ICP External Ventricular Drain Monitoring Quiz
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Questions and Answers

What is the Stepdown Catheter inserted into the ventricle also known as?

  • GCS monitor
  • EVD monitor
  • Ventriculostomy catheter (correct)
  • ICP monitor ICU

    • When is an External Ventricular Drain (EVD) typically inserted?

  • When GCS is fluctuating
  • When GCS is high
  • When GCS is normal
  • When GCS is low (correct)

    • What does ICP stand for in the context of monitoring EVD?

  • Intracranial Pressure (correct)
  • Intermittent Cranial Puncture
  • Internal Cerebral Perfusion
  • Invasive Cranial Procedure

    • What does ICP stand for in the context of monitoring EVD?

    <p>Intracranial Pressure</p> Signup and view all the answers

    What is another term for External Ventricular Drain (EVD)?

    <p>Ventriculostomy</p> Signup and view all the answers

    When is an External Ventricular Drain (EVD) typically inserted?

    <p>When GCS is low</p> Signup and view all the answers

    Which term best describes an illness that is long-term and usually requires treatment for the rest of one's life?

    <p>Chronic illness</p> Signup and view all the answers

    What is the major difference between acute and chronic illnesses?

    <p>Duration of symptoms</p> Signup and view all the answers

    At any age, individuals can be diagnosed with:

    <p>Both acute and chronic illnesses</p> Signup and view all the answers

    What is a characteristic of acute illnesses?

    <p>They are usually quick and very treatable</p> Signup and view all the answers

    What distinguishes acute illnesses from chronic conditions?

    <p>Acute illnesses affect one bodily area and respond well to treatment, while chronic conditions involve multiple systems and have an uncertain future.</p> Signup and view all the answers

    What role do nurses play in the context of chronic illness?

    <p>Nurses play a vital role in helping people with chronic illness and their family caregivers cope with the condition.</p> Signup and view all the answers

    What do the terms 'acute' and 'chronic' suggest about illnesses?

    <p>The terms suggest the types and duration of treatment needed for an illness.</p> Signup and view all the answers

    What does 'acute' mean in the context of medical conditions?

    <p>'Acute' does not mean new, severe, or fatal, but rather that symptoms have developed quickly and require medical intervention.</p> Signup and view all the answers

    Can an acute condition become chronic, or vice versa?

    <p>Yes, an acute condition can sometimes become chronic, and a chronic condition may suddenly present with acute symptoms.</p> Signup and view all the answers

    What happens to certain infections over time?

    <p>Certain infections progress from an acute phase to a chronic phase, lying dormant for years before manifesting with severe acute complications.</p> Signup and view all the answers

    What can most chronic diseases lead to if left untreated?

    <p>Most chronic diseases can lead to an acute event if left untreated, for example, atherosclerosis leading to a heart attack or stroke.</p> Signup and view all the answers

    Can labeling an illness as acute or chronic predict outcomes?

    <p>No, labeling an illness as acute or chronic cannot predict outcomes.</p> Signup and view all the answers

    How does the non-specificity of definitions affect healthcare providers?

    <p>The non-specificity of definitions affects healthcare providers by leading to confusion and discrepancies in evaluating the course of a disease.</p> Signup and view all the answers

    What does the Department of Health and Human Services (HHS) list as chronic diseases?

    <p>20 diseases, including stroke, autism, and cancer</p> Signup and view all the answers

    How does the definition of chronic differ between the HHS and the Centers for Medicare and Medicaid Services (CMMS)?

    <p>HHS uses it for public health surveillance while CMMS uses it for healthcare utilization purposes</p> Signup and view all the answers

    Why can the seemingly random application of terms like 'acute' and 'chronic' create confusion?

    <p>Because there is no consistent definition that fits all purposes</p> Signup and view all the answers

    What is the argument made by some health experts regarding the definitions of 'acute' and 'chronic'?

    <p>They advocate for a simpler approach that expresses the concepts behind the terms more generally</p> Signup and view all the answers

    According to Merriam-Webster's dictionary, how are 'acute' and 'chronic' defined?

    <p>'Acute' is defined as severe and of short duration, while 'chronic' is defined as persisting for a long time or constantly recurring</p> Signup and view all the answers

    Why do some health experts recommend understanding the concepts behind 'acute' and 'chronic' instead of focusing on specific rules?

    <p>To avoid confusion when describing health conditions to patients</p> Signup and view all the answers

    Why might defining an illness or injury as acute or chronic not only be unnecessary but also confusing?

    <p>Because there are inconsistencies in how healthcare providers use these terms</p> Signup and view all the answers

    What do Weitz et al. advocate for in understanding viral invasion fitness?

    <p>Understanding viral invasion fitness across a continuum from lysis to latency</p> Signup and view all the answers

    According to Goodman et al., why is defining and measuring chronic conditions imperative?

    <p>For research, policy, program, and practice</p> Signup and view all the answers

    What does Bernell & Howard stress about using words carefully in defining chronic disease?

    <p>The need to simplify definitions of chronic disease</p> Signup and view all the answers

    What is the purpose of the urinary system?

    <p>To eliminate waste from the body and regulate blood volume</p> Signup and view all the answers

    What is the role of ureters in the urinary system?

    <p>Propel urine towards the urinary bladder</p> Signup and view all the answers

    How much urine is normally produced every day in a healthy human?

    <p>800–2,000 milliliters (mL)</p> Signup and view all the answers

    What distinguishes the female and male urinary system?

    <p>The length of the urethra</p> Signup and view all the answers

    What is the name of the pelvic floor exercises that can help improve urinary incontinence?

    <p>Kegel exercises</p> Signup and view all the answers

    Who was the first to examine the ureter through an internal approach called ureteroscopy?

    <p>Hampton Young</p> Signup and view all the answers

    When was the first published use of a flexible endoscope based on fiber optics for examining the ureter?

    <p>1964</p> Signup and view all the answers

    What is the term used for inserting a drainage tube into the renal pelvis, bypassing the ureters and urinary tract?

    <p>Nephrostomy</p> Signup and view all the answers

    What is the medical term for urinary incontinence in children?

    <p>Enuresis</p> Signup and view all the answers

    Which factor can result in weakening of pelvic floor muscles and lead to urinary incontinence?

    <p>Pregnancy</p> Signup and view all the answers

    Where does urine formation begin within the kidney?

    <p>Nephrons</p> Signup and view all the answers

    What is the unique lining that covers most of the urinary system?

    <p>Urothelium</p> Signup and view all the answers

    What regulates the urinary system through hormones such as antidiuretic hormone and aldosterone?

    <p>Endocrine system</p> Signup and view all the answers

    What is the average urine production in adult humans per day?

    <p>1–2 liters</p> Signup and view all the answers

    What is the basic structural and functional unit of the kidney?

    <p>Nephron</p> Signup and view all the answers

    Where does urine flow from the renal pelvis into?

    <p>Ureter</p> Signup and view all the answers

    Study Notes

    Understanding Acute and Chronic Illnesses

    • Chronic illness is the primary healthcare issue in the United States, but the healthcare system has been slow to adapt from a focus on acute conditions.
    • Acute illnesses usually affect one bodily area and respond well to treatment, while chronic conditions involve multiple systems and have an uncertain future.
    • Coping with any health problem is a challenge, with chronic illness requiring more care and resources to maintain a normal lifestyle.
    • Nurses play a vital role in helping people with chronic illness and their family caregivers cope with the condition.
    • Acute conditions occur suddenly, have immediate symptoms, and are limited in duration, like the flu, while chronic conditions are long-lasting and potentially worsen over time, such as Crohn's disease.
    • The terms "acute" and "chronic" can suggest the types and duration of treatment needed for an illness.
    • Acute does not mean new, severe, or fatal, but rather that symptoms have developed quickly and require medical intervention, while chronic indicates that the condition is not curable.
    • An acute condition can sometimes become chronic, and a chronic condition may suddenly present with acute symptoms.
    • Certain infections progress from an acute phase to a chronic phase, lying dormant for years before manifesting with severe acute complications.
    • Most chronic diseases can lead to an acute event if left untreated, for example, atherosclerosis leading to a heart attack or stroke.
    • Many acute conditions can become chronic or result in chronic symptoms, and labeling an illness as acute or chronic cannot predict outcomes.
    • The non-specificity of definitions affects healthcare providers, patients, and researchers, leading to confusion and discrepancies in evaluating the course of a disease.

    Human Urinary System Overview

    • The human urinary system consists of two kidneys located between the dorsal body wall and parietal peritoneum on both sides.
    • Urine formation begins within the functional unit of the kidney, the nephrons, and flows through a system of converging tubules called collecting ducts.
    • Urine flows from the renal pelvis into the ureter, transporting urine into the urinary bladder, differing anatomically between males and females.
    • The urinary system is covered in a unique lining called urothelium, which can flatten and distend and covers most of the urinary system, including the renal pelvis, ureters, and bladder.
    • Functions of the urinary system include regulating blood volume and composition, blood pressure, pH homeostasis, red blood cell production, synthesizing calcitriol, and storing waste products.
    • Average urine production in adult humans is about 1–2 liters per day, depending on various factors such as hydration, activity level, and health.
    • The kidney receives about 20% of cardiac output and the basic structural and functional unit of the kidney is the nephron.
    • The urinary system is regulated by the endocrine system through hormones such as antidiuretic hormone, aldosterone, and parathyroid hormone.
    • Urination, or micturition, is the ejection of urine from the urinary bladder through the urethra, involving coordination between the central, autonomic, and somatic nervous systems.
    • Urologic diseases can involve congenital or acquired dysfunction of the urinary system, and diseases of the kidney tissue are treated by nephrologists, while diseases of the urinary tract are treated by urologists.
    • Protein released by the kidneys in diabetes mellitus sensitizes the kidney to the damaging effects of hypertension, showing the direct effect of diseases in other bodily systems on urogenital function.

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    Description

    Test your knowledge on monitoring ICP External Ventricular Drain (EVD) in ICU or Stepdown settings, particularly when inserted into the ventricle. This quiz covers procedures and protocols for managing patients with this type of monitoring, especially in relation to Glasgow Coma Scale (GCS) scores.

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