AIR METHODS CRITICAL CARE 2025 REVIEW | CARDIOLOGY EXAM QUESTIONS WITH CORRECT ANSWERS

AIR METHODS CRITICAL CARE 2025 REVIEW | CARDIOLOGY EXAM QUESTIONS WITH CORRECT ANSWERS a line placement - RIGHT ANSWER -phlebostatic axis in level with right atrium a young teen is in the ER with friends and his mom, when should you assess his pain? - RIGHT ANSWER -when he is alone AAA post op - RIGHT ANSWER -check pulses in lower extremity, UO might be decreased, patient will have abdominal guarding acetaminophen overdose - RIGHT ANSWER -acetylcysteine (mucomyst) addison crisis treatment - RIGHT ANSWER -give steroids and fluids then monitor electrolytes alcoholic - RIGHT ANSWER -give ativan (tremors) Autonomic Dysreflexia - RIGHT ANSWER -hypertension and diaphoresis BNP - RIGHT ANSWER -100 or less is normal chest tube chamber is not fluctuating... - RIGHT ANSWER -check the tubing... is the system okay? assess the breath sounds chest tubes - RIGHT ANSWER -drainage system should always be below the level of the chest tube D dimer - RIGHT ANSWER -should be less than 0.5 it is high with a PE dopamine high dose... - RIGHT ANSWER -increase in blood pressure dopamine low dose... - RIGHT ANSWER -increase in urinary output during a PAP insertion, it is the nurse's job to... - RIGHT ANSWER -assess the waveform and make note of the pressures ET tube placement - RIGHT ANSWER -check carbon dioxide detector (turns purple to yellow if co2 is exhaled - indicates good placement), breath sounds bilaterally, chest xray GCS - RIGHT ANSWER -never totals 0 scores range from 3-15 less than 7 is comatose highest is 11 on patient we ventilator high peep could lead to... - RIGHT ANSWER -pneumothorax, increased barotrauma, decreased CO how should you stage interventions with IICP? - RIGHT ANSWER -stage them throughout the shift, interventions all at once would increase ICP more and irritate them how would you dress a wound to the chest? - RIGHT ANSWER -tape over 3 sides leaving one open how would you react to an MVA on scene? - RIGHT ANSWER -you cannot help the person out of the car, the paramedics must stabilize their neck and spine hyperkalemia ekg - RIGHT ANSWER -tall tented t waves hypokalemia ekg - RIGHT ANSWER -flat and high t waves IABP function - RIGHT ANSWER -decreases afterload and increases perfusion if a patient misses dialysis, what would their EKG look like? - RIGHT ANSWER -tall tented t waves (hyperkalemia) IV insulin drips - RIGHT ANSWER -IV push of small amount then set rate with hourly titration low pressure alarm - RIGHT ANSWER -tubing of circuit is loose or disconnected, cuff is not inflated enough milrinone - RIGHT ANSWER -vasodilator and increases contractility run in a with a different IV than lasix - they are not compatible pancreatitis levels - RIGHT ANSWER -amylase and lipase pulmonary edema medications - RIGHT ANSWER -give diuretics SCI and paralysis - RIGHT ANSWER -if injury occurs below cervical spine, patient may be able to move arms. if cervical - could cause quadriplegia and respiratory paralysis SCI/skull fracture we look for... - RIGHT ANSWER -CSF leakage - nasal drip do halo test and check for glucose sepsis treatment steps - RIGHT ANSWER -fluids, cultures, wide spectrum antibiotics Septic Shock Hyperdynamic Phase - RIGHT ANSWER -CO elevated and SVR low SIADH concerns - RIGHT ANSWER -sodium imbalance leading to seizures snake bite - RIGHT ANSWER -do NOT put on a tourniquet or apply ice instead - give fluids (NSS/LR) put on oxygen, and get 2 large IV Catheters call poison control for specific venom treatment spider bite - RIGHT ANSWER -do not use heat ! SVT treatment (non pharm) - RIGHT ANSWER -vagal stimulation (head in ice, bear down) SVT treatment (pharma) - RIGHT ANSWER -adenosine when adenosine doesn't work - amiodarone or cardiovert things to keep in mind with multiple trauma... - RIGHT ANSWER -liver/spleen lacerations - surgery prep hypovolemia concern vent pressure alarm causes - RIGHT ANSWER -kinked tubing, secretions, coughing, biting, need suctioning, laying on tube what are some ways you can decrease VAP (ventilator associated pneumonia)? - RIGHT ANSWER -suction as needed, give proper oral care, keep the HOB elevated 30-45 degrees, keep adequate pressures, have an extra suction port, avoid PPI, do sedation vacations what are things you should do first? - RIGHT ANSWER -assess and safety i.e. with PE - listen to lung sounds with a bleed - put on gloves what is an early sign of DIC? - RIGHT ANSWER -bleeding particularly out of unusual areas such as old iv sites, their oral mucosa, nose, ears, naval cavity... what is the best assessment of renal function? - RIGHT ANSWER -I & O what kind of patient would you assign a new nurse? - RIGHT ANSWER -easiest heart rhythm I.e. afib w controlled ventricular response what medication should you not give with a hemorrhagic stroke? - RIGHT ANSWER -tpa what procedure do you do for tamponade? - RIGHT ANSWER -pericardiocentesis what should you check when a pacemaker spike is not captured? - RIGHT ANSWER -sensitivity may need to be increased what should you check with a drooling stroke patient? - RIGHT ANSWER -gag reflex what should you do if there are vent issues you cannot fix? - RIGHT ANSWER -bag the patient until respiratory comes what should you do when a burn patient complains about swallowing? - RIGHT ANSWER -assess their breath sounds - they may have inhalation injury what should you do when you notice an a line has decreased capillary refill? - RIGHT ANSWER -call the physician !