Multidimensional Care IV Final Exam Review Questions Answered Correctly Latest Update 2024

Multidimensional Care IV Final Exam Review Questions Answered Correctly Latest Update 2024 Deep breath and cough after surgery - Answers Prevent pneumonia Normal drainage for surgical site - Answers Clear (serous) or pale/red/watery (serosanguineous) Worrisome sign of post op patient - Answers Restlessness Priority action for heat exhaustion in ER - Answers IV Fluids Action for bee sting if available - Answers Epi Organization for community disaster preparedness - Answers Medical Reserve Corporation, FEMA, Red Cross DMAT - Answers Disaster Medical Assistance Team; Federal employees; License is good in ALL 50 states Days of medical supplies for disaster plan - Answers 3 days Cimetidine for burn patients - Answers Help with gastric ulcers Triage tags information - Answers Name, Age, Injury, Any treatments we did, Who we can contact/who has been contacted, Triage colors Double dose of medication, first action - Answers Assess patient Patient declining after surgery - Answers Call rapid response team Allergy exposure situation - Answers More exposure to allergen, more risk to developing a reaction Post op discomfort in lithotomy position - Answers Shoulders Purpose of drainage tubes - Answers To help prevent infection Baclofen for multiple sclerosis - Answers To treat muscle spasms Scheduling activities for Parkinson's patients - Answers When the drug therapy/medication peaks for them Important assessment for thrombotic stroke - Answers Pupil response to light/size Control in first 24 hours of ischemic stroke with thrombolytic treatment - Answers Blood pressure tPA eligibility after stroke - Answers Onset of symptoms within 3 hours Long term Phenytoin therapy side effect - Answers Excessive gum tissue growth Postical phase of generalized tonic clonic seizure monitoring - Answers Drowsiness Priority intervention in postical phase of tonic clonic seizure - Answers Airway - assess breathing pattern Prep for an EEG - Answers Can eat, NO Caffeine Expectations in ictal phase of generalized tonic clonic seizure - Answers Jerking, Stiffness, Loss of consciousness, Loss of bowel/bladder What to do when someone is coming out of a coma - Answers Orient them Decerebrate assessment - Answers Rigid arms, wrists/hands c shaped & flexed outward, possible arched back PTT for therapeutic levels on IV heparin for PE - Answers Higher --> like if its at 25, we would want to increase the rate of heparin Gene Alteration CYP2C19 and history of PE prevention - Answers IVCF - Inferior Vena Cava Filter Mean Arterial Pressure correlation with blood loss - Answers Lower blood volume = lower MAP How to calculate MAP - Answers Double the bottom number of blood pressure, add that to the top number and then divide by 3. Example: BP is 120/80, 80+80 = 160, 160 + 120 = 280, 280/3= 93.333, MAP would be 93. Rehydration education for elderly patients - Answers Increase fluids, drink on a regular schedule Lab value off in septic shock - Answers Lactic Acid Determining triage or prioritization of patients - Answers ABCs Importance of debriefing after critical care - Answers Debriefing External disaster examples - Answers Tornado, Flooding, Hurricane Assumption for patient with cherry red skin color - Answers Carbon monoxide poisoning Parkland Formula considerations for low urine output - Answers Increase fluid rate, Monitor urine output, Check electrolytes Parkland formula calculation - Answers 4 mL x TBSA (%) x body weight (kg). 50% given in first 8 hours, 50% given over the next 16 hours. Initial electrolyte with 3rd spacing of fluid in burn patient - Answers High potassium