100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NR 340 CRITICAL CARE FINAL Study Guide, Verified And Correct Study Guide,Latest $12.49   Add to cart
Quickly navigate to
Preview
  2.  
  3. NR 304 Chamberlain College Of Nursing
  4.  
  5. NR 304 Chamberlain college of Nursing

Other

NR 340 CRITICAL CARE FINAL Study Guide, Verified And Correct Study Guide,Latest
 3 views  0 purchase
  • Course
  • NR 304 Chamberlain college of Nursing
  • Institution
  • NR 304 Chamberlain College Of Nursing

NR 340 CRITICAL CARE FINAL Study Guide, Verified And Correct Study Guide,Latest

Preview 2 out of 15  pages

Document information

  • June 18, 2021
  • 15
  • 2020/2021
  • Other
  • Unknown

Subjects

  • latest
  • nr 340 critical care final study guide
  • verified and correct study guide

Written for

  • NR 304 Chamberlain college of Nursing
All documents for this subject (13)

Seller

avatar-seller
HIGHSCORE

Reviews received

Content preview

Critical Care FINAL STUDY GUIDE


 Ethics
o Informed consent
 Competence
 Voluntariness
 Disclosure of information
o Proxy- makes decisions for patient, designated by state

 Comfort and Sedation
o Rapid sequence intubation
 Succinocholine and etomidate
o Conscious sedations
 Versed and fentanyl
o Reversal for fentanyl narcan
o Reversal for versed flumazenil
o Medications
 Benzos
 Versed
 Ativan
 Valium
 Precedex- similar to versed, not as addicting
 Opioids
 Morphine sulfate
 Dilaudid
 Fentanyl
 Druamorph- spinal
 Local anesthetics “-caines”
o Pain scale for sedated patients behavioral pain scale
o Medication for alcohol withdrawl Haldol
 CIWA score relates to treatment given
 The Heart
o Hemodynamics (BP)
 Purpose of hemodynamic monitoring assessment of tissue perfusion
 Swan ganz catheter
 Measures pulmonary capillary wedge pressure (8-12) determines
functioning of the left side of the heart (arterial)
 CVP measures pressure on right side of heart (venous)
 Normal: 2-6
 Indicates patients fluid volume status
 If CVP is low give fluids to correct
 Cardiac Index (CI): 2.5-4.2
 Less than 2 is BAD cardiogenic shock

, o Cardiogenic shock is usually caused by and MI (anterior)
 Low CI caused by trauma, hypovolemic shock
 Interventions: fluids
 Hgb: 12-16
 Hct: 35-45
 WBC: 4-11
 Stroke volume
 Components- preload, afterload, and contractility
o Preload-ventricular filling (volume)
 Diastole (dub)
o Afterload (pressure)
 Contraction
 Systole (lub)
 Low SVI CHF, beta blockers, late septic shock
 High SVI early septic shock, positive inotropes, fever, hypervolemia
 Allen’s testmeasures collateral circulation
 Arterial line/invasive monitoring CHECK CONNECTIONS
 Central line complications: (get x-ray for placement)
 Cardiac dysrhythmias
 Carotid puncture
 Pneumothorax/Hemothorax
 Perforation or r. atrium/ventricle
o Acute coronary Syndrome/EKG (Ch. 12)
 1st intervention for chest pain:
 12 lead EKG
 Angina- caused by ischemia but doesn’t cause cell death
 Stable- occurs with exercise, relieved with rest
 Unstable- may occur at rest
o May show ST depression
o Requires more nitrates
 Prinzmetal- coronary spasms at rest or active
o Treatment- nitrates and calcium channel blockers (-pine)
 MI
 s/s- radiating chest pain, diaphoresis, n/v, SOB
o Women’s- fatigue, diaphoresis, indigestion,
 Laboratory
o Elevated troponin
o Elevated CK-MB (>4.9)
 Treatments
o MONA- morphine, oxygen, nitrogen, aspirin
 Check BP before giving nitro, ask about ED drugs (-fil)
o TPA within 6 hours of onset
 Contraindicated-
o #1 intervention cardiac cath

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller HIGHSCORE. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

78600 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.49
  • (0)
  Add to cart