NUR 486 Hemodynamic Monitoring Quiz
23 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which treatment options are considered for elevated potassium levels?

  • Nitrates
  • Dialysis (correct)
  • Calcium gluconate (correct)
  • Morphine sulfate
  • What is a critical step to take before suctioning a patient?

  • Limit suctioning to 5 seconds
  • Position the patient supine
  • Administer 100% oxygen (correct)
  • Increase fluid intake
  • What are possible symptoms of a myocardial infarction (MI)?

  • Chest pain radiating to the neck (correct)
  • Dry cough
  • Increased appetite
  • Lower back pain
  • Which medication is NOT typically used in the management of a myocardial infarction?

    <p>Antibiotics (B)</p> Signup and view all the answers

    What should be avoided during endotracheal tube (ETT) management?

    <p>Suctioning for over 10 seconds (A), Using normal saline in the ETT (D)</p> Signup and view all the answers

    What is the initial treatment for a simple pneumothorax?

    <p>Insert a chest tube (C)</p> Signup and view all the answers

    Which symptom is commonly associated with rhabdomyolysis following a femur fracture?

    <p>Decreased urine output (A)</p> Signup and view all the answers

    What is a key component in the management of autonomic dysreflexia?

    <p>Identification and removal of the trigger (B)</p> Signup and view all the answers

    What average blood loss is expected in a study group following a femur fracture?

    <p>1,276 mL (D)</p> Signup and view all the answers

    In the Parkland Baxter Formula, how much fluid should be given in the first 8 hours following a burn?

    <p>50% of total fluid requirement (C)</p> Signup and view all the answers

    Which of the following best describes a tension pneumothorax?

    <p>Involves immediate needle decompression followed by chest tube placement (A)</p> Signup and view all the answers

    What condition often occurs following prolonged immobilization or compromised circulation?

    <p>Compartment syndrome (D)</p> Signup and view all the answers

    What physiological change contributes to metabolic acidosis in rhabdomyolysis?

    <p>Increased lactic acid levels (A)</p> Signup and view all the answers

    What is the formula for calculating Cerebral Perfusion Pressure (CPP)?

    <p>CPP = MAP - ICP (A)</p> Signup and view all the answers

    Which of the following is a common sedative agent used for intubation?

    <p>Ativan (lorazepam) (A), Propofol (C)</p> Signup and view all the answers

    What is considered greatest control in ventilator settings?

    <p>Assist-control ventilation (ACV) (B)</p> Signup and view all the answers

    In the context of ABGs, how would you classify metabolic alkalosis?

    <p>pH increased, HCO3 increased (A)</p> Signup and view all the answers

    Which of the following statements about cerebral vasospasm is true?

    <p>It can result from subarachnoid hemorrhage. (A)</p> Signup and view all the answers

    What does the Acute Respiratory Acidosis condition reflect in terms of ABG values?

    <p>pH &lt; 7.35, PaCO2 &gt; 45 (C)</p> Signup and view all the answers

    Which of the following drugs acts as an antidote for benzodiazepine overdose?

    <p>Flumazenil (Romazicon) (A)</p> Signup and view all the answers

    What is a common effect of hepatic encephalopathy related to rising ammonia levels?

    <p>Cerebral edema (A)</p> Signup and view all the answers

    Which ventilator mode provides the least control?

    <p>Pressure support ventilation (PS) (A)</p> Signup and view all the answers

    Which of the following is NOT characteristic of ischemic stroke?

    <p>Usually caused by a ruptured blood vessel (C)</p> Signup and view all the answers

    Flashcards

    DKA

    Diabetic ketoacidosis, a serious complication of diabetes.

    Elevated Potassium Treatment

    Treatment involves Calcium Gluconate, Bicarbonate, Insulin, Glucose, Kayexalate, or dialysis.

    MI Symptoms

    Chest pain radiating to neck, jaw, shoulder, back, or left arm; tightness; potentially epigastric pain; possible shortness of breath, cold sweat, weakness, paresthesias, nausea/vomiting. May deny pain.

    MI Treatment: Aspirin

    81-325 mg chewable or swallowed.

    Signup and view all the flashcards

    FAST

    Focused abdominal sonography for trauma, used to detect hemoperitoneum (blood in peritoneal space).

    Signup and view all the flashcards

    Cerebral Perfusion Pressure (CPP)

    The pressure required to maintain adequate blood flow to the brain. Calculated by subtracting intracranial pressure (ICP) from mean arterial pressure (MAP).

    Signup and view all the flashcards

    Intracranial Pressure (ICP)

    The pressure inside the skull. Increased ICP can be a serious problem.

    Signup and view all the flashcards

    Brain Death

    Irreversible cessation of all brain function, including the brainstem.

    Signup and view all the flashcards

    Hemodynamic Monitoring

    [in NUR 486] Monitoring of circulatory pressures and blood flow to assess their impact on organ function, especially the heart.

    Signup and view all the flashcards

    Arterial Blood Gases (ABGs)

    Measurement of the pH, PaCO2, and HCO3- in arterial blood. Used for assessing acid-base balance.

    Signup and view all the flashcards

    Acute Respiratory Acidosis

    A condition where the body retains too much carbon dioxide, leading to lower blood pH.

    Signup and view all the flashcards

    Acute Respiratory Alkalosis

    A condition where the body loses too much carbon dioxide, leading to higher blood pH.

    Signup and view all the flashcards

    Acute Metabolic Acidosis

    A condition with low blood pH due to an increase in acids.

    Signup and view all the flashcards

    Acute Metabolic Alkalosis

    a condition with high blood pH due to an increase in bases, or loss of acid.

    Signup and view all the flashcards

    Hepatic Encephalopathy

    A complication of severe liver disease characterized by impaired brain function.

    Signup and view all the flashcards

    Unstable Angina

    Chest pain that occurs unpredictably and is severe. It's a serious condition that requires immediate medical attention.

    Signup and view all the flashcards

    Compartment Syndrome (from Femur Fracture)

    Increased pressure within a confined muscle group, which cuts off blood flow and damages tissues.

    Signup and view all the flashcards

    Rhabdomyolysis

    Breakdown of muscle tissue. This releases harmful substances that can harm the kidneys.

    Signup and view all the flashcards

    Parkland Baxter Formula (Burns)

    Calculates the total fluid needed in the first 24 hours after a burn, aiming to maintain blood volume.

    Signup and view all the flashcards

    Autonomic Dysreflexia

    A serious emergency. It is a sudden, life threatening reaction to a stimulus in patients with spinal cord injuries.

    Signup and view all the flashcards

    Spinal Shock

    Temporary loss of function below a spinal cord injury which causes loss of reflexes, paralysis, and lack of sensation.

    Signup and view all the flashcards

    ABCDEFG (Trauma)

    A systematic approach to assessing and managing trauma patients. It focuses on immediate life threatening situations.

    Signup and view all the flashcards

    Pneumothorax (chest tube) Three Types

    A collection of air in the pleural space. Requires different approaches depending on the type.

    Signup and view all the flashcards

    Study Notes

    Hemodynamic Monitoring

    • Hemodynamic monitoring is a critical review topic in NUR 486.
    • Key components of monitoring include CO, CI, SV, SVR, PVR, and SvO2/ScvO2.
    • Cerebral perfusion pressure (CPP) is crucial for ensuring adequate blood flow to the brain.
    • CPP is calculated as MAP - ICP.
    • ICP (intracranial pressure) can be a critical factor in monitoring.
    • Cerebral vasospasm is a significant concern related to hemodynamic monitoring.
    • Brain death is a severe outcome associated with hemodynamic monitoring.

    Ischemic Stroke vs. Hemorrhagic Stroke

    • Ischemic strokes and hemorrhagic strokes are separate entities. Understanding their differences is important.
    • Traumatic brain injury is a separate but related topic, distinct from stroke
    • Ventilation is a key factor in managing TBI

    Ventilator Settings

    • Positive end-expiratory pressure (PEEP) is a ventilator setting.
    • Various settings like assist-control ventilation (ACV), synchronized intermittent mandatory ventilation (SIMV), pressure support (PS), and pressure control (PC) are also used.
    • Continuous positive airway pressure (CPAP) is another ventilator setting type.

    Intubation Drugs

    • Common sedation agents such as benzodiazepines (Ativan, Versed) and propofol (Diprivan) are used.
    • Flumazenil (Romazicon) is an antidote to benzodiazepines used in this context
    • Common neuromuscular blocking agents (NMB agents) are also used during intubation.

    ABGs (Arterial Blood Gases)

    • ABGs are important in assessing respiratory and metabolic status.
    • Key values include pH (7.34-7.45), PaCO2 (35-45), and HCO3 (22-26).
    • These values indicate normal ranges.
    • Acid-base imbalances are associated with specific deviations in these ranges.
    • Acute respiratory acidosis and alkalosis, as well as metabolic acidosis and alkalosis, are examples of possible imbalances, and how ABG data can be used to quickly identify them.

    End-Stage COPD, Esophageal Varices, Acute Pancreatitis, Cirrhosis, and Hepatic Encephalopathy

    • End-stage COPD, esophageal varices, acute pancreatitis, cirrhosis, and hepatic encephalopathy are conditions with specific considerations in patient care.

    HHS vs. DKA, Hyperthyroidism, Retroperitoneal Aortic Rupture, and Suctioning

    • HHS (hyperosmolar hyperglycemic state) and DKA (diabetic ketoacidosis) require different management protocols.
    • Hyperthyroidism and retroperitoneal aortic rupture are additional conditions that require specialized care, including precise diagnostics.
    • Suctioning is often used, and guidelines like every 2-4 hours, PRN, pre-oxygenation, max duration of 10 seconds should be followed.

    Elevated Potassium Treatment

    • Treatment for elevated potassium includes calcium gluconate, bicarbonate, insulin, glucose, Kayexalate, and dialysis.

    Chronic & Acute Renal Failure and MI (Myocardial Infarction)

    • Chronic and acute renal failure management varies, and symptoms ranging from no symptoms to sudden cardiac arrest.
    • Chest pain radiating to other areas, shortness of breath, and feeling unwell are common symptoms.
    • Delaying history-taking is important if the patient is experiencing significant chest pain and/or distress.

    MI (Myocardial Infarction) Diagnostics and Medications

    • Aspirin, nitrates (SL, IV, topical), morphine sulfate, beta-adrenergic blockers (like propranolol, metoprolol, and atenolol), and calcium channel blockers (like nifedipine) are often used for MI management.

    Various Rhythms & Cardiac Cycle

    • Identifying different cardiac rhythms is a key component of patient assessment. Various types of rhythm abnormalities are possible and the cardiac cycle includes phases like atria contraction and ventricular contraction.

    Pneumothorax, Femur Fracture, and Trauma

    • Pneumothorax (lung collapse) and femur fractures have unique diagnostic and treatment considerations. Additionally, managing trauma using the ABCDEFG approach is essential to assessing and initiating emergency care.

    Autonomic Dysreflexia, Spinal Cord Injury, and Trauma

    • Important conditions requiring specific responses

    Bites, Poisoning, Drowning, and Burns

    • Bites, poisoning, drowning, and burns have different treatment approaches. Understanding initial response is critical.
    • Fluids and drug therapies, as well as other support systems, are crucial in care in all of these emergencies.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    NUR 486 Final Review Notes PDF

    Description

    Explore key concepts in hemodynamic monitoring as outlined in NUR 486. This quiz covers vital parameters such as cardiac output, cerebral perfusion pressure, and the differences between ischemic and hemorrhagic strokes. Understand the importance of monitoring in patient management and the implications of ventilator settings.

    More Like This

    Pulmonary Artery Pressure Monitoring in Pediatrics
    26 questions
    Hemodynamic Monitoring Flashcards
    47 questions
    Hemodynamic Monitoring Concepts
    10 questions
    Hemodynamic Monitoring and Transcultural Care
    23 questions
    Use Quizgecko on...
    Browser
    Browser