NURB 4120 critical care test 2 Questions With Complete
Solutions
5 letter pacemaker codes Correct Answers how its paced, how
its sensed (chamber, A, V, dual), response to sensing (A, V, or
dual) (initiate or inhibit), programmability, and anti-
tachydysrythmias
example- chamber paced, sensed, response to sensing,
programmavility, anti-tachydysrythmias
ABCCDEE Correct Answers spont awakening trials, spont
breathing trials, coordination of awakening and breathing trials,
choice of sedatives, delirium assessment and monitoring,
exercise and early motility
these all decrease delerium
acute kidney injury with CABG Correct Answers
hemoglobinuria damages renal tubes, gives them pink urine,
give lasix if urine 30 ml/hr and RA/CVP WNL, the more time
on bypass the worse it is
after pulling tube Correct Answers will have hoarseness,
strider at trachea is emergency
AICD Correct Answers Automatics implanted cardioverter
defibrillator- it is a vent for atrial dysrhythmia and external
rhythm evaluation- delivers shock, give info/support, consider
QOL, watch for dysfunction and infection- if it won't fire then
shock with pads, no pads on top of device
,all external or temp pacing batteries and connections must be
changed how often Correct Answers every 24 hours
alteration in thermal regulation with CABG Correct Answers
need to warm slowly, warm blankets, hat on, check temp
regularly
altered fluid status related to CABG Correct Answers look for
reversal of third spacing and peeing off fluid, give needed K+ or
mag, may need venafir (iron), vitamins like vit C, look at I and
O every hour
altered glycemic control Correct Answers hyperglycemia,
regular drip of insulin (1/2 hr to 1 hour onset), strict monitoring,
sliding scale humalog
altered immune defenses Correct Answers look at incisions on
leg and chest, clean as ordered, soap and water and pat dry, hand
hygeine, abx, teach about hand hygeine, don't mess with
dressing, check temp, pain, may need to culture wound,
tenderness
antipsychotics with prolonged qt Correct Answers haldol,
deodon,
can get neuroleptic malignant hyperthermia
aortic aneurysm Correct Answers vessel is 1.5 times normal
size, point of weakness, out-pouching
, causes- htn, athlerosclerosis, trauma, syphilis, congenital,
infection, connective disorders (marfans), pregnancy, genetic,
age, smoking
location- aortic arch, thorasic or abdominal
most occur in AAA below renal arteries
highest incidence in men
ritter rules- urgency, pain, misdiagnosis, imaging, risk factors,
triggers, prevention
aortic regurg Correct Answers causes- rhuematic heart disease,
htn, marfans syn, syphilis, AV leaks back and causes dilation of
LV, acute onset- dyspnea, chest pain, LVF, cardio shock
chronic- water hammer pulse, wide pulse pressure, fatigue,
DOE, palpitations
DeMussel's head bobbing and Quinke's signs of fingers and lips
pulsing
murmur diastolic
aortic valve stenosis Correct Answers calcification, blood can't
exit LV, backs up to lungs then body, can have sudden cardiac
death, chest pain, syncope, DOE, pump fails, loud s4 murmur,
heard best on right side, need diuretics or valve replacement, can
repair in cath lab, risk for endocarditis with open heart sx
assist/control ventilation Correct Answers preset TV and rate
but patient can pull own breaths, each pulled breath gets that
preset tidal volume.. rate of 10 with four extra is 14 total rr
ATRIA Correct Answers anxious, tachycardia, restless,
irritable (air hungry, check o2 sat), apprehensive- need lots of
support
Solutions
5 letter pacemaker codes Correct Answers how its paced, how
its sensed (chamber, A, V, dual), response to sensing (A, V, or
dual) (initiate or inhibit), programmability, and anti-
tachydysrythmias
example- chamber paced, sensed, response to sensing,
programmavility, anti-tachydysrythmias
ABCCDEE Correct Answers spont awakening trials, spont
breathing trials, coordination of awakening and breathing trials,
choice of sedatives, delirium assessment and monitoring,
exercise and early motility
these all decrease delerium
acute kidney injury with CABG Correct Answers
hemoglobinuria damages renal tubes, gives them pink urine,
give lasix if urine 30 ml/hr and RA/CVP WNL, the more time
on bypass the worse it is
after pulling tube Correct Answers will have hoarseness,
strider at trachea is emergency
AICD Correct Answers Automatics implanted cardioverter
defibrillator- it is a vent for atrial dysrhythmia and external
rhythm evaluation- delivers shock, give info/support, consider
QOL, watch for dysfunction and infection- if it won't fire then
shock with pads, no pads on top of device
,all external or temp pacing batteries and connections must be
changed how often Correct Answers every 24 hours
alteration in thermal regulation with CABG Correct Answers
need to warm slowly, warm blankets, hat on, check temp
regularly
altered fluid status related to CABG Correct Answers look for
reversal of third spacing and peeing off fluid, give needed K+ or
mag, may need venafir (iron), vitamins like vit C, look at I and
O every hour
altered glycemic control Correct Answers hyperglycemia,
regular drip of insulin (1/2 hr to 1 hour onset), strict monitoring,
sliding scale humalog
altered immune defenses Correct Answers look at incisions on
leg and chest, clean as ordered, soap and water and pat dry, hand
hygeine, abx, teach about hand hygeine, don't mess with
dressing, check temp, pain, may need to culture wound,
tenderness
antipsychotics with prolonged qt Correct Answers haldol,
deodon,
can get neuroleptic malignant hyperthermia
aortic aneurysm Correct Answers vessel is 1.5 times normal
size, point of weakness, out-pouching
, causes- htn, athlerosclerosis, trauma, syphilis, congenital,
infection, connective disorders (marfans), pregnancy, genetic,
age, smoking
location- aortic arch, thorasic or abdominal
most occur in AAA below renal arteries
highest incidence in men
ritter rules- urgency, pain, misdiagnosis, imaging, risk factors,
triggers, prevention
aortic regurg Correct Answers causes- rhuematic heart disease,
htn, marfans syn, syphilis, AV leaks back and causes dilation of
LV, acute onset- dyspnea, chest pain, LVF, cardio shock
chronic- water hammer pulse, wide pulse pressure, fatigue,
DOE, palpitations
DeMussel's head bobbing and Quinke's signs of fingers and lips
pulsing
murmur diastolic
aortic valve stenosis Correct Answers calcification, blood can't
exit LV, backs up to lungs then body, can have sudden cardiac
death, chest pain, syncope, DOE, pump fails, loud s4 murmur,
heard best on right side, need diuretics or valve replacement, can
repair in cath lab, risk for endocarditis with open heart sx
assist/control ventilation Correct Answers preset TV and rate
but patient can pull own breaths, each pulled breath gets that
preset tidal volume.. rate of 10 with four extra is 14 total rr
ATRIA Correct Answers anxious, tachycardia, restless,
irritable (air hungry, check o2 sat), apprehensive- need lots of
support
