NR 341 Final Exam
5 H's Correct Answers -hypovolemia
-hypoxemia
-H+ (acidodic)
-hyper/hypokalemia
-hypothermia
5 H's: H+ ions (acidosis) Correct Answers -draw ABGs
-give bicarb
5 H's: hypo/hyperkalemia Correct Answers -cant fix
hypokalemia as well - give 10-20 mEq/hr
-hyperkalemia: D50, insulin, calcium, bicarb
5 H's: Hypothermia Correct Answers -warm patient up
5 H's: Hypovolemia Correct Answers -Bolus NS infusion and
see if responding
5 H's: Hypoxia Correct Answers -give oxygen
-may need to intubate
5 T's Correct Answers -tablets (OD)
-tamponade
-tension pneumo
-thrombosis (PE)
-thrombosis (MI)
5 T's: Tablets Correct Answers -NG tube with gastric lavage
-activated charcoal
,5 T's: Tamponade Correct Answers -needle decompression
5 T's: Tension Pneumo Correct Answers -needle
decompression
-chest tube
5 T's: Thrombosis (MI) Correct Answers -would see STEMI on
ECG
-troponin elevated
-if able to revive, need to get to cath lab
5 T's: Thrombosis (PE) Correct Answers -TPA
Acute Hemolytic Reaction Correct Answers Reactions usually
develop in first 15 min. Fever with or without chills; low back,
abdominal, chest or flank pain; flushing, tachycardia, dyspnea,
tachypnea, hypotension, vascular collapse, hemoglobinuria,
acute jaundice, dark urine, bleeding, acute kidney injury, shock,
cardiac arrest, DIC, death
Amiodarone Correct Answers -dysrhythmic
-150 mg IV bolus + infusion if alive, 300 mg IV push if dead
-infusion needs a filter and central line (high rate of phlebitis)
-SE: increased liver enzymes, pulmonary toxicity (PNA sx), can
go into pulmonary fibrosis, thyroid toxicity (hypo/hyper),
photosensitivity (sunscreen/sunglasses), neuro
Apnea Test Correct Answers -ran for 8-10 mins
-take patient off vent but keep O2
-positive: no respiratory movement = increased CO2
, Asystole Correct Answers -flatline
-first assess patient to make sure in 2 leads
-verify that the patient has no pulse.
-not a shockable rhythm
-run as a code but no defibrillation
-need to consider causes (5 H's, 5 T's)
Atropine Correct Answers -increases HR
-anticholinergic
Body Systems affected by Pancreatitis Correct Answers -CV:
hypotensive, losing vascular volume d/t swelling in abdomen,
increased permeability to the vessels = third spacing throughout
the body
-at risk for compartment syndrome d/t edema
-at risk for fistulas
-at risk for pseudocyts and can become infected and create
abscesses (insert drain + ABX)
-respiratory: increased risk for PNA, very high risk for ARDS
d/t pancreatic enzymes floating through central circulation
-GI: increased risk of bleeding
-Renal: increased risk of AKI d/t decreased vascular volume
-can start to hemorrhage from pancreas = turners/cullens
Brain death testing Correct Answers A: Apnea test
B: EEG
C: Cerebral angiography
D: Radionuclide cerebral perfusion scan
-will have A and C or D
5 H's Correct Answers -hypovolemia
-hypoxemia
-H+ (acidodic)
-hyper/hypokalemia
-hypothermia
5 H's: H+ ions (acidosis) Correct Answers -draw ABGs
-give bicarb
5 H's: hypo/hyperkalemia Correct Answers -cant fix
hypokalemia as well - give 10-20 mEq/hr
-hyperkalemia: D50, insulin, calcium, bicarb
5 H's: Hypothermia Correct Answers -warm patient up
5 H's: Hypovolemia Correct Answers -Bolus NS infusion and
see if responding
5 H's: Hypoxia Correct Answers -give oxygen
-may need to intubate
5 T's Correct Answers -tablets (OD)
-tamponade
-tension pneumo
-thrombosis (PE)
-thrombosis (MI)
5 T's: Tablets Correct Answers -NG tube with gastric lavage
-activated charcoal
,5 T's: Tamponade Correct Answers -needle decompression
5 T's: Tension Pneumo Correct Answers -needle
decompression
-chest tube
5 T's: Thrombosis (MI) Correct Answers -would see STEMI on
ECG
-troponin elevated
-if able to revive, need to get to cath lab
5 T's: Thrombosis (PE) Correct Answers -TPA
Acute Hemolytic Reaction Correct Answers Reactions usually
develop in first 15 min. Fever with or without chills; low back,
abdominal, chest or flank pain; flushing, tachycardia, dyspnea,
tachypnea, hypotension, vascular collapse, hemoglobinuria,
acute jaundice, dark urine, bleeding, acute kidney injury, shock,
cardiac arrest, DIC, death
Amiodarone Correct Answers -dysrhythmic
-150 mg IV bolus + infusion if alive, 300 mg IV push if dead
-infusion needs a filter and central line (high rate of phlebitis)
-SE: increased liver enzymes, pulmonary toxicity (PNA sx), can
go into pulmonary fibrosis, thyroid toxicity (hypo/hyper),
photosensitivity (sunscreen/sunglasses), neuro
Apnea Test Correct Answers -ran for 8-10 mins
-take patient off vent but keep O2
-positive: no respiratory movement = increased CO2
, Asystole Correct Answers -flatline
-first assess patient to make sure in 2 leads
-verify that the patient has no pulse.
-not a shockable rhythm
-run as a code but no defibrillation
-need to consider causes (5 H's, 5 T's)
Atropine Correct Answers -increases HR
-anticholinergic
Body Systems affected by Pancreatitis Correct Answers -CV:
hypotensive, losing vascular volume d/t swelling in abdomen,
increased permeability to the vessels = third spacing throughout
the body
-at risk for compartment syndrome d/t edema
-at risk for fistulas
-at risk for pseudocyts and can become infected and create
abscesses (insert drain + ABX)
-respiratory: increased risk for PNA, very high risk for ARDS
d/t pancreatic enzymes floating through central circulation
-GI: increased risk of bleeding
-Renal: increased risk of AKI d/t decreased vascular volume
-can start to hemorrhage from pancreas = turners/cullens
Brain death testing Correct Answers A: Apnea test
B: EEG
C: Cerebral angiography
D: Radionuclide cerebral perfusion scan
-will have A and C or D
