BKAT Questions & Answers 100%
Verified!!
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!
, Answermed combo crystallizes: (DO NOT GIVE) - Dilantin and D5
Answerstopping a hi dose prednisone/cortisone - titrate off
Answerdig toxicity s/s: - confusion, irregular pulse, n/v, vision changes, tachycardia
AnswerST depression - inverted T waves; lead 2; must have >1mm BELOW J point and
in 2 contiguous leads
AnswerT wave inversion is - potentially reversible
Answerleads 5 and 6 are - lateral
Answertreatment for RV infarct - FLUIDS
Answertreatment for MI, DO NOT GIVE - beta blockers; metoprolol
Answerfibrinolytic therapy, PTA/RPA/TNK/streptokinase do NOT - poke for 24 hours
Answers/s of cardiac tamponade - low BP, distended neck veins, muffled/distant heart
sounds
Answerstroke volume determined by - peripheral vascular resistance; afterload
Answerphlebostatic axis - 4th ICS
Answerright atrial/cvp waveform: tricuspid - "c" - closure of tricuspid valve, right after
QRS (c wave = dicrotic notch)
Answeron wedge, the end expiratory - is for vented pts
Answercatheter whip - if cath hits ventricle; watch for arryhtmias
Answerdopamine - used for bradycardia with hypotension, shock, and inferior MI
Answervasopressin - ADH
holding onto fluid = increased BP
Answernorm ICP - <15
Answeramylase - rises within 6-12 hours of onset
Answerlipase - rises within 8 hrs of onset
Answerliver converts - ammonia to urea for excretion; ammonia buildup =
encephalopathy
Verified!!
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!
, Answermed combo crystallizes: (DO NOT GIVE) - Dilantin and D5
Answerstopping a hi dose prednisone/cortisone - titrate off
Answerdig toxicity s/s: - confusion, irregular pulse, n/v, vision changes, tachycardia
AnswerST depression - inverted T waves; lead 2; must have >1mm BELOW J point and
in 2 contiguous leads
AnswerT wave inversion is - potentially reversible
Answerleads 5 and 6 are - lateral
Answertreatment for RV infarct - FLUIDS
Answertreatment for MI, DO NOT GIVE - beta blockers; metoprolol
Answerfibrinolytic therapy, PTA/RPA/TNK/streptokinase do NOT - poke for 24 hours
Answers/s of cardiac tamponade - low BP, distended neck veins, muffled/distant heart
sounds
Answerstroke volume determined by - peripheral vascular resistance; afterload
Answerphlebostatic axis - 4th ICS
Answerright atrial/cvp waveform: tricuspid - "c" - closure of tricuspid valve, right after
QRS (c wave = dicrotic notch)
Answeron wedge, the end expiratory - is for vented pts
Answercatheter whip - if cath hits ventricle; watch for arryhtmias
Answerdopamine - used for bradycardia with hypotension, shock, and inferior MI
Answervasopressin - ADH
holding onto fluid = increased BP
Answernorm ICP - <15
Answeramylase - rises within 6-12 hours of onset
Answerlipase - rises within 8 hrs of onset
Answerliver converts - ammonia to urea for excretion; ammonia buildup =
encephalopathy
