CRITICAL CARE HESI HINTS
an unexpected, catastrophic pulmonary complication with no previous pulmonary problems -
ANSARDS
ARDS mortality rate: - ANS50% (high)
interventions to prevent complications of vented patients with ARDS: - ANSelevate HOB to at
least 30 degrees
sedation vacations
strict oral hygiene
implement mobilization program
increased risk and mortality rate from ARDS in individuals who have a history of
_____________ - ANSalcohol abuse
suction only when ______________ - ANSsecretions are present
before drawing a sample for ABGs from the radial artery, perform the ___________ to assess
collateral circulation - ANSallen test
infants and young adults __________ during expiration as respiratory distress begins; this is
how the body attempts to create a form of PEEP - ANSgrunts
a child in severe distress should be on what percent oxygen? - ANS100
signifies respiratory failure: - ANSPCO2 greater than 45
PO2 less than 60
((ON 50% OXYGEN))
three most common symptoms of respiratory failure: - ANSdyspnea/tachypnea
intercostal and sternal retractions
cyanosis
early signs of shock: - ANSagitation and restlessness
(from cerebral hypoxia)
all types of shock can lead to ___________ and result in ____________ - ANSSIRS
MODS
, if cardiogenic shock exists in the presence of pulmonary edema (i.e., from pump failure), how
should you position the client to REDUCE venous return? - ANShigh-fowler with legs down
IABP balloon should inflate during __________ - ANSdiastole
(P wave spike on ECG)
monitor IABP tubing for what? - ANSblood backup
all vasopressor and vasodilator drugs are potent and dangerous and require ______________ -
ANStitration
most common type of shock - ANShypovolemic
drug used for the treatment of DIC - ANSheparin
lab values for DIC - ANSPT & PTT prolonged
decreased platelets
how to correct acidosis: - ANSincrease ventilation
first drug used for an in-hospital cardiac arrest: - ANSepinephrine
a patient in cardiac arrest is noted on the bedside monitor to be in pulseless v tach. what is the
first action that should be taken? - ANSdefibrillate
hyperosmolar solution that should be administered IV: - ANSdextrose 10%
isotonic solution used for irrigation with intermittent IV medication - ANSnormal saline
use only __________ solutions in irrigations (bladder irrigation, IV flushes, etc.) - ANSisotonic
lab value directly related to the metabolic function of the liver and the excretory function of the
kidneys - ANSBUN
in fluid volume deficit, urine osmolality and specific gravity ___________ - ANSincrease
a low _______ level often accompanies a low K+, especially with the use of diuretics -
ANSmagnesium
if an IV catheter is suspected as the causative factor of sepsis, ensure that the tip of the
removed catheter is: - ANSplaced in a sterile container to be sent down to the lab for culture,
along with the ordered blood cultures
an unexpected, catastrophic pulmonary complication with no previous pulmonary problems -
ANSARDS
ARDS mortality rate: - ANS50% (high)
interventions to prevent complications of vented patients with ARDS: - ANSelevate HOB to at
least 30 degrees
sedation vacations
strict oral hygiene
implement mobilization program
increased risk and mortality rate from ARDS in individuals who have a history of
_____________ - ANSalcohol abuse
suction only when ______________ - ANSsecretions are present
before drawing a sample for ABGs from the radial artery, perform the ___________ to assess
collateral circulation - ANSallen test
infants and young adults __________ during expiration as respiratory distress begins; this is
how the body attempts to create a form of PEEP - ANSgrunts
a child in severe distress should be on what percent oxygen? - ANS100
signifies respiratory failure: - ANSPCO2 greater than 45
PO2 less than 60
((ON 50% OXYGEN))
three most common symptoms of respiratory failure: - ANSdyspnea/tachypnea
intercostal and sternal retractions
cyanosis
early signs of shock: - ANSagitation and restlessness
(from cerebral hypoxia)
all types of shock can lead to ___________ and result in ____________ - ANSSIRS
MODS
, if cardiogenic shock exists in the presence of pulmonary edema (i.e., from pump failure), how
should you position the client to REDUCE venous return? - ANShigh-fowler with legs down
IABP balloon should inflate during __________ - ANSdiastole
(P wave spike on ECG)
monitor IABP tubing for what? - ANSblood backup
all vasopressor and vasodilator drugs are potent and dangerous and require ______________ -
ANStitration
most common type of shock - ANShypovolemic
drug used for the treatment of DIC - ANSheparin
lab values for DIC - ANSPT & PTT prolonged
decreased platelets
how to correct acidosis: - ANSincrease ventilation
first drug used for an in-hospital cardiac arrest: - ANSepinephrine
a patient in cardiac arrest is noted on the bedside monitor to be in pulseless v tach. what is the
first action that should be taken? - ANSdefibrillate
hyperosmolar solution that should be administered IV: - ANSdextrose 10%
isotonic solution used for irrigation with intermittent IV medication - ANSnormal saline
use only __________ solutions in irrigations (bladder irrigation, IV flushes, etc.) - ANSisotonic
lab value directly related to the metabolic function of the liver and the excretory function of the
kidneys - ANSBUN
in fluid volume deficit, urine osmolality and specific gravity ___________ - ANSincrease
a low _______ level often accompanies a low K+, especially with the use of diuretics -
ANSmagnesium
if an IV catheter is suspected as the causative factor of sepsis, ensure that the tip of the
removed catheter is: - ANSplaced in a sterile container to be sent down to the lab for culture,
along with the ordered blood cultures
