Med Surg 3 NSG233 Final Exam- HESI Material
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Terms in this set (97)
Self safety is PRIORITY
Diffusing anger in the ED gunfire- protect self
separate feuding individuals
Priority action: Lower body temperature; O2, fluids,
cool towel, cool bath (NO ICE BATH) elevate feet
SATA: +HR, +temp, confusion, headache, anxiety,
cramps, gooseflesh, HOT,DRY skin, NO sweating
Heat Stroke **
Abnormal labs: +BUN, + creatinine + myoglobinuria
-sodium, - potassium
Meds: Thorazine- reduce shiver
Monitor: vitals, ECG, LOC, urine output
BUN 10-20
Creatinine 0.6-1.2
Potassium 3.5-5.0
Sodium 135-145
, Priority: look for head injury, hypoglycemia (which
mimics intoxication), and other health problems.
Actions: detoxification, recovery, rehab
Ask if patient if they have gone through withdrawal
Alcoholic- first assessment before and had seizures
when was there last drink?
Benzos: sedative
Let them sleep if they calm-
not calm- benzo's
Priority: manage hypoxia, acidosis and hypothermia >
airway, oxygen
Management: CPR, core temp (rectal) rewarming
procedures during CPR, trach/PEEP, O2
Risks: ARDS> hypoxia, hypercarbia and respiratory
acidosis can occur
Hypothermia> metabolic acidosis
NGT> decompress stomach and prevent aspirating
Non-fatal drowning **
gastric contents.
Monitor: ECG, ICP, serial chest xray, I/O
Labs: serum electrolytes
Highest risk: <5 yo, >85 yo
Freshwater: loss of surfactant- inability to expand
lungs
Saltwater: pulmonary edema
Observe pt for 23 + hours
* Mg+ 1.5-2.5
* Phos 2.5-4.5
Serum Electrolytes * K+ 3.5-5
* Ca 8.5-10.9
* Chl 95-105
, Animal: rabies prophylaxis
Snakebite: lie down, removing constrictive items,
providing warmth, cleansing the wound, covering the
wound with a light sterile dressing, and immobilizing
the injured body part below the level of the heart.
CABs (Circulation, Airway Breathing)
Bite Priority NO: Ice, incision and suction, or a tourniquet
Tetanus and analgesia should be given as necessary.
Meds: FabAV or CroFAb: no limit on how much to give
S&S: necrosis, edema, ecchymosis
Tick: remove with tweezers, straight up pull, (try to get
close to skin as possible)
S&S: bulls eye rash
Carbon Monoxide: 100% O2 Atmospheric/hyperbaric
chamber
Ingested Poison: ABC, Call poison control, try to
describe what was ingested
Charcoal: most effective, Do not use if heavy metals
were ingested. Corrosives: give water/milk
Poisoning in the house
Cathartics: sorbitol: give w/ 1st dose of charcoal
syrup ipecac: Induces vomiting, only give to alert
patients-and NO patients who ingested a corrosive
agent
Gastric emptying: intubate before lavage ( if -LOC/-
gag reflex) with in 1 hour of ingestion.
Find out what Patient OD'd on. Give antidote if there is
one
MODS- OD Treatment goals for a patient with a drug overdose
01.04.03 ** are to support the respiratory and cardiovascular
functions, to enhance clearance of the agent, and to
provide for safety of the patient and staff.
Newest 2025/2026 Complete Questions And
Correct Answers (Verified Answers)|Brand New
Version!
Save
Terms in this set (97)
Self safety is PRIORITY
Diffusing anger in the ED gunfire- protect self
separate feuding individuals
Priority action: Lower body temperature; O2, fluids,
cool towel, cool bath (NO ICE BATH) elevate feet
SATA: +HR, +temp, confusion, headache, anxiety,
cramps, gooseflesh, HOT,DRY skin, NO sweating
Heat Stroke **
Abnormal labs: +BUN, + creatinine + myoglobinuria
-sodium, - potassium
Meds: Thorazine- reduce shiver
Monitor: vitals, ECG, LOC, urine output
BUN 10-20
Creatinine 0.6-1.2
Potassium 3.5-5.0
Sodium 135-145
, Priority: look for head injury, hypoglycemia (which
mimics intoxication), and other health problems.
Actions: detoxification, recovery, rehab
Ask if patient if they have gone through withdrawal
Alcoholic- first assessment before and had seizures
when was there last drink?
Benzos: sedative
Let them sleep if they calm-
not calm- benzo's
Priority: manage hypoxia, acidosis and hypothermia >
airway, oxygen
Management: CPR, core temp (rectal) rewarming
procedures during CPR, trach/PEEP, O2
Risks: ARDS> hypoxia, hypercarbia and respiratory
acidosis can occur
Hypothermia> metabolic acidosis
NGT> decompress stomach and prevent aspirating
Non-fatal drowning **
gastric contents.
Monitor: ECG, ICP, serial chest xray, I/O
Labs: serum electrolytes
Highest risk: <5 yo, >85 yo
Freshwater: loss of surfactant- inability to expand
lungs
Saltwater: pulmonary edema
Observe pt for 23 + hours
* Mg+ 1.5-2.5
* Phos 2.5-4.5
Serum Electrolytes * K+ 3.5-5
* Ca 8.5-10.9
* Chl 95-105
, Animal: rabies prophylaxis
Snakebite: lie down, removing constrictive items,
providing warmth, cleansing the wound, covering the
wound with a light sterile dressing, and immobilizing
the injured body part below the level of the heart.
CABs (Circulation, Airway Breathing)
Bite Priority NO: Ice, incision and suction, or a tourniquet
Tetanus and analgesia should be given as necessary.
Meds: FabAV or CroFAb: no limit on how much to give
S&S: necrosis, edema, ecchymosis
Tick: remove with tweezers, straight up pull, (try to get
close to skin as possible)
S&S: bulls eye rash
Carbon Monoxide: 100% O2 Atmospheric/hyperbaric
chamber
Ingested Poison: ABC, Call poison control, try to
describe what was ingested
Charcoal: most effective, Do not use if heavy metals
were ingested. Corrosives: give water/milk
Poisoning in the house
Cathartics: sorbitol: give w/ 1st dose of charcoal
syrup ipecac: Induces vomiting, only give to alert
patients-and NO patients who ingested a corrosive
agent
Gastric emptying: intubate before lavage ( if -LOC/-
gag reflex) with in 1 hour of ingestion.
Find out what Patient OD'd on. Give antidote if there is
one
MODS- OD Treatment goals for a patient with a drug overdose
01.04.03 ** are to support the respiratory and cardiovascular
functions, to enhance clearance of the agent, and to
provide for safety of the patient and staff.
