Exam (elaborations)
Nursing (1)
Exam of 8 pages for the course NUR 266 at NUR 266 (Nursing (1))
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NursingRule of B's - CORRECT ANSWER-Bicarb Both Bolic-if pH&bicarb are in same direction, its
metabolic.
If one is normal-they are NOT the same and its respiratory.
S&S of acid-base imbalance - CORRECT ANSWER-as the pH goes, so does my patient except
for potassium
UP: (alkolosis):decreased K+, highest risk for seizures-suction @ bedside
DOWN: (acidosis): increased K+, highest risk for respiratory arrest-ambu bag@ bedside
Borborygmy - CORRECT ANSWER-Increased bowel sounds(over 60)
Kussmaul breathing - CORRECT ANSWER-MCkussmaul-only see w/Metabolic aCidosis
Causes of acid base imbalances - CORRECT ANSWER-if problem is *lung* related, its
respiratory. Anything that is not lung is Metabolic Acidosis.
pt w/ prolonged gastric vomiting/suction=metabolic ALKalosis
Ventilation - CORRECT ANSWER-if pt is OVER ventilating = alkalosis
if pt is Under ventilating= acidosis
Kornikies & Korsikofs - CORRECT ANSWER-induced by vitamin B1 deficiency
s/s- amnesia and fabrication
uppers/downers - CORRECT ANSWER-caffeine,cocaine, PCP/LSD, methamphetamines, adderall
anything else are downers
s/s of uppers - CORRECT ANSWER-uppers make you go up-euphoria,tachy, restlessness,+3/+4
reflexes,borborygymy,irritability,seizures
s/s of downers - CORRECT ANSWER-downers make you go down-lethargy, resp.
depression/arrest (ambu bag @ bedside)
is the ? a withdrawal (s/s are opposite from drug) - CORRECT ANSWER-The body doesn't have
enough!
Too little (upper) makes everything go down
Too little (downer) makes everything go up
#1 priority in withdrawal/OD - CORRECT ANSWER-Resp. depression/arrest in downer OD/upper
withdrawal
Seizures in upper OD/downer withdrawal
Aminoglycosides - CORRECT ANSWER-"A mean old mycin"
antibiotic for drug-resistant, gram (-), life-threatening infections.
3 mycins that DON'T count - CORRECT ANSWER-Erythromycin, zithromycin, clarithromycin
if it has "thro" mycin, throw it off the list
BEST indicator for kidney/renal function - CORRECT ANSWER-Creatinine
, T.A.P - CORRECT ANSWER-Trough, Administer, Peak
When to draw troughs - CORRECT ANSWER-30 min. before administration no matter the route
When to draw peaks - CORRECT ANSWER-(Sublingual) 5-10 min after dissolved
(IV) 15-30 min. after finished
(IM) 30-60 min. after
Calcium channel blockers and Beta Blockers are like... - CORRECT ANSWER-"Valium for the
heart"
relax/calm down the heart
Think the letter "A" with CCBs - CORRECT ANSWER-Antihypertensive, anti-Angina(decrease 02
demand), Anti-Atrial arrhythmic
Think the letter "H" for s/s of CCBs - CORRECT ANSWER-Headache and Hypotention
CCB endings - CORRECT ANSWER-"Dapines" + Verapamil +Cardizem(continuous IV but watch
systolic under 100)
"dipping into the Calcium Channel"
Cardiac Strips - CORRECT ANSWER-Normal Sinus Rhythm- equal distant peaks of P-waves
V-fib- Chaotic squiggly line
V-tach- Sharp peaks w/ pattern
QRS DE-polarization - CORRECT ANSWER-Ventricular
P-wave - CORRECT ANSWER-Atrial
"lack of QRS" - CORRECT ANSWER-asystole
"Saw tooth" - CORRECT ANSWER-always means flutter
"Chaotic" - CORRECT ANSWER-always means fibrillation
"Bizzare" - CORRECT ANSWER-always means tachycardias
Asystole and V-fib - CORRECT ANSWER-NO CARDIAC OUTPUT
lethal arrhythmias-will be dead in less than 8 minutes
Ventricular arrythmias treatment - CORRECT ANSWER-Lidocaine or *Amiodarone*
SVT/Atrial arrhythmias treatment - CORRECT ANSWER-ABCDs
Adenosine(slam less than 8 secs), Beta-Blockers, Calcium Channel Blockers, Digoxin(Lanoxin)
Asystole treatment - CORRECT ANSWER-epinephrine then atropine
Chest tube locations - CORRECT ANSWER-A for A- Apical for Air removal (placed higher up)
B for B- Basilar for Blood removal (placed lower)
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