high amount of UO (100/hr-ish) and not just in neuro patients - Correct Answer-diabetes
insipidus
chest pain and possible MI - Correct Answer-look for ST elevation
blunt injury on chest from MVA or pericarditis or CV surgery - Correct Answer-elevated trops / cardiac enzymes
elevated trops / cardiac enzymes not seen in - Correct Answer-CHF
cardiogenic shock goal - Correct Answer-increased CO
nipride and dobutamine = - Correct Answer-decreased preload, decreased afterload, and increased contractility
STOP tpa if you see a - Correct Answer-change in LOC
normal CVP - Correct Answer-2-6
normal wedge pressure - Correct Answer-6-12
CVP and wedge waveforms - Correct Answer-look alike, but need to look at the number
it correlates with
pulmonary artery pressure norm - Correct Answer-25s/10s (quarters over dimes)
how to know an art waveform - Correct Answer-dicrotic notch
apply pressure for _______ min after artery catheter removal - Correct Answer-8-10 min
high cvp = - Correct Answer-R sided HF
wedge represents (aka increase in paop=) - Correct Answer-L ventricle = L V failure
afib med - Correct Answer-dilt/cardizem
block: - Correct Answer-symptomatic complete heart block
drug that can be very necrotizing to tissue - Correct Answer-dopamine; WANT central line! R on T phenomenon ( aka don't want strong ventricular waveform on a t wavE) - Correct
Answer-can put a person into vtach/vfib
failure to capture * - Correct Answer-spike but no QRS
failure to sense - Correct Answer-spike after QRS
med for sustained vtach with a pulse - Correct Answer-amiodarone
vtach looks like - Correct Answer-
complete heart block - Correct Answer-3rd degree; p's do not associate with QRS
complete heart block and HoTN - Correct Answer-transcutaneous pacer
symptomatic sustained Aflutter - Correct Answer-cardioversion
1st shock = - Correct Answer-150 joules
asystole med - Correct Answer-epinephrine
antedote for heparin - Correct Answer-protamine sulfate
deepening ICP characterized by - Correct Answer-wide pulse pressure
positive babinski - Correct Answer-abnormal
DKA - Correct Answer-deep, rapid breats and fruity odor
stress increases - Correct Answer-insulin demand; therefore, increases blood sugar
physiological stress response in ICU - Correct Answer-decrease UO
regular insulin peak - Correct Answer-2-4 hours
NPH insulin peak - Correct Answer-4-8 hours
adverse effect of rewarming - Correct Answer-vasodilation aka HoTN
UO = - Correct Answer-30 ml/hr
renal diet - Correct Answer-low potassium, low sodium, low protein
renal pt with a K of 7.0 - Correct Answer-peaked T wave