVP and wedge waveforms - look alike, but need to look at the number it
correlates with
Answerpulmonary artery pressure norm - 25s/10s (quarters over dimes)
Answerhow to know an art waveform - dicrotic notch
Answerapply pressure for _______ min after artery catheter removal - 8-10 min
Answerhigh cvp = - R sided HF
Answerwedge represents (aka increase in paop=) - L ventricle = L V failure
Answerafib med - dilt/cardizem
Answerblock: - symptomatic complete heart block
Answerdrug that can be very necrotizing to tissue - dopamine; WANT central line!
AnswerR on T phenomenon ( aka don't want strong ventricular waveform on a t wavE)
- can put a person into vtach/vfib
, Answerfailure to capture * - spike but no QRS
Answerfailure to sense - spike after QRS
Answermed for sustained vtach with a pulse - amiodarone
Answervtach looks like -
Answercomplete heart block - 3rd degree; p's do not associate with QRS
Answercomplete heart block and HoTN - transcutaneous pacer
Answersymptomatic sustained Aflutter - cardioversion
Answer1st shock = - 150 joules
Answerasystole med - epinephrine
Answerantedote for heparin - protamine sulfate
Answerdeepening ICP characterized by - wide pulse pressure
Answerpositive babinski - abnormal
AnswerDKA - deep, rapid breats and fruity odor
Answerstress increases - insulin demand; therefore, increases blood sugar
Answerphysiological stress response in ICU - decrease UO
Answerregular insulin peak - 2-4 hours
AnswerNPH insulin peak - 4-8 hours
Answeradverse effect of rewarming - vasodilation aka HoTN
AnswerUO = - 30 ml/hr
Answerrenal diet - low potassium, low sodium, low protein
Answerrenal pt with a K of 7.0 - peaked T wave
Answerbest way to verify NG placement - XR
Answermed combo crystallizes: (DO NOT GIVE) - Dilantin and D5
high amount of UO (100/hr-ish) and not just in neuro patients - diabetes insipidus
Answerchest pain and possible MI - look for ST elevation
Answerblunt injury on chest from MVA or pericarditis or CV surgery - elevated trops /
cardiac enzymes
Answerelevated trops / cardiac enzymes not seen in - CHF
Answercardiogenic shock goal - increased CO
Answernipride and dobutamine = - decreased preload, decreased afterload, and
increased contractility
AnswerSTOP tpa if you see a - change in LOC
Answernormal CVP - 2-6
Answernormal wedge pressure - 6-12
AnswerCVP and wedge waveforms - look alike, but need to look at the number it
correlates with
Answerpulmonary artery pressure norm - 25s/10s (quarters over dimes)
Answerhow to know an art waveform - dicrotic notch
Answerapply pressure for _______ min after artery catheter removal - 8-10 min
Answerhigh cvp = - R sided HF
Answerwedge represents (aka increase in paop=) - L ventricle = L V failure
Answerafib med - dilt/cardizem
Answerblock: - symptomatic complete heart block
Answerdrug that can be very necrotizing to tissue - dopamine; WANT central line!
AnswerR on T phenomenon ( aka don't want strong ventricular waveform on a t wavE)
- can put a person into vtach/vfib
, Answerfailure to capture * - spike but no QRS
Answerfailure to sense - spike after QRS
Answermed for sustained vtach with a pulse - amiodarone
Answervtach looks like -
Answercomplete heart block - 3rd degree; p's do not associate with QRS
Answercomplete heart block and HoTN - transcutaneous pacer
Answersymptomatic sustained Aflutter - cardioversion
Answer1st shock = - 150 joules
Answerasystole med - epinephrine
Answerantedote for heparin - protamine sulfate
Answerdeepening ICP characterized by - wide pulse pressure
Answerpositive babinski - abnormal
AnswerDKA - deep, rapid breats and fruity odor
Answerstress increases - insulin demand; therefore, increases blood sugar
Answerphysiological stress response in ICU - decrease UO
Answerregular insulin peak - 2-4 hours
AnswerNPH insulin peak - 4-8 hours
Answeradverse effect of rewarming - vasodilation aka HoTN
AnswerUO = - 30 ml/hr
Answerrenal diet - low potassium, low sodium, low protein
Answerrenal pt with a K of 7.0 - peaked T wave
Answerbest way to verify NG placement - XR
Answermed combo crystallizes: (DO NOT GIVE) - Dilantin and D5
