ICU BKAT

change in mental status

while receiving tpa, what would warrant for you to stop the medication

aortic stenosis

systolic murmur that is ausculatated at the 2nd intercostal space, right sternal border is ?

8-10 minutes

removing a line hold pressure for?

right atrium

CVP reading directly reflects presue in the

right heart failure

elevated CVP may indicate?

left ventricle

pulmonary artery occlusive wedge pressure reflects pressure where?

10-20/0-4 mean 5-10

normal pulmonary artery pressure is

6-12

mmhg normal PAOP

Left ventricle failure

elevated PAOP indicates

diltizepam

68 year old complains of feeling a little funny in his chest and ecg shows afib/flutter. what medication should be used to treat?

bundle branch block

qrs complex longer that .12 indicates

infiltration leads to tissue necrosis

care should be excercised when administering IV dopamine becuase?

t wave

strong ventricular stimulus is potentially dangerous when it lands where

symptomatic complete heart block

indication for use of external cardiac pacemaker includes

amiodarone 150mgIV bolus over 10 minutes

initial durg treatment for sustained ventricular tachycardia when a pulse is present

epineprhine

patient become apneic and pulseless . the monitor shows asytole. the drug used initially?

protamine sulfate

antidote for heparin

thorough handwashing

most improatnt step in preventing central venous related sepsis is

150

excessive amount of chest tube drainage during the first few hours following surgery is how many ml/hr

normal values (22-28 HCO3, 35-45 PCO2 normal)

ph 7.4, pO2 98, pco2 38, HCO3 25 --? what is this

120mmHg of __ pressure

before sucitioning a patient, you should adjust the vacuum pressure so that it is

atelectasis

your post op patient has left anterior chest tube. Whn you ausculatate the lung fields bilaterally you hear dminshed breath sounds in the right posterior base. THis is most likely due to?

disconnected tubing

patient on ventilator and low volume alarm sounds. THis is due to?

leaking cuff

high pressure alarm on respirator will NOT be triggered by what?

development of pneumothorax

most important reason for diminshing breath sounds in motor vechile crash victim with closed chest trauma is

fat embolus

trauma patient 4 days post fracture suddenly develops SOB, most likely cause is?

handwashing and gloves when suctioing

preventing Ventilator pna, most important action is

immbolize head

most imporant nursing acticity for patient with dx of cervical spinal cord injury is

change in LOC

earliest sign of increase ICP is?

listen for bilateral breath sounds

assess proper positioning of et tube, most important nursing action?

widened pulse pressure

deepening ICP characterized by

mannitol

drug of choice to reduce ICP

abnormal finding

positive babinski in adult represents

initiating tpa if within 8 hours

which of the folliwng is wrong -- acute phse of stroke treatment

evaluating LOC

most improtant part of nuero check

fruity breath, deep and rapid breathing

DKA sx

weakness, headache, diaphoresis

sx of hypoglycemia

dextrose

what would you NOT give to someone in DKA coma

higher dose of insluin

DM acutely ill require __ insulin dose

urine output

psychophyisoligc stress response fro acute illness and being in an icu can result in decrease

regular

which of the following insluins will have peak action within 2-4 hours

1-2 hours (NOT 3-4)

NPH - when would you expect an insulin reaction to occur

check cuff

patient with ET tube audbily speaks - what do you do?

DI

Pt post op craniotomy fasting bs of 100, extreme thirst and urine output greater than 1000mls over two hours, suspect

30

150 pound person normal urine out put

d/c enterla tube feeing if diarrhea occurs

practices to decrease catheter associated urinary tract infection does not include which of the following

decrease in dosage (NOT D/C)

pt has acute renal failure. Medications that are normally excreted through the kidneys will be?

restricted protein, low potassium, low sodium

enteral feeding in acute renal failure commonly includes

fluid overload

sudden development of dyspnea and sinus tachy is an acute ranl failure patient would most likely inidcate which of the following

wide QRS, tall peaked T waves

ecg changes in hyperkalemia

keep HOB elevated

when feeding patient with tube feedings, most important action to prevent aspiration

control bleeding

low intermittent suction of gastric contens is not generally used in which response below

obtaining radiographic confirmation

safe placement of NG tube best assessed by

normal finding

coffeegroun ematerial post ex lap?

atropine

symptomatic bradycardia treatment

dilantin (NOT pehnobarbital)

what drug will crystallize when given iv with D5S?

continuous monitoring for sudden decrease in BP

precautions in using iV nitropursside is not included in which response below ?

cortisone

dosage of which drug must be tappered off slowly to prevent acute adrenal insuffieicney

PAT with block

which of the folowing is not a manifestation of dig tox

decide on husbands care if he loses consciousness

Health care power of attorney has right to

beta blockers (includes nitro, oxygen, resting)

initial measures for treatment of anginga doesnt include

CHF

elevated cardiac iso enzymes generally do not occur in what

improve renal function

major therapeutic goal in treatment of cardiogenic shock

reduce preload and afterload improving contracitlity

nipride plus dubotamine effects?

respirations

pt with cervical spine injury, most improtant observations that most concern which of the folowing parameters?