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Do not give thrombolytics if they have
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bleeding disorders or a brain tumor
What are causes of ARDS?
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- Infection
- DIC
- Aspiration
,Beck's triad
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Muffled heart sounds
distended jugular vein
Hypotension
What is the #1 culprit for adults r/t acute tracheobronchial obstruction?
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Steak
*tx is Heimlich
What is normal CVP?
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2-6 mmHg
PCI time
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, 60 mins
You are caring for a pt with ARDS whose pressure alarms go off continuously. Your
best initial intervention is to _______________________.
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assess the pt
What is the medical tx for PE?
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- Heparin
+ monitor BP closely due to risk of bleeding out
+ discontinue tx immediately if uncontrolled bleeding occurs
+ aPTT is 30-40 sec with 1.5-2x on Heparin
- Alteplase
- Norepi
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- check PT labs often
- maintain BP at a level that supports perfusion
- DO NOT SIT FOR LONG PERIODS
- no fluid restriction or high vit K foods if on Warfarin
- travel education
When administering TPA, what would require you to call the Dr?
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, Frank red bleeding from anywhere
What is thrombolysis?
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Loosening or dissolving of a clot
- enzymatic digestion of thrombus to open lumen using streptokinase and
tPA
- performed within 60min from arrival to ED - Door to Balloon time
How do we dx ITP?
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Bone marrow aspiration reveals megakaryocytes
How to diagnose cardiomyopathy
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EKG, echo
definitive is made by endomyocardial biopsy
If medical tx fail, which invasive procedure is necessary for treating cardiomyopathy?