PCU Exam
Three elements of a chest tube - ANS-1. Drainage chamber - degree fluid accumulation
2. Water seal chamber - one manner valve for fluid to get away; effervescent suggests leak
or air get away
three. Suction manipulate chamber - regulates negative strain
4 varieties of PCIs - ANS-1. Balloon angioplasty - balloon throughout lesion
2. Stent placement - mesh over steonic vicinity
3. Atherectomy - gets rid of plaque
four. Laser angioplasty - lasers lesion
a lateral wall MI entails which vessel? - ANS-left circumflex
a posterior wall MI includes which vessel? - ANS-posterior descending department
a septal wall MI impacts which leads and includes which vessel is worried? - ANS-V1 & V2;
septal department of LAD
an anterior wall MI affects which leads and involves which vessel is worried? - ANS-V3 & V4;
LAD + diagonal LAD department
an inferior wall MI includes which vessel? - ANS-RCA
anion hole and pH in DKA - ANS-> 10; pH < 3.5
antihypertensive of preference for CVA - ANS-labetalol
headaches of MI - ANS-pulmonary edema, RVMI, cardiogenic shock, reinfarction,
dysrhythmias
contraindications for NIPPV - ANS-apnea, hemodynamically volatile, somnolence,
aspiration/secretions, not able to guard airway, claustrophobia
CPAP vs BiPAP - ANS-CPAP:
-blows regular strain at the same time as you breathe in
-blows the identical pressure when you exhale
BiPAP:
-blows set pressure at the same time as you breathe in
-blows lower strain at the same time as you breathe in so it's easier to exhale
diagnostic tests for coronary heart failure - ANS--ECG
-xray
-ECHO
-BNP (ordinary < 100 seventy five & underneath, < 450 75+)
-cardiac biomarkers
ECG modifications in hyperkalemia - ANS-peaked T wave
extensive QRS
extended PR c programming language
AV blocks, bradycardia, asystole
How do the kidneys help maintain acid-base balance? - ANS-retain/excrete fundamental
HCO3 and retain/excrete acidic H+
how do you understand the chest tube is working effectively? - ANS-appropriate drainage,
no leaks or kinks, return of breath sounds and lung growth
, hyperkalemia is described as what? Reasons? Effects? - ANS-5.Five+, renal disorder,
potassium sparing diuretics, rhabdomyolysis, RBC transfusion
muscle weak point, hypoactive reflexes, numbness, n/v, peaked T waves, extended PR c
language
hypokalemia reasons? Outcomes? Treatments? - ANS-insulin, albuterol, NaHCO3-, fluid
loss, malnutrition, alcoholism, loop diuretics
muscle weak spot, n/v, flat/inverted T wave, extended QT, U waves
IV or oral potassium
is bicarb used to deal with DKA? - ANS-no, except pH < 6.9
non-surgical treatment for STEMI & NSTEMI; surgical remedy for STEMI - ANS--aspirin
-nitroglycerin, morphine
-O2
-anticoagulation/heparin
-P2Y12 inhibitor (plavix, brilinta)
-angiomax (thrombin inhibitor)
-glycoprotein receptor agonist
-beta blocker, ACEI or ARB
-fibrinolytic dealers (STEMI ONLY)
-emergent PCI (STEMI), optional PCI (UA/NSTEMI)
-CABG
regular paO2 - ANS-eighty-one hundred mmHg
occlusion of the left important coronary artery (LMCA) consequences in what varieties of MI?
- ANS-anterior, septal, and lateral
occlusion of the posterior descending artery effects in what kind of STEMI? - ANS-posterior
STEMI
R vs L sided stroke - ANS-R - impulsive, left weak point/sensory loss, proper gaze choice
L - aphasia, proper weakness/sensory loss, left gaze desire
should insulin be d/c'd if hypoglycemia occurs in DKA? - ANS-no, anion gap should be
closed. Upload dextrose
symptoms/sx of alcohol withdrawal - ANS-agitation, anxiety, delirium, elevated HR & BP,
sweating, n/v, trauma, sweating, tremors, hallucinations, seizures
symptoms/signs and symptoms of stroke - ANS--intense headache
-sudden weak spot or numbness, esp unilateral
-loss of imaginative and prescient
-lack of speech or trouble know-how
-problem strolling, lack of stability or coordination
stages of kidney failure - ANS-1. Creatinine 1.Five-1.Nine, UO < zero.5ml/kg/hr or 6-12 hrs
2. Creatinine 2.Zero-2.Nine, UO < 0.5ml/kg/hr for 12+ hrs
three. Creatinine 4.0 OR 3x baseline, UO < 0.3ml/kg/hr 24+ hours
STEMI vs NSTEMI vs UA - ANS-STEMI - ST elevation, positive biomarkers, full occlusion
NSTEMI - ST depression, partial occlusion, positive biomarkers
UA - ST depression, normal biomarkers
Three elements of a chest tube - ANS-1. Drainage chamber - degree fluid accumulation
2. Water seal chamber - one manner valve for fluid to get away; effervescent suggests leak
or air get away
three. Suction manipulate chamber - regulates negative strain
4 varieties of PCIs - ANS-1. Balloon angioplasty - balloon throughout lesion
2. Stent placement - mesh over steonic vicinity
3. Atherectomy - gets rid of plaque
four. Laser angioplasty - lasers lesion
a lateral wall MI entails which vessel? - ANS-left circumflex
a posterior wall MI includes which vessel? - ANS-posterior descending department
a septal wall MI impacts which leads and includes which vessel is worried? - ANS-V1 & V2;
septal department of LAD
an anterior wall MI affects which leads and involves which vessel is worried? - ANS-V3 & V4;
LAD + diagonal LAD department
an inferior wall MI includes which vessel? - ANS-RCA
anion hole and pH in DKA - ANS-> 10; pH < 3.5
antihypertensive of preference for CVA - ANS-labetalol
headaches of MI - ANS-pulmonary edema, RVMI, cardiogenic shock, reinfarction,
dysrhythmias
contraindications for NIPPV - ANS-apnea, hemodynamically volatile, somnolence,
aspiration/secretions, not able to guard airway, claustrophobia
CPAP vs BiPAP - ANS-CPAP:
-blows regular strain at the same time as you breathe in
-blows the identical pressure when you exhale
BiPAP:
-blows set pressure at the same time as you breathe in
-blows lower strain at the same time as you breathe in so it's easier to exhale
diagnostic tests for coronary heart failure - ANS--ECG
-xray
-ECHO
-BNP (ordinary < 100 seventy five & underneath, < 450 75+)
-cardiac biomarkers
ECG modifications in hyperkalemia - ANS-peaked T wave
extensive QRS
extended PR c programming language
AV blocks, bradycardia, asystole
How do the kidneys help maintain acid-base balance? - ANS-retain/excrete fundamental
HCO3 and retain/excrete acidic H+
how do you understand the chest tube is working effectively? - ANS-appropriate drainage,
no leaks or kinks, return of breath sounds and lung growth
, hyperkalemia is described as what? Reasons? Effects? - ANS-5.Five+, renal disorder,
potassium sparing diuretics, rhabdomyolysis, RBC transfusion
muscle weak point, hypoactive reflexes, numbness, n/v, peaked T waves, extended PR c
language
hypokalemia reasons? Outcomes? Treatments? - ANS-insulin, albuterol, NaHCO3-, fluid
loss, malnutrition, alcoholism, loop diuretics
muscle weak spot, n/v, flat/inverted T wave, extended QT, U waves
IV or oral potassium
is bicarb used to deal with DKA? - ANS-no, except pH < 6.9
non-surgical treatment for STEMI & NSTEMI; surgical remedy for STEMI - ANS--aspirin
-nitroglycerin, morphine
-O2
-anticoagulation/heparin
-P2Y12 inhibitor (plavix, brilinta)
-angiomax (thrombin inhibitor)
-glycoprotein receptor agonist
-beta blocker, ACEI or ARB
-fibrinolytic dealers (STEMI ONLY)
-emergent PCI (STEMI), optional PCI (UA/NSTEMI)
-CABG
regular paO2 - ANS-eighty-one hundred mmHg
occlusion of the left important coronary artery (LMCA) consequences in what varieties of MI?
- ANS-anterior, septal, and lateral
occlusion of the posterior descending artery effects in what kind of STEMI? - ANS-posterior
STEMI
R vs L sided stroke - ANS-R - impulsive, left weak point/sensory loss, proper gaze choice
L - aphasia, proper weakness/sensory loss, left gaze desire
should insulin be d/c'd if hypoglycemia occurs in DKA? - ANS-no, anion gap should be
closed. Upload dextrose
symptoms/sx of alcohol withdrawal - ANS-agitation, anxiety, delirium, elevated HR & BP,
sweating, n/v, trauma, sweating, tremors, hallucinations, seizures
symptoms/signs and symptoms of stroke - ANS--intense headache
-sudden weak spot or numbness, esp unilateral
-loss of imaginative and prescient
-lack of speech or trouble know-how
-problem strolling, lack of stability or coordination
stages of kidney failure - ANS-1. Creatinine 1.Five-1.Nine, UO < zero.5ml/kg/hr or 6-12 hrs
2. Creatinine 2.Zero-2.Nine, UO < 0.5ml/kg/hr for 12+ hrs
three. Creatinine 4.0 OR 3x baseline, UO < 0.3ml/kg/hr 24+ hours
STEMI vs NSTEMI vs UA - ANS-STEMI - ST elevation, positive biomarkers, full occlusion
NSTEMI - ST depression, partial occlusion, positive biomarkers
UA - ST depression, normal biomarkers
