Final Exam Complex Med Surg |188 questions with correct answers

When to call IDN - Answer vented patient with GCS of 5 or less, regardless of sedation, call within 1 hr, at first mention of any end-of-life discussions, before any terminal wean and/or withdrawal of support, within 1 hr of cardiac time of death, if family mentions donation Dobutamine - Answer agents strengthen cardiac contraction, increase cardiac output, inotropic drug Vasopressors - Answer they cause vasoconstriction, increase MAP, dopamine is most common, norepinephrine (levofed), vasopressin (used in conjunction with other vasopressors) Epinephrine - Answer bronchodilator, increase HR and cardiac output, first line drug in anaphylactic shock, first line code drug Metabolic acidosis - Answer low pH, low bicarbonate Metabolic acidosis causes - Answer direct loss of bicarb from diarrhea, lower GI fistulas, renal failure, excessive administration of chloride High anion gap - Answer determined by subtracting the total measured anions from the major measured cation, means there is extra acid in the body High anion causes and normal range - Answer excessive accumulation of acid due to ketoacidosis, lactic acidosis, late salicylate poisoning, uremia 8-12