NUR 410_CCM Exam 1 PDF: Critical Care Nursing Exam

Summary

This document appears to be a nursing exam on critical care medicine. Critical care topics such as arterial lines, hemodynamic monitoring, mechanical ventilation, as well as airway management, and circulatory support devices are all covered within the document.

Full Transcript

Pink = from book Critical Care Units & RN's - - - - - - - - - - Critical Care Nurse- proficient in: - - - - - - - - E-ICU: - - - - - - - - - - - RRT: - - - - - - - - - Patient & ICU: - - - -...

Pink = from book Critical Care Units & RN's - - - - - - - - - - Critical Care Nurse- proficient in: - - - - - - - - E-ICU: - - - - - - - - - - - RRT: - - - - - - - - - Patient & ICU: - - - - - - Progressive Care Units: - - - - - - Critical Care Patient Problems: - - - - - - - - - - - - Nutrition: - - - - - - - - - - - - - - - - - - - Anxiety: - - - - - - - - - - - - - - Family in ICU: - - - - - - - - - - - - - - - Cultural Perspectives: - - - Pain: - - - - - - - - - - Sensory-Perceptual Problems: - - - - - - - - - - - - - - - - - - - - - - - Sleep Disorders: - - - - Communication Problems: - - - - - - - - Blood Flow: - - - - Hemodynamic Monitoring: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Arterial Line - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ![Well, I&\#39;ll be Damped -- How Square Wave Testing Can Assure Accuracy in Your Hemodynamic Monitoring Interpretations](media/image4.png) - - Well, I&\#39;ll be Damped -- How Square Wave Testing Can Assure Accuracy in Your Hemodynamic Monitoring Interpretations - - - ![Well, I&\#39;ll be Damped -- How Square Wave Testing Can Assure Accuracy in Your Hemodynamic Monitoring Interpretations](media/image7.png) Arterial Pressure-Based CO (APCO) Monitoring: - - - - - - Pulmonary Artery (PA) Pressure- Invasive Monitoring - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ![](media/image9.jpg) ← PA catheter with introducer - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Central Venous Pressure (CVP) Monitoring: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Noninvasive Monitoring: - - - - - - - - - - - - - - Nursing Management- obtain baseline data: - - - - - - - - - Circulatory support devices: decrease cardiac work and improve organ perfusion when drug therapy is no longer adequate - - - - Intra Aortic Balloon Pump (IABP): - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Ventricular Assist Devices (VADs): - - - - - - - - - - - - - - - - - - - - - - - - - - - - Vascular Access - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - [Airway Management & Mechanical Ventilation] Goal of oxygen therapy: keep SaO2 \>92% or PaO2 \>60 mmHg Noninvasive Airway: - - - - - - - - Airway Adjuncts: - - - - - - - - - - - - - - - - - - - - oral airways![nasal airway](media/image11.jpg) - - - - - - - - - - - - - - - - - - - - - - - - - - - Endotracheal Intubation Procedure: process of securing the airway with an oral/ nasal ET tube, providing an effective route for ventilation - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Rapid Sequence Intubation (RSI): Sedate & Paralyze - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1. a. 2. 3. 4. 5. 6. b. 7. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - \- Mechanical Ventilation Complications: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Other types of ventilation: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Weaning: - - - - - - - - - - - \- Respiratory and non-respiratory factors need to be assessed - - - - - - - - - - - - - - - - - Extubation: - - - - - - - - - - - - - - - - - - - - - -

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