Tx of ards - Study guides, Class notes & Summaries

What is the most important sign in a critically ill pt? Why? - Correct answer-Tachypnea Indicates metabolic acidosis w/ respiratory alkalosis compensation A pt misses dialysis for a few days and comes in with fluid overload. He's tachycardic and tachypneic. On physical exam, you find JVD, pulsus paradoxus (20 mmHg drop during inspiration), and HoTN (80/40) with distant, muffled heart sounds. Lungs are clear to auscultation. What is the dx? - Correct answer-Cardiac tamponade; obstructive s...

Right ventricular infarction (RVI) lead changes - II, III, AVF R ventricular infarction s/s - clear breath sounds, hypotension, JVD. R ventricular dilation and dec contractility>> dec preload and CO Reperfusion therapy standard - Within 60 min of ED arrival Common causes of PEA - Hypoxia, tension pneumo, cardiac tamponade BNP as a marker - of L ventricular dysfunction bc ventricles make BNP and an inc of over 100 pg/ml indicates symptomatic HF Transcutaneous pacing (TCP) - ...

Comprehensive CRNA Interview Review Accurate responses are given. Comprehensive CRNA Interview Review Norepinephrine Mechanism of Action (MOA) A1, A2, B1 agonist. Primary agent used in distributive shock because it's ability to recruit venous volume and augment preload, while increasing arterial tone, and increasing cardiac output. Alpha one causing peripheral smooth muscle contraction. (low dose venous, high dose venous and arterial). Alpha 2 adrenoreceptor agonism actually ant...

Threatened Abortion correct answers Vaginal bleeding <20 weeks S/S- closed cervix and mild cramping Inevitable Abortion correct answers Bleeding with continuous dilation, without expulsion of fetal products. <20 weeks Vaginal bleeding and cramping, watch for hemorrhage May need D&C Incomplete Abortion correct answers Partial expulsion of conception products <20 weeks Bleeding and cramping but not all products have passed. Will need D&C Spontaneous/Complete Abortion co...

Disease NCLEX PN Latest 2023 Already Graded A Pulmonary Valve Stenosis is a condition in which a deformity on or near your pulmonary valve, the valve that influences the blood flow from your heart to your lungs, slows the blood flow. Cx: COngenital, endocarditis, rheumatic fever (A disease that can result from inadequately treated strep throat or scarlet fever) Sx: fainting, SOB, Palpitations, cuanosis, poor wt gain Tests: cardiac cath, ECG, CXR, Echocardiogram Tx: prostaglandins, dieuretics...

Respiratory Therapy - Lindsey Jones/Clinical Simulations 459 Questions with Verified Answers Information Gathering - Emphysema: (Abnormal condition of the alveoli resulting destruction and loss of elasticity) - CORRECT ANSWER LEVEL I : Cyanosis, Barrel chest, increased A-P diameter, Accessory muscle use, Digital clubbing of the nail beds, Significant history of smoking and/or occupational exposure to smoke or other pulmonary irritant LEVEL II : Dyspnea, Wheezing breath sounds LEVEL III ...

Pulmonary Valve Stenosis is a condition in which a deformity on or near your pulmonary valve, the valve that influences the blood flow from your heart to your lungs, slows the blood flow. Cx: COngenital, endocarditis, rheumatic fever (A disease that can result from inadequately treated strep throat or scarlet fever) Sx: fainting, SOB, Palpitations, cuanosis, poor wt gain Tests: cardiac cath, ECG, CXR, Echocardiogram Tx: prostaglandins, dieuretics, anti-arrythimics, blood thinners, va...

Respiratory Failure/Arrest • ARDS o Life threatening acute hypoxemic respiratory failure WITHOUT signs of heart failure o Pao2/FIo2 ≤200 mm Hg o MC develops in critically ill pts (MC while in hospital) oAcute: hours-days afterinciting event (sepsis MCC) o Pro-inflammatory cytokines à inflammatory lung injury à diffuse alveolar damage à permeability of alveolar capillary barrier à pulm edema, loss of surfactant, vasculardamage à ¯ blood oxygenation o Sxs: rapid onset of profou...

Deteriorating mental status/unconscious patient ABC's IOM's - *A*irway security *B*reathing *C*irculation *I*V access *O*2 saturation *M*onitor vitals Acute Respiratory Distress Syndrome - ↓ PaO2 and ↑ PaCO2 from fluid collapsing the *alveoli* MCC: 6-72 hrs s/p *Sepsis* Associated w/ Renal & Hepatic failure ↓ BP or shock w/ crackles, rales, wheezing Tx: Mechanical Vent w/ *PEEP* Anaphylaxis (Type 1 Hypersensitivity) - Upper airway obstruction Urticaria Bronchospasm ...

ADULT NEURO NCLEX QUESTIONS AND ANSWERS (437 QUESTIONS) 2024/2025 (VERIFIED ANSWERS). is common after anesthesia Correct Answer: Diminished gag reflex Altered in moods (anxiety, agitation) will resolve as it wears off Drowsiness and somnolence during purposeful interaction- following commands cause of botulism Correct Answer: Improperly canned foods Block acetylcholine cause muscle paralysis; descending flaccid paralysis (face downward), dysphasia, constipation Occur if small infant (&lt...