CORRECT AND WELL DETAILED
Interventions for hypothermia - ANSWER warm iv fluid
room >80degrees
bearhugger
cover pts head
Complications of hypothermia - ANSWER Myocardial dysfunction =decreased
contractility (give milrinone)
Dysrthymias
Hypercoagulability what pts? - ANSWER hypothermic pts
pregnant pt
pts on estrogen
vessel wall damage from what? - ANSWER Surgery/trauma pt
central lines
pa catheters
venous stasis - ANSWER immobility
atrial fib
Normal serum osmolality - ANSWER 285-295
what's the most important electrolyte when talking about Osmo? - ANSWER Sodium
,low serum osmolality s/s - ANSWER fluid volume excess
delusional hyponatremia
Siadh
high serum osmolality s/s - ANSWER fluid deficit
dehydrated
DI
DKA
airway trauma - ANSWER bleeding
vomiting
turn pt on side
suction
Breathing (trauma) - ANSWER examine chest wall movement
assess rest rate
AVPU - ANSWER Alert
Verbal
Painful Stimuli
Unresponsive
Complications of trauma (compartment syndrome) - ANSWER 4 p's
neurovascular assessment first
measure abdominal girth
intra abdominal pressure measurement
,Rhabdomyolysis affects who? - ANSWER Crush injury
from a fall
marathon runners
statin drugs cause myalhia
Rhabdomyolysis treatment - ANSWER iv fluids at a rate to keep urine output between
100-200 ml
Burn treatment - ANSWER LR first choice
start internal feeding first 24 hours
monitor what in burn pt - ANSWER Hyperkalemia
cardiac monitor for speaker T waves
How to measure ICP - ANSWER EVD inline with tragus
catheter in brain
aseptic technique
Status epeilepticus - ANSWER Concern- anoxia to the brian
diazepam/lorazepam iv to stop seizure
phenytoin to prevent seizure
basilar skull fracture - ANSWER Raccoon eyes (periorbital ecchymosis) and Battle's sign
(mastoid ecchymosis).
concern- meningitis
DONT put anything in this pts ear or nose
DI - ANSWER thiazide diuretic to help recognize ADH
, Biggest concern is hypovolemic shock
Labs you'd see with DI - ANSWER high serum osmo
high sodium
low urine gravity
SIADH concern - ANSWER hyponatremia
altered LOC
edema
seizure/death/coma
SIADH treatment - ANSWER Fluid restriction
frequent mouth care
frequent ROM
HOB 0-10 degrees
may give furosemide if NA is greater than 125
Tx for DKA and HHS - ANSWER 1st- fluids to prevent hypovolemic shock
Insulin to correct BG-monitor hypokalemia
Cerebral autoregulation - ANSWER Allows for vessel dilation or constriction to maintain
cerebral perfusion
Respiratory acidosis with hypoxia - ANSWER Recommendation to treat → Intubation
Increase RR/TV and oxygen
CUSHING'S TRIAD - ANSWER BP 200/55, HR 45, RR irregular
Interventions for hypothermia - ANSWER warm iv fluid
room >80degrees
bearhugger
cover pts head
Complications of hypothermia - ANSWER Myocardial dysfunction =decreased
contractility (give milrinone)
Dysrthymias
Hypercoagulability what pts? - ANSWER hypothermic pts
pregnant pt
pts on estrogen
vessel wall damage from what? - ANSWER Surgery/trauma pt
central lines
pa catheters
venous stasis - ANSWER immobility
atrial fib
Normal serum osmolality - ANSWER 285-295
what's the most important electrolyte when talking about Osmo? - ANSWER Sodium
,low serum osmolality s/s - ANSWER fluid volume excess
delusional hyponatremia
Siadh
high serum osmolality s/s - ANSWER fluid deficit
dehydrated
DI
DKA
airway trauma - ANSWER bleeding
vomiting
turn pt on side
suction
Breathing (trauma) - ANSWER examine chest wall movement
assess rest rate
AVPU - ANSWER Alert
Verbal
Painful Stimuli
Unresponsive
Complications of trauma (compartment syndrome) - ANSWER 4 p's
neurovascular assessment first
measure abdominal girth
intra abdominal pressure measurement
,Rhabdomyolysis affects who? - ANSWER Crush injury
from a fall
marathon runners
statin drugs cause myalhia
Rhabdomyolysis treatment - ANSWER iv fluids at a rate to keep urine output between
100-200 ml
Burn treatment - ANSWER LR first choice
start internal feeding first 24 hours
monitor what in burn pt - ANSWER Hyperkalemia
cardiac monitor for speaker T waves
How to measure ICP - ANSWER EVD inline with tragus
catheter in brain
aseptic technique
Status epeilepticus - ANSWER Concern- anoxia to the brian
diazepam/lorazepam iv to stop seizure
phenytoin to prevent seizure
basilar skull fracture - ANSWER Raccoon eyes (periorbital ecchymosis) and Battle's sign
(mastoid ecchymosis).
concern- meningitis
DONT put anything in this pts ear or nose
DI - ANSWER thiazide diuretic to help recognize ADH
, Biggest concern is hypovolemic shock
Labs you'd see with DI - ANSWER high serum osmo
high sodium
low urine gravity
SIADH concern - ANSWER hyponatremia
altered LOC
edema
seizure/death/coma
SIADH treatment - ANSWER Fluid restriction
frequent mouth care
frequent ROM
HOB 0-10 degrees
may give furosemide if NA is greater than 125
Tx for DKA and HHS - ANSWER 1st- fluids to prevent hypovolemic shock
Insulin to correct BG-monitor hypokalemia
Cerebral autoregulation - ANSWER Allows for vessel dilation or constriction to maintain
cerebral perfusion
Respiratory acidosis with hypoxia - ANSWER Recommendation to treat → Intubation
Increase RR/TV and oxygen
CUSHING'S TRIAD - ANSWER BP 200/55, HR 45, RR irregular
