HESI Critical Care
3 or more PVCs in a row V-tach
100% Occlusion of Right Artery causes decreased perfusion of myocardial tissue
inadequate myocardial O2 supply
hypertension
angina
dysrhythmias
risk of MI
heart failure
syncope
AAA Physical Assessment sudden severe chest pain is most common sign or pain between th
systolic BP might be different if taken in each arm. Paresthesias
ABGs- Check while tracheal suctioning
you'll know if they have benefited from it if ABGs are WNL
, HESI Critical Care
Acute Asthma Episode Nursing Interventions:
- high fowlers
- administer O2 as prescribed
- stay with the client
- administer bronchodilators (albuterol)
- administer corticosteroids
- auscultate lung sounds before, after and during treatment
Addisonian crisis acute adrenal insufficiency
precipitated by stress, infection, trauma, surgery,
may cause hypoNa+, hyperK+, hypoglycemia, and shock
s/s: severe HA
ab, leg and back pain
weakness
irritability and confusion
sever hypotension
shock
interventions
prepare admin of glucocorticosteroids
IV fluids
, HESI Critical Care
After ETT placed the position of the tube should be verified first via chest xray
after the client has been on a ventilator for 30 min ABGs should be
After providing the first shock to the client in V fib CPR should be done
assess the rhythm 2 min after CPR was started
Air Embolism Nursing Intervention- Position patient in trendelenberg on left side
give high FiO2 (100%) to decrease ischemia
Allergy Assessment before angioplasty IV dye or shellfish
, HESI Critical Care
Antiarrhythmis protocol Amiodarone: 1st drug for pulseless Vtach
-Lidocaine: if cannot give amiodarone (VF, VT, PVC)
Epinepherine: given if unresponsive to CPR (can go down ETT)
Atropine: increases HR, SVR, BP
Dopamine: given if hypotensive not caused by hypovolemia
Adenosine: SVT
Sodium bicarb: last ditch effort if everything fails
calcium choride: hyperkalemia, hypocalcemia
Magnesium: Torsades
***drugs down ETT: LEAN (Lidocaine, Epinepherine, Atropine, Narc
***Phentolamine given for infiltrated area
Aortic Aneurysm Repair Post op: VS Q1 hour (watch for tachycardia and hypotension). Perip
Monitor for hemorrhage.
3 or more PVCs in a row V-tach
100% Occlusion of Right Artery causes decreased perfusion of myocardial tissue
inadequate myocardial O2 supply
hypertension
angina
dysrhythmias
risk of MI
heart failure
syncope
AAA Physical Assessment sudden severe chest pain is most common sign or pain between th
systolic BP might be different if taken in each arm. Paresthesias
ABGs- Check while tracheal suctioning
you'll know if they have benefited from it if ABGs are WNL
, HESI Critical Care
Acute Asthma Episode Nursing Interventions:
- high fowlers
- administer O2 as prescribed
- stay with the client
- administer bronchodilators (albuterol)
- administer corticosteroids
- auscultate lung sounds before, after and during treatment
Addisonian crisis acute adrenal insufficiency
precipitated by stress, infection, trauma, surgery,
may cause hypoNa+, hyperK+, hypoglycemia, and shock
s/s: severe HA
ab, leg and back pain
weakness
irritability and confusion
sever hypotension
shock
interventions
prepare admin of glucocorticosteroids
IV fluids
, HESI Critical Care
After ETT placed the position of the tube should be verified first via chest xray
after the client has been on a ventilator for 30 min ABGs should be
After providing the first shock to the client in V fib CPR should be done
assess the rhythm 2 min after CPR was started
Air Embolism Nursing Intervention- Position patient in trendelenberg on left side
give high FiO2 (100%) to decrease ischemia
Allergy Assessment before angioplasty IV dye or shellfish
, HESI Critical Care
Antiarrhythmis protocol Amiodarone: 1st drug for pulseless Vtach
-Lidocaine: if cannot give amiodarone (VF, VT, PVC)
Epinepherine: given if unresponsive to CPR (can go down ETT)
Atropine: increases HR, SVR, BP
Dopamine: given if hypotensive not caused by hypovolemia
Adenosine: SVT
Sodium bicarb: last ditch effort if everything fails
calcium choride: hyperkalemia, hypocalcemia
Magnesium: Torsades
***drugs down ETT: LEAN (Lidocaine, Epinepherine, Atropine, Narc
***Phentolamine given for infiltrated area
Aortic Aneurysm Repair Post op: VS Q1 hour (watch for tachycardia and hypotension). Perip
Monitor for hemorrhage.
