100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
ANCC Adult Gerontology Acute Care Exam Study Guide. $11.49   Add to cart

Exam (elaborations)

ANCC Adult Gerontology Acute Care Exam Study Guide.

 6 views  0 purchase
  • Course
  • Ancc
  • Institution
  • Ancc

ANCC Adult Gerontology Acute Care Exam Study Guide. Cardiac Index - answer2-4 SVR/Afterload - answer800-1200 MAP - answermean CVx80/CO PA pressure - answer15-30 Wedge PCWP pressure - answer6-12 Hypovolemic Shock Parameters - answerPreload CVP decreased, SVR afterload increased, CI decreased...

[Show more]

Preview 3 out of 27  pages

  • September 27, 2024
  • 27
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Ancc
  • Ancc
avatar-seller
Brainbarter
©BRAINBARTER 2024/2025




ANCC Adult Gerontology Acute Care Exam
Study Guide.


Cardiac Index - answer✔2-4

SVR/Afterload - answer✔800-1200

MAP - answer✔mean CVx80/CO

PA pressure - answer✔15-30

Wedge PCWP pressure - answer✔6-12

Hypovolemic Shock Parameters - answer✔Preload CVP decreased, SVR afterload increased, CI
decreased, Oxygen delivery Decreased, Venous Oxygen saturation increased

Types of hypovolemic shock - answer✔Hemorrhage, burns, pancreatitis

Cardiogenic shock parameters - answer✔CVP preload increased, SVR afterload increased, CI
decreased, oxygen delivery decreased, SV02 decreased

Types of cardiogenic shock - answer✔Post mi, malignant dysrhythmia, acute myocarditis

Obstructive shock parameters - answer✔Preload either, SVR increased, CI decreased, oxygen
delivery decreased, SV02 decreased

Types of obstructive shock - answer✔Tension pneumo, cardiac tamponade, PE

Distributive shock parameters - answer✔Preload CVP decreased, afterload SVR decreased, CI
increased, SV02 decreased, oxygen delivery increased

Types of distributive shock - answer✔Septic shock, anaphylaxis, neurogenic shock

CVP Preload - answer✔2-8

Cardiac Output - answer✔4-8

MAP - answer✔70-90

, ©BRAINBARTER 2024/2025


Fractional Excretion of NA <1% - answer✔Prerenal state of kidney dysfunction (i.e.
dehydration)

Fractional Excretion of NA >2% - answer✔ATN (acute tubular necrosis)

CPP equation - answer✔MAP-ICP

SIADH Hyposmolar hyponatremia "inappropriate water retention" - answer✔serum sodium low,
serum osmo low <280, urine osmo high >100, no dehydration, tx restrict fluids
if neuro symptoms give 3%NS

DI Hyperosmolar hypernatremia dry - answer✔Serum sodium high, serum osmo high >290,
urine osmo low <100, urine spec grave 1.005 (urine is like water), urine sodium >20,
dehydration, if serum Na >150 give D5W to replace ½ volume deficit in 12-24 hours, avoid
rapid lowering of Na, DDAVP for acute situations

Serum Osmo - answer✔280

Urine Osmo - answer✔300-800

Sodium - answer✔~140

Total cholesterol - answer✔<200

Triglycerides - answer✔<150

HDL - answer✔>40

LDL - answer✔<100

Management of pulm edema - answer✔02, sitting up, morphine 2-4mg, Lasix 40, another Lasix
40 if needed

Left heart failure - answer✔LUNGS, dyspnea at rest, rales, wheezing, generally healthy except
acute event, S3, murmur of mitral regurg

Right heart failure - answer✔JVD, hepatomegaly, peripheral edema

MR ASS - answer✔Mitral regurg, aortic stenosis, systolic murmurs

MS ARD - answer✔Mitral Stenosis, aortic regurg, diastolic

Mitral murmur locations - answer✔5th ICS, apex

Aortic murmur locations - answer✔2nd or 3rd ICS, base

S1 - answer✔AV valves closed, SL open

, ©BRAINBARTER 2024/2025


S2 - answer✔SL closed, AV open

Cardiac blood flow - answer✔SVC,RA, tricuspid, RV, pulmonic valve, pulmonary artery, lungs,
pulmonary veins, LA, mitral, LV, Aortic valve, aorta, body

Cushing's - answer✔Moon face, buffalo hump, hypertension, HYPERglycemia,
HYPERnatremia, HYPOkalemia, tx depends on cause (stop meds, tumor)

Addison's ADRENOcorticoid deficiency - answer✔Remember: SEX, SALT, and SUGAR
Deficient cortisol, androgens, and aldosterone, hyperpigmentation in buccal mucosa, tanning,
HYPOtension, scant hair, HYPOglycemia, HYPOnatremia, HYPERkalemia, cosyntropin is the
rule out for addison's, manage: referral, glucorticoid, hydrocortisone, fludrocortisone inpatient:
hydrocortisone and fluids

HYPERthyroidism/Grave's - answer✔TSH LOW, T3 High, Grave's Disease, bulgy eyes, weight
loss, fine thin hair, smooth skin, a fib
Specialist referral, propranolol, methimazole, PTU, lugol's

Thyroid crisis - answer✔PTU or Methimazole with adjunct within 1 hour Lugol's propranolol,
hydrocortisone
No ASA

Hypothyroidism - answer✔(TSH assay most sensitive test) TSH ELEVATED, T4 LOW
hasimototo's most common, LOW AND SLOW, cold intolerance, weight fain, brittle nails,
brady, hypoactive BS, Levothyroxine 50-100mcg

Myxedema Coma - answer✔AIRWAY, fluid replacement PRN, levothyroxine 400mcgIVx1

Subacute thyroiditis - answer✔Treated symptomatically with propanonlol

Pheocromocytoma - answer✔Labile hypertension, TSH normal, postural hypotension, plama-
free metanephrines to rule out, CT to confirm, surgical removal, postop: hypotension, adrenal
insufficiency, hemorrhage


urine catecholamines, alpha blockers phentolamine

DKA - answer✔-intracellular dehydration, kussmaul, hyperglycemia >250, ketonemia,
hyperkalemia


Management: 1L first hour>500ml/hr, 0.1/kg/hr, glucose <250 change to D51/2

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Brainbarter. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $11.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

75323 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$11.49
  • (0)
  Add to cart