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FCCN 1 Updated /155 Complete Questions And Answers Download To Pass!!!!!

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FCCN 1 Updated /155 Complete Questions And Answers Download To Pass!!!!!

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  • October 25, 2023
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  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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FCCN 1 Updated 2023-2024 /155 Complete Questions
And Answers Download To Pass!!!!!
Quiz :assessment of perfusion - Answer :oxygenation/ventilation
pulses
blood pressure
skin
kidneys (UOP)
sensorium (LOC)

Quiz :oxygenation - Answer :SPO2 assesses oxygenation

nasal cannula and oxygen masks help oxygenate

Quiz :ventilation - Answer :need to look at pCO2 on ABG to assess ventilation

ventilation is about how fast and/or deep a patient breathes

BiPAP masks, Ambu bags, and ventilators help ventilate

Quiz :patients can have good __________, but not be _____________ adequately
- Answer :oxygenation; ventilating

Quiz :Systolic - Answer :pressure on arterial wall during ventricular contraction

increases in cardiac output/force of contraction with exercise will increase SBP,
but not necessarily DBP

Quiz :diastolic - Answer :pressure during ventricular relaxation

vasomotor tone of arterioles and venules

basically "how clamped down" a patient is

Quiz :dilated arteries decrease - Answer :DBP

Quiz :_____________ arteries increase DBP - Answer :constricted

,Quiz :mean - Answer :average pressure for circulation

normal 70-105 mmHg

MAP <60 inadequate

Quiz :preload = - Answer :volume

how "wet" or "dry" a patient is

Quiz :afterload = - Answer :resistance

how "clamped down" or "dilated" a patient is

Quiz :contractility = - Answer :squeeze

how much "squeeze" the heart has

Quiz :edema - Answer :not part of the intravascular volume, can have a lot of
edema and still be dehydrated

Quiz :Physical assessment for preload - Answer :thirsty? Dry mucous
membranes? Concentrated urine? Cool and clamped down?

Quiz :vein constriction increases - Answer :preload (CVP)

Quiz :vein dilation _______________ preload (CVP) - Answer :decreases

Quiz :optimizing preload: if preload is low (pt is dry) give - Answer :crystalloids
(IV fluids)
colloids (albumin)
blood (PRBCs, plasma)

Quiz :optimizing preload: If preload is high (pt is wet) give - Answer :diuretics
(lasix)
vasodilators (dilate veins)

, dialysis (hemodialysis, CRRT)

Quiz :your patient is experiencing angina. The provider requests nitroglycerin SL
be given. What do you anticipate will happen? - Answer :blood pressure will
decrease and preload will decrease

Quiz :optimizing afterload: High after load = - Answer :constricted arteries or
"clamped down"
- decreases forward flow, cardiac output

Quiz :conditions that affect afterload - Answer :hypothermia, hypovolemia,
cardiogenic shock

Quiz :physical assessment for high afterload - Answer :cool extremities, pale,
mottled

Quiz :treatment for high afterload - Answer :ACE inhibitors, ARBs, morphine, re-
warm if patient is cold

Quiz :optimizing afterload = low afterload - Answer :dilated arteries

Quiz :conditions that cause low afterload - Answer :sepsis, neurogenic shock

Quiz :physical assessment for low afterload - Answer :flushed red skin, low BP

Quiz :treatment for low afterload - Answer :transfer to ICU for vasoconstrictors

ex. after first giving fluids to optimize preload, a septic patient may require
vasoconstrictors to increase afterload

Quiz :optimize perfusion: Contractility - Answer :if CO is low after fixing
preload/afterload, a septic patient may require vasoconstrictor to increase
afterload. Only positive oral inotrope is digoxin This is a weak inotrope. Strong IV
inotropes can be given in the ICU.

Quiz :First step in optimizing perfusion - Answer :consider fluid status - too wet,
too dry, or just right (preload)

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