Complex Study guides, Class notes & Summaries

Chest tube insertion site monitoring - Answer check for pain, redness, infection & subcutaneous crepitus Chest tube bedside equipment - Answer occlusive dressing, sterile water, and two enclosed hemostat clamps. AT ALL TIMES Expected findings in a chest tube assessment - Answer gentle constant bubbling in the suction control chamber, rise and fall of water in the water seal chamber with inspiration and expiration, drainage system below chest and in upright position FIRST action...

ECG changes with hyperkalemia correct answers • Tall, peaked T-waves • Widened QRS complex, PVCs, Ventricular fibrillation, Cardiac standstill • Prolongation of the P wave & PRI • Flattens P wave (probably most common) or loss of P wave 2 drugs given as temporary solution to hyperkalemia correct answers • D50 W and IV Insulin - purpose to force K+ into cell • Calcium Chloride ECG Changes with hypokalemia correct answers • PVCs (early sign), bradycardia, ventricular tachyc...

A nurse is the only one in the ICU who has not achieved certification in critical care nursing. She often will ask her fellow nurses what to do in caring for a patient because she doubts the accuracy of her knowledge and her intuition. She loves her work but wishes she could do it with a greater level of competence. What is the most important effect that obtaining certification would likely have on the nurses practice? A) Recognition by peers B)Increase in salary and rank C)More flexibility i...

Serves as guidelines for critical care nurses, establishes goals for patient care. - Answer AACN Standards for Acute and Critical Care Nursing Practice What makes delirium different from dementia? - Answer Delirium is fast onset, acute in nature, and there is usually a cause to it. True or False: Delirium is associated with low rates of mortality and morbidity? - Answer False- it is associated with high rates of mortality and morbidity. 3 Types of Delirium and characteristics - An...

Beta blockers - Answer Lower HR by reducing blood pressure and opening blood flow to improve blood flow. Calcium channel blockers - Answer Lower B/P and HR by preventing calcium from entering the heart and blood vessel walls. Atropine - Answer Increases HR Dopamine - Answer Increases HR by improving blood flow Dobutamine - Answer Increases HR by helping the heart pump blood. What medications will the nurse use to treat decreased after load? - Answer Dopamine, epinephri...

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...

P wave - Answer Usually round & upright 0.06 to 0.12 seconds QRS complex - Answer normal duration 0.4 to 0.10 (one small box to 2.5 small boxes) PR interval - Answer normal duration 0.12 to 0.20 ST segment - Answer should be isoelectric the "J point" should come back to baseline 10 times method - Answer count the number of R waves in a 6 second strip and multiply by 10 Big block method - Answer Divide the number of big boxes between 2 consecutive R waves into 300 ...

what happens in fluid overload? - Answer increased HR and blood pressure, decreased hematocrit If your patients central venous pressure decreased what might the condition of your patient be? - Answer Hypovolemia the icu nurse uses a pulmonary artery line (Swan-Ganz) to assess the patients response to fluid & drug administration. Where is the line located? - Answer Right side of heart into branch of pulmonary artery & measures Left ventricular cardiac output fast muffled heart soun...

The expectoration of blood from respiratory tract. - Answer Hemoptysis Aspiration of air and fluid from pleural space Performed for diagnostic or therapeutic purposes - Answer thoracentesis Decrease in arterial oxygen tension in blood. Manifested by changes in mental status, dyspnea, increase in BP, changes in HR, dysrhythmias, central cyanosis, diaphoresis, cool extremities usually leads to hypoxia - Answer hypoxemia Decrease in O2 supply to tissues and cells. - Answer hy...

What is ICP?(intracranial pressure) - Answer Pressure exerted by the volume of the intracranial contents due to cerebral edema resulting in impaired cerebral perfusion What are intracranial contents? - Answer *CSF *Blood *Brain matter What are the causes of ICP? - Answer *Head injury *Infection *Stroke *Brain tumor *Hemorrhage *Viral encephalopathy What is CPP? - Answer cerebral perfusion pressure (MAP-ICP) What is normal CPP? - Answer *Normal CPP 70-100mm <50 in...