GUIDE • Mark Klimek’s Lecture
Lecture 1— Acid-Base Balance Dumping/HH
Ventilators Electrolytes: K+, CA, MG,
and NA
Lecture 2— Alcohol TX for HyperKalemia
Wernicke
Overdose and Withdrawal Lecture 7— Thyroid (Hyper-, Hypo-)
S/Sx Adrenal Cortex (Addison
Aminoglycosides Disease, Cushing)
Peak and Trough Toys
Laminectomy
Lecture 3— Drug Toxicities (Lithium,
Lanoxin, Dilantin, Bilirubin, Lecture 8— Lab Values
Aminophylline) Five Deadly Ds
Kernicterus Neutropenic Precaution
Dumping/HH
Electrolytes: K+, CA, MG, Lecture 9— Psych Drugs
and NA Tri
TX for HyperKalemia Benzo
MAOI
Lecture 4— Crutches Lithium
Canes Prozac
Walkers Haldol
Delusions Clozaril
Hallucinations Zoloft
Psychosis
Psychotic and Non-Psychotic Lecture 10— Maternity and Neonatology
Hallucination
Illusion Lecture 11— Fetal Complications
Delusion Stages of Labor
Assessments
Lecture 5— Diabetes Mellitus Variations for NB
Diabetes Insipidus Maternity Meds
SIADH Medication Hints
Insulin Psych Tips
DKA Operational Stages
HHNK
Lecture 12— Prioritization
Lecture 6— Drug Toxicities (Lithium, Delegation
Lanoxin, Dilantin, Bilirubin, Staff Management
Aminophylline) Guessing Strategies
Kernicterus
Page 1 of 92
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, In this question, the priory action for the nurse is to submerge the end of the tube under sterile
water because doing so prevents air from getting into the chest. At the same time, this allows air
or blood from the chest to get out
• This solves the problem by reestablishing the water seal
Note
Clamping, unclamping, and placing the tube under water must be done in 15 seconds or less
Question
You notice on the monitor that a pt has v-fib. Pt is unresponsive and there is no pulse. What is
the first step in the management of this pt?
a. Place a backboard under pt’s back while pt is supine
b. Start chest compression
The first step is to place the backboard under pt’s back. “First” is about order.
Question
You notice on the monitor that a pt has v-fib. Pt is unresponsive and there is no pulse. What is
the best step in the management of this pt?
a. Place a backboard under pt’s back while pt is supine
b. Start chest compression
“Best” is about what is the priority. Chest compression is the priority action.
If a chest tube gets pulled out …
1. Take a gloved hand and cover the opening (first step)
2. Take a sterile Vaseline gauze and tape 3 sides (best step)
Chest tube is bubbling … Ask (1) where it is bubbling, and (2) when it is bubbling?
Ask the following 2 questions
• Bubbling … Where? In the water seal chamber
o If it is intermittent, it is good (document it)
o If it is continuous, it is bad and indicates a break/leak in the system (find it and tape it)
• Bubbling … Where? In the suction control chamber
o If it is intermittent, suction pressure is too low (increase it at the wall until it is
continuous)
o If it is continuous, it is good (document it)
Analogies
• A straight catheter is to a Foley catheter, as a thoracentesis is to a chest tube
o A straight catheter goes in and out … A Foley goes in, secure it, and continuous
drainage
o Thoracocentesis = go in and out … Chest tubes = go in, secure it, and leave it in place
• A Foley has a higher risk of infection than a straight cath
• A chest tube has a higher risk of infection than thoracocentesis
Page 20 of 92
This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this fil
Lecture 1— Acid-Base Balance Dumping/HH
Ventilators Electrolytes: K+, CA, MG,
and NA
Lecture 2— Alcohol TX for HyperKalemia
Wernicke
Overdose and Withdrawal Lecture 7— Thyroid (Hyper-, Hypo-)
S/Sx Adrenal Cortex (Addison
Aminoglycosides Disease, Cushing)
Peak and Trough Toys
Laminectomy
Lecture 3— Drug Toxicities (Lithium,
Lanoxin, Dilantin, Bilirubin, Lecture 8— Lab Values
Aminophylline) Five Deadly Ds
Kernicterus Neutropenic Precaution
Dumping/HH
Electrolytes: K+, CA, MG, Lecture 9— Psych Drugs
and NA Tri
TX for HyperKalemia Benzo
MAOI
Lecture 4— Crutches Lithium
Canes Prozac
Walkers Haldol
Delusions Clozaril
Hallucinations Zoloft
Psychosis
Psychotic and Non-Psychotic Lecture 10— Maternity and Neonatology
Hallucination
Illusion Lecture 11— Fetal Complications
Delusion Stages of Labor
Assessments
Lecture 5— Diabetes Mellitus Variations for NB
Diabetes Insipidus Maternity Meds
SIADH Medication Hints
Insulin Psych Tips
DKA Operational Stages
HHNK
Lecture 12— Prioritization
Lecture 6— Drug Toxicities (Lithium, Delegation
Lanoxin, Dilantin, Bilirubin, Staff Management
Aminophylline) Guessing Strategies
Kernicterus
Page 1 of 92
This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this fil
, In this question, the priory action for the nurse is to submerge the end of the tube under sterile
water because doing so prevents air from getting into the chest. At the same time, this allows air
or blood from the chest to get out
• This solves the problem by reestablishing the water seal
Note
Clamping, unclamping, and placing the tube under water must be done in 15 seconds or less
Question
You notice on the monitor that a pt has v-fib. Pt is unresponsive and there is no pulse. What is
the first step in the management of this pt?
a. Place a backboard under pt’s back while pt is supine
b. Start chest compression
The first step is to place the backboard under pt’s back. “First” is about order.
Question
You notice on the monitor that a pt has v-fib. Pt is unresponsive and there is no pulse. What is
the best step in the management of this pt?
a. Place a backboard under pt’s back while pt is supine
b. Start chest compression
“Best” is about what is the priority. Chest compression is the priority action.
If a chest tube gets pulled out …
1. Take a gloved hand and cover the opening (first step)
2. Take a sterile Vaseline gauze and tape 3 sides (best step)
Chest tube is bubbling … Ask (1) where it is bubbling, and (2) when it is bubbling?
Ask the following 2 questions
• Bubbling … Where? In the water seal chamber
o If it is intermittent, it is good (document it)
o If it is continuous, it is bad and indicates a break/leak in the system (find it and tape it)
• Bubbling … Where? In the suction control chamber
o If it is intermittent, suction pressure is too low (increase it at the wall until it is
continuous)
o If it is continuous, it is good (document it)
Analogies
• A straight catheter is to a Foley catheter, as a thoracentesis is to a chest tube
o A straight catheter goes in and out … A Foley goes in, secure it, and continuous
drainage
o Thoracocentesis = go in and out … Chest tubes = go in, secure it, and leave it in place
• A Foley has a higher risk of infection than a straight cath
• A chest tube has a higher risk of infection than thoracocentesis
Page 20 of 92
This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this fil
