CPAN/CAPA SET #2 QUESTIONS
WITH ACCURATE ANSWERS
A disease that is a deficiency of ACTH correct answer Addison Disease
A major advantage to this drug is the ability to allow the patient a rapid
return to consciousness w/ minimal residual CNS effects. May possess
antiemetic properties correct answer Propofol
Addision crisis correct answer Dehydration, nausea, hypotension
followed by fever. Marked flaccidity of extremities, hyponatremia,
hyperkalemia, azotemia, shock
Best position when patient is vomiting correct answer Head down
position and give oxygen immediately. Allows fluid to flow away from
lungs rather than into lungs
Best treatment for PONV correct answer Multimodal
interventions;consisting of more than one pharmacological intervention
targeting different drug receptors are superior
Crowing correct answer Sudden violent contraction of the vocal cords
and can indicate laryngospams and can result in complete or partial
closure of the trachea
, Dermatone levels correct answer Above T4 - pinky, inner arm, apex of
axilla; T4 - Nipple; T6-7-Xiphoid; T10 - umbilicus
Discharge criteria for patients after neuraxial blockade correct answer
Less than 10% decrease in blood pressure w/ position change and a
sensory level equal to or less than T10 w/ evidence that the block is
receding by at least two sensory segments
Evidence based risk factors for PONV correct answer female, non
smoker, history of PONV, postop opiods
Fentanyl correct answer 80 to 125 fold more potent as morphine and
has a rapid onset of action of 5 - 6 minutes and a peak effect w/in 5 to
15 minutes
Fentanyl correct answer When administered as a single bolus, 75% of
the drug undergoes first-pass pulmonary uptake. The lungs serve as a
large storage site and this non respiratory function of the lung limits the
amount of fentanyl that actually reaches the systemic circulation
How do you treat type 1 hypersensitivity reaction (Anaphylactic) correct
answer Epinephrine and benadryl
How does the nurse treat Addision Crisis correct answer
Dexamethasone 2 - 4 IV along with D5NS
WITH ACCURATE ANSWERS
A disease that is a deficiency of ACTH correct answer Addison Disease
A major advantage to this drug is the ability to allow the patient a rapid
return to consciousness w/ minimal residual CNS effects. May possess
antiemetic properties correct answer Propofol
Addision crisis correct answer Dehydration, nausea, hypotension
followed by fever. Marked flaccidity of extremities, hyponatremia,
hyperkalemia, azotemia, shock
Best position when patient is vomiting correct answer Head down
position and give oxygen immediately. Allows fluid to flow away from
lungs rather than into lungs
Best treatment for PONV correct answer Multimodal
interventions;consisting of more than one pharmacological intervention
targeting different drug receptors are superior
Crowing correct answer Sudden violent contraction of the vocal cords
and can indicate laryngospams and can result in complete or partial
closure of the trachea
, Dermatone levels correct answer Above T4 - pinky, inner arm, apex of
axilla; T4 - Nipple; T6-7-Xiphoid; T10 - umbilicus
Discharge criteria for patients after neuraxial blockade correct answer
Less than 10% decrease in blood pressure w/ position change and a
sensory level equal to or less than T10 w/ evidence that the block is
receding by at least two sensory segments
Evidence based risk factors for PONV correct answer female, non
smoker, history of PONV, postop opiods
Fentanyl correct answer 80 to 125 fold more potent as morphine and
has a rapid onset of action of 5 - 6 minutes and a peak effect w/in 5 to
15 minutes
Fentanyl correct answer When administered as a single bolus, 75% of
the drug undergoes first-pass pulmonary uptake. The lungs serve as a
large storage site and this non respiratory function of the lung limits the
amount of fentanyl that actually reaches the systemic circulation
How do you treat type 1 hypersensitivity reaction (Anaphylactic) correct
answer Epinephrine and benadryl
How does the nurse treat Addision Crisis correct answer
Dexamethasone 2 - 4 IV along with D5NS
