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Examen

Nur2115 Exam 2 Questions and Correct Answers | Latest Update

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how to calculate cardiac output ~:- CO = SV x HR Mean Arterial Pressure (MAP) ~:- MAP= SBP + 2(DBP) / 3 Normal= 70-105mmHg Needs to be >65mmHg to perfuse ONLY the vital organs. THIS IS NOT NORMAL Use A line to measure Pulmonary Artery Catheter Pressures ~:- PA pressures- (distal port) PAS= 15-30mmHg PAD 8-15mmHg SIRS ~:- systemic inflammatory response syndrome. does not have to be associated with an infection. Best Grades | Must Pass | Latest Update | Correct Answers | 2024/2025 ~ 1 ~ for inquiry mail me @ SIRS criteria ~:- need 2 or more s/s -temp >100.4, temp <96.8 -HR >90bpm -RR >20 and /or PCO2 <32 (rapid breathing) -WBC >12,000 or <4,000 WOTF is not criteria s/s for dx SIRS 1. RR > 20 2. HR <60 3. Temp >100.4 4. PaCO2 <32 ~:- 2. HR <60 ANSWER DIC ~:- disseminated intravascular coagulation DEATH IS COMING NO PERFUSION They will have an increased D Dimer Best Grades | Must Pass | Latest Update | Correct Answers | 2024/2025 ~ 1 ~ for inquiry mail me @ DIC clinical presentation ~:- Acute bleeding from multiple sites. Bleeding from everywhere. Organ dysfunction, Thrombosis. DIC nursing management ~:- 1. Occult blood testing of all fluids 2. avoid puncturing the pt. 3. Apply pressure 10-15 MIN for arterial puncture. 5MIN for venous puncture. 4. paper tape 5. No BP cuff. NEED AN A LINE 6. No rectal temp 7. gentle personal care 8. dec. pressure points 9. monitor pupils for changes- Could be cerebral bleed. WOTF lab value is indicative of DIC 1. dec PTT 2. inc Platelet 3. dec INR 4. inc FDP (fibrin degradation product) Best Grades | Must

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NUR2115
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Subido en
25 de septiembre de 2024
Número de páginas
34
Escrito en
2024/2025
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Best Grades | Must Pass | Latest Update | Correct Answers | 2024/2025




Nur2115 Exam 2 Questions and
Correct Answers | Latest Update
how to calculate cardiac output


✓ ~:- CO = SV x HR




Mean Arterial Pressure (MAP)


✓ ~:- MAP= SBP + 2(DBP) / 3

Normal= 70-105mmHg

Needs to be >65mmHg to perfuse ONLY the vital organs. THIS IS NOT NORMAL

Use A line to measure




Pulmonary Artery Catheter Pressures


✓ ~:- PA pressures- (distal port)

PAS= 15-30mmHg

PAD 8-15mmHg




SIRS


✓ ~:- systemic inflammatory response syndrome.

does not have to be associated with an infection.




~ 1 ~ for inquiry mail me @

, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/2025


SIRS criteria


✓ ~:- need 2 or more s/s

-temp >100.4, temp <96.8

-HR >90bpm

-RR >20 and /or PCO2 <32 (rapid breathing)

-WBC >12,000 or <4,000




WOTF is not criteria s/s for dx SIRS

1. RR > 20

2. HR <60

3. Temp >100.4

4. PaCO2 <32


✓ ~:- 2. HR <60 ANSWER




DIC


✓ ~:- disseminated intravascular coagulation

DEATH IS COMING

NO PERFUSION

They will have an increased D Dimer




~ 1 ~ for inquiry mail me @

, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/2025


DIC clinical presentation


✓ ~:- Acute bleeding from multiple sites. Bleeding from everywhere.

Organ dysfunction, Thrombosis.




DIC nursing management


✓ ~:- 1. Occult blood testing of all fluids

2. avoid puncturing the pt.

3. Apply pressure 10-15 MIN for arterial puncture. 5MIN for venous puncture.

4. paper tape

5. No BP cuff. NEED AN A LINE

6. No rectal temp

7. gentle personal care

8. dec. pressure points

9. monitor pupils for changes- Could be cerebral bleed.




WOTF lab value is indicative of DIC

1. dec PTT

2. inc Platelet

3. dec INR

4. inc FDP (fibrin degradation product)



~ 1 ~ for inquiry mail me @

, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/2025


✓ ~:- 4. inc FDP (fibrin degradation product) ANSWER




hypovolemic shock


✓ ~:- TANK PROBLEM

inadequate fluid volume in the space




cardiogenic shock


✓ ~:- PUMP PROBLEM

Coronary- problem with heart itself, cant move blood.

Non-Coronary- physical obstruction into or out of heart




circulatory (distributive) shock


✓ ~:- PIPE PROBLEM ---> EXTREME VASODILATION

septic shock- inflammatory response due to invasion of organism

anaphylactic- antigen-antibody response




shock initially


✓ ~:- Dont see anything at first. will just have a lactic acid buildup.




Compensatory stage




~ 1 ~ for inquiry mail me @
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