DISEASE TREATMENTS KETTERING
FOR CSE RRT EXAM GUIDE
QUESTIONS AND ANSWERS
CHF treatment - ANSWER-High flow O2 therapy via NRB, HFNC
closely monitor in Fowlers position
Hyperinflation therapy( IPPB or IPV)
Diuretics(Lasix)
Positive inotropic agents(dig, dobutamine, dopamine)
Analgesic- Morphine
Preload reduction agents- nitroglycerin, nitroprusside
CPAP if indicated to support O2
MV with PEEP for ventilatory failure
Antidysrhythmic agents- atropine for brady, tachy-metoprolol and procainamide
->>POND
Positive-pressure ventilation(NPPV)
Oxygen
Nitroglycerine
Diuretics
Arrhythmias tx - ANSWER-PVC- oxygen and lidocaine
V-fib or pulseless v-tach require defibrillation
A-flutter and a-fib and v-tach pulse get cardioversion
Indicated by ECG and bedside assessment
Pulmonary Hypertension treatment - ANSWER-Diuretics to reduce fluid buildup
blood thinning meds- warfarin, heparin
Inotropic agents( dig)
O2 as needed
, Inhaled nitric oxide for severe cases
Myocardial infarction treatment - ANSWER-100% O2 by NRB
closely monitor vital signs, SpO2 and ECG
Aspirin
Morphine
Anti-arrhythmic agents-amiodarone, procainamide, atropine
nitrates for chest pain
Maintain blood pressure with fluids or vasopressors(dopamine)
Defibrillate for pulse-less v-tach or v-fib
**OMAN**
Pulmonary Embolism treatment - ANSWER-Prevention:
Anticoagulation therapy is initiated; heparin is the anticoagulant of choice. Low-
molecular-weight heparin or warfarin is continued after the acute phase.
Compression socks, pneumatic compression devices, early ambulation
Treat:
O2 therapy
anticoagulants(heparin)
Analgesics to relieve chest pain
Digitalis, digoxin to maintain circulation
Thrombolytic agents-streptokinase, tPA
peripheral vascular disease (PVD) treatment - ANSWER-amputation for gangrenous
body parts for severe
less severe->elminate contributing factors and other drugs(salicylates which are aspirin,
tylennol, etc and anticoagulants)
Cor Pulmonale treatment - ANSWER-O2 therapy
FOR CSE RRT EXAM GUIDE
QUESTIONS AND ANSWERS
CHF treatment - ANSWER-High flow O2 therapy via NRB, HFNC
closely monitor in Fowlers position
Hyperinflation therapy( IPPB or IPV)
Diuretics(Lasix)
Positive inotropic agents(dig, dobutamine, dopamine)
Analgesic- Morphine
Preload reduction agents- nitroglycerin, nitroprusside
CPAP if indicated to support O2
MV with PEEP for ventilatory failure
Antidysrhythmic agents- atropine for brady, tachy-metoprolol and procainamide
->>POND
Positive-pressure ventilation(NPPV)
Oxygen
Nitroglycerine
Diuretics
Arrhythmias tx - ANSWER-PVC- oxygen and lidocaine
V-fib or pulseless v-tach require defibrillation
A-flutter and a-fib and v-tach pulse get cardioversion
Indicated by ECG and bedside assessment
Pulmonary Hypertension treatment - ANSWER-Diuretics to reduce fluid buildup
blood thinning meds- warfarin, heparin
Inotropic agents( dig)
O2 as needed
, Inhaled nitric oxide for severe cases
Myocardial infarction treatment - ANSWER-100% O2 by NRB
closely monitor vital signs, SpO2 and ECG
Aspirin
Morphine
Anti-arrhythmic agents-amiodarone, procainamide, atropine
nitrates for chest pain
Maintain blood pressure with fluids or vasopressors(dopamine)
Defibrillate for pulse-less v-tach or v-fib
**OMAN**
Pulmonary Embolism treatment - ANSWER-Prevention:
Anticoagulation therapy is initiated; heparin is the anticoagulant of choice. Low-
molecular-weight heparin or warfarin is continued after the acute phase.
Compression socks, pneumatic compression devices, early ambulation
Treat:
O2 therapy
anticoagulants(heparin)
Analgesics to relieve chest pain
Digitalis, digoxin to maintain circulation
Thrombolytic agents-streptokinase, tPA
peripheral vascular disease (PVD) treatment - ANSWER-amputation for gangrenous
body parts for severe
less severe->elminate contributing factors and other drugs(salicylates which are aspirin,
tylennol, etc and anticoagulants)
Cor Pulmonale treatment - ANSWER-O2 therapy