GUIDE/COMPREHENSIVE GUIDE/
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
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Terms in this set (270)
Ventilation - RR, VT, BS, chest. movement,
PaCO2, EtCO2
Oxygenation - HR, Skin Color, Sensorium,
4 life functions (in
PaO2, SpO2
order) & assessment
for them
Circulation - HR & strength, CO
Perfusion - BP, sensorium, temp, urine
output, hemodynamics
Tobacco use, # packs per day X # of years smoked =
smoking status pack years
, Inspection
Pysical inspection Palpation
(IPPA) Percussion
Auscaltation
Normal urine 40mL/hr = 1L/day
output
Sensible water loss urine, vomiting
reasons
Insensible water Lungs, skin
loss
Weight gain, electrolyte imbalance,
Affects of intake
increased hemodynamic pressures,
exceeding output
decreased lung cst
Normal CVP 2-6 mmHg
(central venous
pressure)
Decreased CVP & < 2 mmHg = hypovolemia = fluid therapy
indications
Increased CVP & > 6 mmHg = diuretics (furosemide aka
indications Lasix)
Orientation x3 Time, Place, Person
difficulty breathing while lying down
Orthopnea is:
(CHF)
Grade I: unusual exertion
Grade II: up hills or stairs
Dyspnea grades Grade III: walking at normal speed
Grade IV: slowly, walking short distance
Grade V: at rest, shaving, dressing, etc.