ANCC Adult Gerontology Acute Care.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/ANCC%20Adu
ANCC Adult Gerontology Acute Care
Questions & Answers
1. Cardiac Index
Answer 2-4
2. SVR/Afterload
Answer 800-1200
3. MAP
Answer mean CVx80/CO
4. PA pressure
Answer 15-30
5. Wedge PCWP pressure
Answer 6-12
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,ANCC Adult Gerontology Acute Care.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/ANCC%20Adu
6. Hypovolemic Shock Parameters
Answer Preload CVP decreased, SVR afterload in-creased, CI decreased, Oxygen
delivery Decreased, Venous Oxygen saturation increased
7. Types of hypovolemic shock
Answer Hemorrhage, burns, pancreatitis
8. Cardiogenic shock parameters
Answer CVP preload increased, SVR afterload in-creased, CI decreased, oxygen
delivery decreased, SV02 decreased
9. Types of cardiogenic shock
Answer Post mi, malignant dysrhythmia, acute myocarditis
10. Obstructive shock parameters
Answer Preload either, SVR increased, CI decreased,oxygen delivery decreased, SV02
decreased
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,ANCC Adult Gerontology Acute Care.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/ANCC%20Adu
11. Types of obstructive shock
Answer Tension pneumo, cardiac tamponade, PE
12. Distributive shock parameters
Answer Preload CVP decreased, afterload SVR de-creased, CI increased, SV02
decreased, oxygen delivery increased
13. Types of distributive shock
Answer Septic shock, anaphylaxis, neurogenic shock
14. CVP Preload
Answer 2-8
15. Cardiac Output
Answer 4-816.
MAPAnswer 70-90
17. Fractional Excretion of NA <1%
Answer Prerenal state of kidney dysfunction (i.e.dehydration)
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,ANCC Adult Gerontology Acute Care.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/ANCC%20Adu
18. Fractional Excretion of NA >2%
Answer ATN (acute tubular necrosis)
19. CPP equation
Answer MAP-ICP
20. SIADH Hyposmolar hyponatremia "inappropriate water retention"
Answer serum sodium low, serum osmo low <280, urine osmo high >100, no
dehydration, tx restrictfluids
if neuro symptoms give 3%NS
21. 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
22. Serum Osmo
Answer 280
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