Vasopressor iv therapy - Study guides, Class notes & Summaries

A client who has septic shock is admitted to the hospital. What priority intervention does the nurse implement first? a. Obtain two sets of blood cultures. b. Administer the prescribed IV vancomycin (Vancocin). c. Obtain central venous pressure (CVP) measurements. d. Administer the prescribed IV norepinephrine (Levophed) a. Obtain two sets of blood cultures. Blood cultures should be obtained before IV antibiotics are started. If hypotension occurs, fluid resuscitation is used first. C...

RBC - ANSWER-females 4.2-5.4 million males 4.7-6.1 million decrease RBC - ANSWER-anemia WBC - ANSWER-5,000-10,000 elevated WBC - ANSWER-infection decreased WBC - ANSWER-immunosuppression Iron - ANSWER-females 60-160 mcg males 80-180 elevated iron - ANSWER-hemochromatosis, iron excess liver disorder, magaloblastic anemia decreased iron - ANSWER-anemia or hemorrhage platelets - ANSWER-150,000-4000,000 increased platelets - ANSWER-malignancy or polycythemia vera decreased platelets - A...

Hyperthyroidism/Grave's Disease/Thyrotoxicosis/"Thyroid Storm" (pg.111) - Answer Patient presents with weight loss, palpitations, nervousness, heat intolerance Exophthalmos (AKA proptosis) 'bulging of the eye' AVOID Aspirin (ASA) - Prevents binding of thyroglobulin, making the situation worse Treatment: IV Fluids 1st, Beta Blockers (Propanolol), Steroids (Dexamethasone), and Tylenol for fever. Septic Shock (pg.113) - Answer Someone who is in shock second degree to sepsis (in...

nutrition therapy correct answers refers specifically to the provision of either EN by enteral access device and/or PN by central venous access standard therapy STD correct answers refers to provision of intravenous IV fluids, no EN or PN, and advancement to oral diet as tolerated in the CC setting, the traditional serum protein markers (albumin, prealbumin, transferrin, retinol-binding protein) are a reflection of the ____ - ____ _______, and do not accurately represent ___ status in the ...

NSG 233 Med Surge 3 Final Exam with 100% Correct Answers Chest Trauma- Complications -Answer-Flail chest is frequently a complication of blunt chest trauma, which may occur from a steering wheel injury, motor vehicle crash involving a pedestrian or cyclist, a significant fall onto the chest, or an assault with a blunt weapon. As with rib fracture, treatment of flail chest is usually supportive. Management includes providing ventilatory support, clearing secretions from the lungs, and cont...

Isotonic IV fluids NS And lactated Ringers Are used as fluid replacement for fluid volume deficit Serum phenytoin 10-20 mcg/ml Normal glucose Infant 40-60mg/dl Normal resp for infant 30-60 Normal temp for infant 97.7-99.7 What is the antidote for norepinephrine? Phentolamine (Regitine) What is autonomic dysreflexia? Life-threatening condition in a client with high spinal cord injury Classic symptoms of autonomic dysreflexia? Severe hypot...

Potassium chloride intravenously is prescribed for a client with hypokalemia. Which actions should the nurse take to plan for preparation and administration of the potassium? Select all that apply. 1. Obtain an intravenous (IV) infusion pump. 2.Monitor urine output during administration. 3.Prepare the medication for bolus administration. 4.Monitor the IV site for signs of infiltration or phlebitis. 5.Ensure that the medication is diluted in the appropriate volume of fluid. 6.Ensure th...

Potassium chloride intravenously is prescribed for a client with hypokalemia. Which actions should the nurse take to plan for preparation and administration of the potassium? Select all that apply. 1. Obtain an intravenous (IV) infusion pump. 2.Monitor urine output during administration. 3.Prepare the medication for bolus administration. 4.Monitor the IV site for signs of infiltration or phlebitis. 5.Ensure that the medication is diluted in the appropriate volume of fluid. 6.Ensure th...

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...

Advanced Med Surg (Med Surg III) Final Exam Respiratory , Neuro, Burns, and Previous Exams Key: III = Important. III = V ery Important. III = Direct answers to questions from the professor ’s previous study guides. 1. Acute Respiratory Distress Syndrome ● T reatment for ARDS: I dentification and treatment of underlying cause, need aggressive and supportive care. ● How to position the patient: Prone position (It is best for oxygenation) Reposition the patient frequent...