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NR 340 CRITICAL CARE FINAL STUDY GUIDE • Ethics o Informed consent  Competence  Voluntariness  Disclosure of information o Proxy- makes decisions for patient, designated by state • Comfort and Sedation o Rapid sequence intubation  Succinocholine and etomidate o Conscious sedations  Versed and fentanyl o Reversal for fentanyl narcan o Reversal for versed flumazenil o Medications  Benzos • Versed • Ativan • Valium • Precedex- similar to ver...

NR 340 Critical Care Exam 3 Guide Neuro Basics · Brain metabolism o Soul source of energy for the brain is glucose. Brain needs glucose to function. Brain cannot store it, but needs a constant supply. If glucose levels start to fall you will some changed. o Cerebral glucose < 70 mg/dL = confusion o Cerebral glucose < 20 mg/dL = damage · Cerebral blood flow · Autoregulation o Changes in pressure o Changes in CO2 ▪ Alters cerebral blood volume with change in blood vessel ...

NR 341 EXAM 3 STUDY NOTES Exam 3 Adrenal Crisis “Addisonian Crisis” p. 1178-1179 - A condition in which the pituitary gland doesn’t make enough adrenocorticotropic hormone or ACTH - A medical emergency and potentially life-threatening situation and require immediate emergency treatment - Causes of Adrenal Crisis • When the body cannot produce sufficient amounts of cortisol • Caused by either previously undiagnosed or untreated Addison’s disease • Suddenly stopping inta...

NR 341 Critical Care Exam 2 Review Chapter 8: Hemodynamics ● Central Venous Pressure (CVP) ○ How assessed ■ Need central line that goes into right atrium ■ Arterial lines are placed in the radial (most common), brachial, or femoral artery. ■ The integrity of the arterial waveform should be assessed to verify the accuracy of blood pressure readings. ■ Monitor circulation in the limb with the arterial line (capillary refill, temperature, color). ■ Assesses preload of the rig...

NR 341: Week 4 Summary Acute Kidney and Chronic Kidney Disease; Shock, Sepsis, and Multiple Organ Dysfunction Acute Kidney Injury: It is the SUDDEN decrease in renal function that will lead to the buildup of waste in the blood, fluid overload, and electrolyte imbalances. AKI can be reversible. Role of the kidneys: Filters the blood which creates a filtrate called urine. In addition, the kidneys regulate electrolyte levels, removes waste, and excessive fluid in the body. The kidneys norma...

CHAPTERS 1-5: Informed Consent: The doctrine of informed consent is based on the principle of autonomy; competent adults have the right to self-determination or to make decisions regarding their acceptance or rejection of treatment. 1. 3 primary elements: Must be present for a person’s consent or decline of medical treatment or research participation to be consider valid. a. Competence = A person’s ability to understand info regarding medical and nursing Tx. b. Voluntariness c. Discl...

NR341 Acid Base Review Quiz. Multiple Choice Questions- Acid Base Balance Q.1- A person was admitted in a coma. Analysis of the arterial blood gave the following values: PCO2 16 mm Hg, HCO3- 5 mmol/l and pH 7.1. What is the underlying acid-base disorder? a) Metabolic Acidosis b) Metabolic Alkalosis c) Respiratory Acidosis d) Respiratory Alkalosis Q.2- In a man undergoing surgery, it was necessary to aspirate the contents of the upper gastrointestinal tract. After surgery, ...

NR 291 STUDY GUIDE EXAM 1 Recording 1:35:00 Topics Course Objectives Resources Bioequivalent, Synergistic, Prodrugs, In a steady state If two medications have the same bioavailability and same concentration of active ingredient, they are said to be bioequivalent (e.g., a brand-name drug and the same generic drug). Drug interactions in which the effect of a combination of two or more drugs with similar actions is greater than the sum of the individual effects of the same drugs ...

NR 341 Gerontology quiz 1_Questions and answers. 1. A nurse in a long-term care facility is promoting reminiscence among older adult clients. Which of the following actions should the nurse take? a. Institute a daily storytelling hour i. A storytelling hour is an example of reminiscence therapy, which allow clients to share stories of their past and reminisce with others who might have similar or shared memories. According to Erikson’s psychosocial theory, reminiscence is an important actio...

NR 305: WEEK 6 PROJECT (CHILDHOOD OBESITY) Childhood Obesity Debbie Morgan Chamberlain University   ` Childhood obesity is a growing epidemic within the United States, the ramifications of which can be felt in long-term pressures on the healthcare system. It is a result of a...