HNN325 EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTION.
100% Correct 115
Incorrect 0
1 of 115
Definition
A ward that is designed specifically to receive medical inpatients for
rapid definitive assessment, investigation, and treatment for a short
period of time.
Give this one a try later!
When are CVCs indicated?
What is the primary role of Medical Assessment and Planning Units (MAPU)
within acute care hospitals?
You are receiving a phone handover from the ICU nurse who has been caring for
Lewis, a 64-year-old male who has been in the ICU for 10 days following a sepsis
diagnosis. When receiving the handover, you begin to feel overwhelmed and
unsure if this patient is safe for transfer to the ward. What is the most
appropriate course of action?
, What is the TNM Staging System?
Don't know?
2 of 115
Term
What kind of IV therapy would be used in this septic patients and
why?
Give this one a try later!
Airways- Is the airway patent, maintaining own, nil obstructions
Breathing- spo2, RR, SOB/Increase in WOB, use of accessory muscles,
auscultate- abnormal sounds? Any respiratory distress, on observation are they
talking full sentances
Circulation- NV intact- warmth, colour, pulses palapable, movement, cap refil,
any oedema present, BP ,and HR, normal sinus rhythm
Disability- GCS, A&O to TPP,
BGLS Exposure- wounds, PI,
temperature
Crystalloid solutions - increase fluid volume in both theintravascular and
interstitial space. Common crystalloidsolutions are Isotonic (0.9% N/Saline
or Compound SodiumLactate) or Hypotonic (0.45% N/Saline or 5%
dextrose inwater).Only isotonic solutions are the fluids of choice in sepsis
ascan be infused rapidly, increasing blood volume and tissueperfusion. .
Colloid fluids can also be use in sepsis but Crystalloid solutions are first
line.
Sepsis survivorship is a concept to characterise those in whom the acute
episode of severe sepsis has passed, but the complications become important to
subsequent well-being and functioning.
People who survive sepsis are at increased risk of subsequent premature
, mortality, recurrent infection, impaired cognitive and/or physical function and
reduced quality of life.
In sepsis, inflammatory cytokines damage the capillary endothelium, making the
vessels "leaky." This increased capillary permeability causes fluid and proteins
to shift from the bloodstream into the interstitial space (third-spacing), leading
to intravascular hypovolemia, hypotension, and poor organ perfusion.
Don't know?
3 of 115
Term
Sepsis concept Map/Explain the pathophysiology of sepsis
Give this one a try later!
Airways- Is the airway patent, maintaining own, nil obstructions
Breathing- spo2, RR, SOB/Increase in WOB, use of accessory muscles,
auscultate- abnormal sounds? Any respiratory distress, on observation are they
talking full sentances
Circulation- NV intact- warmth, colour, pulses palapable, movement, cap refil,
any oedema present, BP ,and HR, normal sinus rhythm
Disability- GCS, A&O to TPP,
BGLS Exposure- wounds, PI,
temperature
provides a guide to undertake a considered, rational approach to making
decisions that will help you to work to your full potential. It helps you to work
through processes that ensure safety is not compromised when you are making
decisions about the scope of practice, delegation of activities to others and for
supervision support
, Infection stimulus- bacteria enters system
Inflammatory response with release of chemical mediators- from
the endothelium- histamines, cytokines
If systemic release of mediators- this causes vasodilation, capillary
permeability and leaking and irritation of clotting cascade
Leading to intravascular volume deficit
Uncontrolled systemic clotting
Depletion of clotting factors
Prolonged corticosteroid release
Leading to decreased tissue perfusion
Metabolic derangement
Organ dysfunction and shock
If left it can lead to multiple organ failure and death
Potentially life-threatening or situational urgency
This is when you think the patient's condition may progress to life or limb
threatening, or may lead to significant morbidity. For example, you may have a
patient who has:
Severe hypertension
Moderate blood loss
Moderate shortness of breath
Seizure, but now alert
Persistent vomiting
Don't know?
4 of 115
Definition
LqSOFA: lactate enhanced quick sepsis related organ failure-
BEDSIDE TOOl criteria to follow along with SIRS criteria to identify
patients who may have a suspected infection with a greater risk of a
poor outcome
Give this one a try later!
COMPLETE SOLUTION.
100% Correct 115
Incorrect 0
1 of 115
Definition
A ward that is designed specifically to receive medical inpatients for
rapid definitive assessment, investigation, and treatment for a short
period of time.
Give this one a try later!
When are CVCs indicated?
What is the primary role of Medical Assessment and Planning Units (MAPU)
within acute care hospitals?
You are receiving a phone handover from the ICU nurse who has been caring for
Lewis, a 64-year-old male who has been in the ICU for 10 days following a sepsis
diagnosis. When receiving the handover, you begin to feel overwhelmed and
unsure if this patient is safe for transfer to the ward. What is the most
appropriate course of action?
, What is the TNM Staging System?
Don't know?
2 of 115
Term
What kind of IV therapy would be used in this septic patients and
why?
Give this one a try later!
Airways- Is the airway patent, maintaining own, nil obstructions
Breathing- spo2, RR, SOB/Increase in WOB, use of accessory muscles,
auscultate- abnormal sounds? Any respiratory distress, on observation are they
talking full sentances
Circulation- NV intact- warmth, colour, pulses palapable, movement, cap refil,
any oedema present, BP ,and HR, normal sinus rhythm
Disability- GCS, A&O to TPP,
BGLS Exposure- wounds, PI,
temperature
Crystalloid solutions - increase fluid volume in both theintravascular and
interstitial space. Common crystalloidsolutions are Isotonic (0.9% N/Saline
or Compound SodiumLactate) or Hypotonic (0.45% N/Saline or 5%
dextrose inwater).Only isotonic solutions are the fluids of choice in sepsis
ascan be infused rapidly, increasing blood volume and tissueperfusion. .
Colloid fluids can also be use in sepsis but Crystalloid solutions are first
line.
Sepsis survivorship is a concept to characterise those in whom the acute
episode of severe sepsis has passed, but the complications become important to
subsequent well-being and functioning.
People who survive sepsis are at increased risk of subsequent premature
, mortality, recurrent infection, impaired cognitive and/or physical function and
reduced quality of life.
In sepsis, inflammatory cytokines damage the capillary endothelium, making the
vessels "leaky." This increased capillary permeability causes fluid and proteins
to shift from the bloodstream into the interstitial space (third-spacing), leading
to intravascular hypovolemia, hypotension, and poor organ perfusion.
Don't know?
3 of 115
Term
Sepsis concept Map/Explain the pathophysiology of sepsis
Give this one a try later!
Airways- Is the airway patent, maintaining own, nil obstructions
Breathing- spo2, RR, SOB/Increase in WOB, use of accessory muscles,
auscultate- abnormal sounds? Any respiratory distress, on observation are they
talking full sentances
Circulation- NV intact- warmth, colour, pulses palapable, movement, cap refil,
any oedema present, BP ,and HR, normal sinus rhythm
Disability- GCS, A&O to TPP,
BGLS Exposure- wounds, PI,
temperature
provides a guide to undertake a considered, rational approach to making
decisions that will help you to work to your full potential. It helps you to work
through processes that ensure safety is not compromised when you are making
decisions about the scope of practice, delegation of activities to others and for
supervision support
, Infection stimulus- bacteria enters system
Inflammatory response with release of chemical mediators- from
the endothelium- histamines, cytokines
If systemic release of mediators- this causes vasodilation, capillary
permeability and leaking and irritation of clotting cascade
Leading to intravascular volume deficit
Uncontrolled systemic clotting
Depletion of clotting factors
Prolonged corticosteroid release
Leading to decreased tissue perfusion
Metabolic derangement
Organ dysfunction and shock
If left it can lead to multiple organ failure and death
Potentially life-threatening or situational urgency
This is when you think the patient's condition may progress to life or limb
threatening, or may lead to significant morbidity. For example, you may have a
patient who has:
Severe hypertension
Moderate blood loss
Moderate shortness of breath
Seizure, but now alert
Persistent vomiting
Don't know?
4 of 115
Definition
LqSOFA: lactate enhanced quick sepsis related organ failure-
BEDSIDE TOOl criteria to follow along with SIRS criteria to identify
patients who may have a suspected infection with a greater risk of a
poor outcome
Give this one a try later!
