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FCCN 1 Updated /155 Complete Questions And Answers Download To Pass!!!!!
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- FCCN 1 Updated 2023-2024
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- FCCN 1 Updated 2023-2024
FCCN 1 Updated /155 Complete Questions And Answers Download To Pass!!!!!
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FCCN 1 Updated 2023-2024 /155 Complete QuestionsAnd 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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