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CAS Review - Exam 1 - NR 341, complex exam 1 Latest Update Actual Exam 400 Questions and 100% Verified Correct Answers Guaranteed A+ Verified by Professor $25.49   Add to cart

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CAS Review - Exam 1 - NR 341, complex exam 1 Latest Update Actual Exam 400 Questions and 100% Verified Correct Answers Guaranteed A+ Verified by Professor

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CAS Review - Exam 1 - NR 341, complex exam 1 Latest Update Actual Exam 400 Questions and 100% Verified Correct Answers Guaranteed A+ Verified by Professor

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  • September 2, 2024
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CAS Review - Exam 1 - NR 341, complex exam 1
Latest Update 2024-2025 Actual Exam 400
Questions and 100% Verified Correct Answers
Guaranteed A+ Verified by Professor

*CPOT* - CORRECT ANSWER: critical care pain observation tool
-scale of 0 thru 8 used to quantify non-verbal pain
-observe minimum of :01
-greater than 3 indicates pain.
1. Facial: Grimacing-2
2. Body movements: restelessness/ agitation-2
3a. Ventilator compliance (intubated):fighting vent-2
3b. Vocalization (extubated):cyring out/sobbing-2
4. Muscle tension:very tense/ rigid-2


1st degree heart block - CORRECT ANSWER: PR interval >0.20
e/t rheumatic feer, digoxin, beta blocker, inferior MI, Increase vagal tone


A shunt


occurs when?


two types? - CORRECT ANSWER: occurs when blood leavers the heart without getting
gas exchange


1.anatomic: ventriocular septal defect

,2. Intrapulmonary: blood flows through pulmonary capillaries without getting gas
exchange. occurs during ARDS,


A: Assessment of pain - CORRECT ANSWER: -regional anesthesia/ nonopioid adjuncts
-analgesia-based sedation tech. w/ fentanyl


ABG ranges - CORRECT ANSWER: pH 7.35-7.45
PaCO2 35-45
HCO3 22-26
PaO2 80-100


absolute refractory period - CORRECT ANSWER: -muscle cell is depolarized so cannot
respond to another stimulus


AC Mode of Ventilation - CORRECT ANSWER: -*go to mode*
-volume control, set to 500-600mL
-same volume w/ every breathe
-monitor press (low 20's)
-Pt can take more breathes than what is set (set: 15, Pt takes 10 = 25 =>
Hyperventilation
Concern:
-Hyperventilation
-Resp. Alk.
ex:
Vt: 6-8L/ kg (with ideal weight) = 500mL
RR: 12-20
PEEP: 0-5
FiO2: 100%
Flow: 40-60L/min

,Acid base relationship with Resp. distress - CORRECT ANSWER: -starts as Resp. alk
-ends with Resp. acidosis


acute respiratory failure:




define? - CORRECT ANSWER: results when one of both o2 and co2 is impaired. as in
insufficent o2 transferred to blood to insufficent co2 removed from the lungs


Adenosine - CORRECT ANSWER: -MOA: slows conduction of AV node and interrupts
AV nodal reentry circuits
-Admin: A/C IV site, 6 mg pushed rapidly followed by 20 mL NS, can repeat with 12mg
-Tx: fast atrial rhythms, slow down, may convert
-nursing implications: Pt may asystole for 15 seconds, educate Pt, chest pain,
headache, if asthma: may complain of chest tightness/ bronchospasm


adjuncts to general anesthesia:


benzos: midazolam, diazepam, lorazepam:


MOA?


careful with what other drug?


reverse drug? - CORRECT ANSWER: reduce anxiety, induce and maintain anesthesia,
induce amnesia (loss of memory), treat emergence delirium, supplement regional
anesthesia

, -synergistic effect with opioids increasing potential for RR depression, low BP, sedation
and confusion


flumazenil


adjuncts to general anesthesia:


neuromuscular blocking agents: Depolarizing agents like Succinylcholine:


good for what?


side effects? - CORRECT ANSWER: -ETT, by promoting skeletal muscle relaxation
(paralysis)


Resp muscle paralysis, confusion, N/V, weakness


adjuncts to general anesthesia:


neuromuscular blocking agents: Depolarizing agents like Succinylcholine:


if intubated monitor?


reverse drug? - CORRECT ANSWER: return of muscle strength, LOC, ventilation


maintain patients airway until able to cough and return muscle strength


neostigmine (prostigmin)


adjuncts to general anesthesia:

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