FCCN2 QUESTIONS WITH ACCURATE
OPTIONS
Amiodarone (Cordarone) ANSW✅✅*class*: Antiarrhythmic class III, Potassium channel blocker
*Indication*: ventricular arrhythmias, SVT, ACLS protocol for v-fib and vTACH
*Action*: prolongs action potential, inhibits adrenergic stimulation, slows rate, decreases peripheral
vascular resistance causing vasodilation
*Nursing Considerations*:
- may lead to ARDS, pulmonary toxicity, CHF, bradycardia, hypotension
- increases risk for QT prolongation
- increases digoxin levels
- increases activity of warfarin
- monitor EKG
- assess for signs and symptoms of ARDS
- monitor liver function test
- check dosage with another RN
- avoid drinking grapefruit juice
Citrate in CRRT ANSW✅✅Citrate chelates (binds) calcium ions, preventing blood clotting and thus
is an effective anticoagulant
Regional anticoagulant that only effects blood in the circuit
Calcium chloride in CRRT ANSW✅✅Prevents depletion of calcium stores which can occur with
citrate
sodium phosphate in CRRT ANSW✅✅Replacement solution is unable to provide enough phos
without precipitation
, compensated acidosis or alkalosis ANSW✅✅Metabolic acidosis or alkalosis are partially
compensated for by opposite changes in blood carbonic acid levels (through changes in ventilation)
Respiratory acidosis or alkalosis are partially compensated for by increased retention or excretion of
bicarbonate in the urine.
Fully compensate blood gas ANSW✅✅pH is between 7.35 & 7.45
Uncompensated blood gas ANSW✅✅One electrolyte is normal
pH ANSW✅✅7.35-7.45
PaCO2 ANSW✅✅35-45 mmHg
HCO3 ANSW✅✅22-26 mEq/L
Oxygenation ANSW✅✅The process of delivering oxygen to the blood by diffusion from the alveoli
following inhalation into the lungs.
Ventilation ANSW✅✅movement of air in and out of the lungs
From point A to point B
narrow pulse pressure ANSW✅✅Indicates LOW volume & low preload
CPAP (continuous positive airway pressure) ANSW✅✅Pressurized air delivered to lungs to keep
them expanded during exhalation
PEEP
BiPAP (bilevel positive airway pressure) ANSW✅✅Non-Invasive Ventilatory Support
OPTIONS
Amiodarone (Cordarone) ANSW✅✅*class*: Antiarrhythmic class III, Potassium channel blocker
*Indication*: ventricular arrhythmias, SVT, ACLS protocol for v-fib and vTACH
*Action*: prolongs action potential, inhibits adrenergic stimulation, slows rate, decreases peripheral
vascular resistance causing vasodilation
*Nursing Considerations*:
- may lead to ARDS, pulmonary toxicity, CHF, bradycardia, hypotension
- increases risk for QT prolongation
- increases digoxin levels
- increases activity of warfarin
- monitor EKG
- assess for signs and symptoms of ARDS
- monitor liver function test
- check dosage with another RN
- avoid drinking grapefruit juice
Citrate in CRRT ANSW✅✅Citrate chelates (binds) calcium ions, preventing blood clotting and thus
is an effective anticoagulant
Regional anticoagulant that only effects blood in the circuit
Calcium chloride in CRRT ANSW✅✅Prevents depletion of calcium stores which can occur with
citrate
sodium phosphate in CRRT ANSW✅✅Replacement solution is unable to provide enough phos
without precipitation
, compensated acidosis or alkalosis ANSW✅✅Metabolic acidosis or alkalosis are partially
compensated for by opposite changes in blood carbonic acid levels (through changes in ventilation)
Respiratory acidosis or alkalosis are partially compensated for by increased retention or excretion of
bicarbonate in the urine.
Fully compensate blood gas ANSW✅✅pH is between 7.35 & 7.45
Uncompensated blood gas ANSW✅✅One electrolyte is normal
pH ANSW✅✅7.35-7.45
PaCO2 ANSW✅✅35-45 mmHg
HCO3 ANSW✅✅22-26 mEq/L
Oxygenation ANSW✅✅The process of delivering oxygen to the blood by diffusion from the alveoli
following inhalation into the lungs.
Ventilation ANSW✅✅movement of air in and out of the lungs
From point A to point B
narrow pulse pressure ANSW✅✅Indicates LOW volume & low preload
CPAP (continuous positive airway pressure) ANSW✅✅Pressurized air delivered to lungs to keep
them expanded during exhalation
PEEP
BiPAP (bilevel positive airway pressure) ANSW✅✅Non-Invasive Ventilatory Support
