MDC4 Final Exam
Absence Seizures - ANS-- day dreaming
- LOC for a few seconds
- s/s = pick at clothes, lip smack, blank stare
According to triage, what patients would be seen firtst - ANS-highest acuity patients will receive
quickest intervention
(Most ill/severe will get seen first)
acronym for vent alarms - ANS-HOLD:
Hi pressure alarm= Obstruction
Low pressure alarm= Disconnection
Acute management of spinal cord injury - ANS-- airway and breathing
- immobilize head and neck (c-collar)
- determine LOC by using GCS
Additional Nursing care measures for ICP - ANS-- turn down the lights
- no TV or noise
- put sign on door telling visitors to see nurse first
Alzheimer's is the result of? - ANS-changes in personality, memory, and/or judgement
assessment findings for PE - ANS-- sudden dyspnea
- chest pain
- feeling of impending doom
- JVD
- tachy
- chest petechiae
- ECG changes
- abnormal heart sounds
assessment of patient on vent - ANS-- vitals
- O2 saturation
- auscultate breath sounds
- pain/anxiety
- tube placement
- vent settings
at what temperature does hypothermia occur? - ANS-less than 95F
Atonic Seizures - ANS-loss of muscle tone - fall
Broca's area - ANS-expressive aphasia: unable to communicate/express back in speech
can a person with flail chest recover - ANS-managable with vigilant respiratory care
causes of spinal cord injury - ANS-traumatic: falls, MVA, violence
Non-traumatic: tumors, RA
,Direct: fracture, hyperflexion (diving), hyperextension, penetration (GSW), axial load
Complications of ICP - ANS-hydrocephalus, infection, stroke, increased ICP
Complications of Spinal cord injury - ANS-- autonomic dysreflexia
- neurogenic shock (hypo, bready, edema, temp)
Diagnosis of meningitis - ANS-CSF analysis
diagnosis of MS - ANS-no 100% way
- MRI
- CSF analysis (increased WBC, proteins, IgG)
diagnosis of spinal cord injury - ANS-X-ray, CT scan, MRI
diagnosis of stroke - ANS-CT without contrast
DMAT - ANS-Disaster Medical Assistance Team
Early s/s of Alzheimer's Disease - ANS-- decreased short term memory
- decreased sense of smell
- misplaced items
Education for Seizures and Seizure treatment - ANS-- medication compliance (abrupt
withdrawal = rebound seizures)
- do not drive
- wear medical alert bracelet
Etiology of stroke - ANS-- nonmodifiable = age, sex, history
- modifiable = HTN, BC user, high cholesterol, smoker
examples of an internal disaster - ANS-- fire
- water pipe burst
- power outage
- shooting at Seattle Grace
examples of external disasters - ANS-- earthquake
- flood
- car pile up
- ferry boat crash
Eyes for Glasgow Coma Scale - ANS-ESPN
E - eyes open spontaneously (4)
S - sound (3)
P - pain (2)
N - not open (1)
General Left vs Right side stroke - ANS-Left = language
Right = impulse & judgement
how can a person be prepared for disasters - ANS-have a go bag with personal readiness
supplies
**should be enough for three days at least
How do you diagnose siezures - ANS-EEG (wash hair prior)
How does Parkinson's progress? - ANS-slowly, but will eventually lead to disability
how does TBI occur - ANS-falls, mva, gsw, sports
how does the patient usually present with flail chest - ANS-- anxious
, - short of breath
- in pain
how is a frostbit injury handled after rewarming has taken place? - ANS-injury should be
handled above heart level
how is a person warmed after frostbite? - ANS-rapid rewarming with a water bath that's
temperature is 104-108F
How is Alzheimer's diagnosed? - ANS-biopsy at autopsy is the only definitive way but dementia
can be ruled out with CT, labs, UA, and MRI
How is encephalitis diagnosed? - ANS-CSF analysis or EEG
how is flail chest usually stabilized - ANS-positive pressure ventilation
how is heat stroke defined? - ANS-body temperature greater than 104F
How is parkinson's diagnosed - ANS-history and s/s
how many degrees of frostbite are there? - ANS-4
how to calculate MAP - ANS-(SBP + 2DBP)/3
how to diagnose ARDS - ANS-- refractory hypoxia
- chest x ray shows glossy + white out (diffuse patchy infiltrates)
- normal wedge pressure
- pO2/FIO2 < 200
how to diagnose PE - ANS-- CT angiography
- CT with contrast
- VQ scan
- V = airflow in lungs
- Q = blood flow in lungs
- D-dimer can rule out PE but not diagnose
hypovolemic shock assessment findings - ANS-- weak, thready pulse
- tachy and hypo
- cold clammy skin
- decreased CO = decreased tissue perfusion
if heat exhaustion goes untreated, what can it cause? - ANS-heat stroke
if warranted during the secondary survey, what would a nurse likely do? - ANS-- insert NG tube
- insert catheter
- prep for diagnostics
in hypothermia, why should cardo issues be monitored? - ANS-dysrhythmias could result from
lactic acid build up
inhalation injury assessment - ANS-- face or neck burns
- singed nasal hairs
- soot in upper airway
- assess sputum
interventions for burns - ANS-- secure airway
- support circulation (fluid replacement)
- prevent infection
- maintain body temperature
- provide emotional support
Interventions for PE - ANS-- continuous pulse oximetry
Absence Seizures - ANS-- day dreaming
- LOC for a few seconds
- s/s = pick at clothes, lip smack, blank stare
According to triage, what patients would be seen firtst - ANS-highest acuity patients will receive
quickest intervention
(Most ill/severe will get seen first)
acronym for vent alarms - ANS-HOLD:
Hi pressure alarm= Obstruction
Low pressure alarm= Disconnection
Acute management of spinal cord injury - ANS-- airway and breathing
- immobilize head and neck (c-collar)
- determine LOC by using GCS
Additional Nursing care measures for ICP - ANS-- turn down the lights
- no TV or noise
- put sign on door telling visitors to see nurse first
Alzheimer's is the result of? - ANS-changes in personality, memory, and/or judgement
assessment findings for PE - ANS-- sudden dyspnea
- chest pain
- feeling of impending doom
- JVD
- tachy
- chest petechiae
- ECG changes
- abnormal heart sounds
assessment of patient on vent - ANS-- vitals
- O2 saturation
- auscultate breath sounds
- pain/anxiety
- tube placement
- vent settings
at what temperature does hypothermia occur? - ANS-less than 95F
Atonic Seizures - ANS-loss of muscle tone - fall
Broca's area - ANS-expressive aphasia: unable to communicate/express back in speech
can a person with flail chest recover - ANS-managable with vigilant respiratory care
causes of spinal cord injury - ANS-traumatic: falls, MVA, violence
Non-traumatic: tumors, RA
,Direct: fracture, hyperflexion (diving), hyperextension, penetration (GSW), axial load
Complications of ICP - ANS-hydrocephalus, infection, stroke, increased ICP
Complications of Spinal cord injury - ANS-- autonomic dysreflexia
- neurogenic shock (hypo, bready, edema, temp)
Diagnosis of meningitis - ANS-CSF analysis
diagnosis of MS - ANS-no 100% way
- MRI
- CSF analysis (increased WBC, proteins, IgG)
diagnosis of spinal cord injury - ANS-X-ray, CT scan, MRI
diagnosis of stroke - ANS-CT without contrast
DMAT - ANS-Disaster Medical Assistance Team
Early s/s of Alzheimer's Disease - ANS-- decreased short term memory
- decreased sense of smell
- misplaced items
Education for Seizures and Seizure treatment - ANS-- medication compliance (abrupt
withdrawal = rebound seizures)
- do not drive
- wear medical alert bracelet
Etiology of stroke - ANS-- nonmodifiable = age, sex, history
- modifiable = HTN, BC user, high cholesterol, smoker
examples of an internal disaster - ANS-- fire
- water pipe burst
- power outage
- shooting at Seattle Grace
examples of external disasters - ANS-- earthquake
- flood
- car pile up
- ferry boat crash
Eyes for Glasgow Coma Scale - ANS-ESPN
E - eyes open spontaneously (4)
S - sound (3)
P - pain (2)
N - not open (1)
General Left vs Right side stroke - ANS-Left = language
Right = impulse & judgement
how can a person be prepared for disasters - ANS-have a go bag with personal readiness
supplies
**should be enough for three days at least
How do you diagnose siezures - ANS-EEG (wash hair prior)
How does Parkinson's progress? - ANS-slowly, but will eventually lead to disability
how does TBI occur - ANS-falls, mva, gsw, sports
how does the patient usually present with flail chest - ANS-- anxious
, - short of breath
- in pain
how is a frostbit injury handled after rewarming has taken place? - ANS-injury should be
handled above heart level
how is a person warmed after frostbite? - ANS-rapid rewarming with a water bath that's
temperature is 104-108F
How is Alzheimer's diagnosed? - ANS-biopsy at autopsy is the only definitive way but dementia
can be ruled out with CT, labs, UA, and MRI
How is encephalitis diagnosed? - ANS-CSF analysis or EEG
how is flail chest usually stabilized - ANS-positive pressure ventilation
how is heat stroke defined? - ANS-body temperature greater than 104F
How is parkinson's diagnosed - ANS-history and s/s
how many degrees of frostbite are there? - ANS-4
how to calculate MAP - ANS-(SBP + 2DBP)/3
how to diagnose ARDS - ANS-- refractory hypoxia
- chest x ray shows glossy + white out (diffuse patchy infiltrates)
- normal wedge pressure
- pO2/FIO2 < 200
how to diagnose PE - ANS-- CT angiography
- CT with contrast
- VQ scan
- V = airflow in lungs
- Q = blood flow in lungs
- D-dimer can rule out PE but not diagnose
hypovolemic shock assessment findings - ANS-- weak, thready pulse
- tachy and hypo
- cold clammy skin
- decreased CO = decreased tissue perfusion
if heat exhaustion goes untreated, what can it cause? - ANS-heat stroke
if warranted during the secondary survey, what would a nurse likely do? - ANS-- insert NG tube
- insert catheter
- prep for diagnostics
in hypothermia, why should cardo issues be monitored? - ANS-dysrhythmias could result from
lactic acid build up
inhalation injury assessment - ANS-- face or neck burns
- singed nasal hairs
- soot in upper airway
- assess sputum
interventions for burns - ANS-- secure airway
- support circulation (fluid replacement)
- prevent infection
- maintain body temperature
- provide emotional support
Interventions for PE - ANS-- continuous pulse oximetry
