Exam (elaborations)
ATI PROCTORED MDC 4 - Final exam review LATEST UPDATE 2021/2022 (1) RATED A+ RASMUSSEN COLLEGE
- Course
- Institution
ATI PROCTORED MDC 4 - Final exam review LATEST UPDATE 2021/2022 (1) RATED A+ RASMUSSEN COLLEGE
[Show more]
Seller
Follow
ACADEMICNURSING001
Reviews received
Content preview
ATI PROCTORED MDC 4 - Final exam reviewLATEST UPDATE 2021/2022 (1) RATED A+
RASMUSSEN COLLEGE
MDC 4 – Final Exam Review
Safety issues in the ED: Pt identification, fall risk, skin breakdown, HAIs, med errors
and adverse events.
Triage: sorting & classifying patients into priority levels depending on
illness/injury severity
- Triage nurse: gatekeeper in the emergency care system
- 3 levels: Emergent, Urgent, Nonurgent
Primary Survey: organizes the approach so immediate threats are rapidly identified
and effectively managed. Use ABC Disability and Exposure
Secondary Survey: comprehensive head-to-toe, identify other injuries. Ex: splint,
Foley, etc.
Disaster: event in which illness/injuries exceed the resources capabilities of
a community or medical facility
Internal disaster: any event inside a health care facility/campus that could endanger
the safety of patients/staff & creates a need for evacuation/relocation
External disaster: any event outside the facility/campus. Somewhere in the
community, requires the activation of the facility’s emergency management plan
Tension Pneumothorax: extreme respiratory distress and cyanosis
• S/S: hypotension, tachycardia/pnea, dyspnea, sharp cx pain, cyanotic
• Tx: needle thoracostomy (2nd intercoastal midclavicular space) & cx tube
ATI PROCTORED MDC 4 - Final exam review
LATEST UPDATE 2021/2022 (1) RATED A+
RASMUSSEN COLLEGE
,ATI PROCTORED MDC 4 - Final exam review
LATEST UPDATE 2021/2022 (1) RATED A+
RASMUSSEN COLLEGE
(4th intercoastal space)
Intubation and Ventilation: ET tube in for 10-14 days, longer l/t vocal cord damage
- If the Pt cannot maintain airway after extubation, tracheostomy is needed
- DOPE: Displaced tube, Obstructed tube, Pneumothorax, Equipment problems
- Mouth care q2h w/ chx
Preventing VAP: HOB at least 30º, suctioning, prevent aspiration
- Ulcer/DVT prophylaxis, pulmonary hygiene
High Pressure Alarms causes: - 𝖳 amount of secretions
- Pt coughs, gags, bites the ET tube
- Airway r/t wheezing, bronchospasm, pneumothorax
Multi-casualty vs. Mass casualty event: based upon the scope & scale of the
incident and the number/severity of victims/casualties
Mass casualty event: overwhelms local medical capabilities & may require collaboration
of multiple agencies & health care facilities
Emergency Preparedness: define ways to meet the extraordinary need for beds,
meds, PPE, supplies, and medical devices
Disaster Triage Tag System: • Red: Emergent: class I – immediate threat to life
• Yellow: Urgent: class II – tx within 30min to 2h time frame
ATI PROCTORED MDC 4 - Final exam review
LATEST UPDATE 2021/2022 (1) RATED A+
RASMUSSEN COLLEGE
, ATI PROCTORED MDC 4 - Final exam review
LATEST UPDATE 2021/2022 (1) RATED A+
RASMUSSEN COLLEGE
• Green: Nonurgent: class III – waking wounded, tx > 2h
• Black: Expected: class IV – expected to die or dead
• Neurogenic: loss of tone causes massive vasodilation. Causes: SCI, head
trauma, anesthesia
neurogenic shock is the ONLY bradycardic shock
• Septic: toxins cause massive vasodilation. Causes: gram pos/neg bacteria
• S/S: hypotension, tachycardia, 𝖳 capillary leak
Sepsis: systemic inflammatory response syndrome (SIRS)
• S/S: mild hypotension, low UO, 𝖳 HR, glucose, temp (> 101 or < 96.8), elevated C-
protein
• Tx: fluid resuscitation, Abts, supine
Septic Shock: sepsis induced hypotension persisting despite adequate fluid resuscitation
• Risk factors: reduced immunity, central lines, trauma, invasive procedures
• S/S: CO and BP, UO, lactic acid > 4mmol
• Inter: O2, abts, heparin for DIC
Stages of shock: a) Initial Stage: - Mild vasoconstriction, 𝖳 HR/Resp
- 𝖳 anaerobic metabolism in some tissues w/ production of lactic acid
- Slight increase in DBP
b) Nonprogressive Stage: MAP of 10-15mmHg from baseline
- Moderate vasoconstriction, 𝖳 HR, pulse pressure/UO
• S/S: restlessness, tachycardia, 𝖳 RR, UO, rising DBP, 2-5% in O2,
- Mild acidosis/hyperkalemia
c) Progressive Stage: MAP > 20mmHg from baseline
- Anoxia/ischemia of nonvital organs
- Hypoxia of vital organs
- Feeling of impending doom
• S/S: rapid/weak pulse, low BP, pallor/cyanosis or nail beds/oral mucosa, anuria
ATI PROCTORED MDC 4 - Final exam review
LATEST UPDATE 2021/2022 (1) RATED A+
RASMUSSEN COLLEGE
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 ACADEMICNURSING001. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $23.98. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73314 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now