NUR 436 Exam with Questions and Answers

NUR 436 Exam with Questions and Answers Sepsis interventions ANSWER -give fluids first (can expect pulmonary edema - crackles, pink frothy sputum, increased RR even on the vent, agitation, can give diuretic) -When/if pulmonary edema occurs, make sure to stop norepi and start cardene (calcium channel blocker) and bumex (loop diuretic) -Make sure to check daily weights and know day to day what was on the bed so that you are weighing the patient the same -Hourly Is and Os are very important -Trend CVP to see where at -Take cultures from two different sites before starting broad spectrum antibiotics so that you don't interfere with what the bacteria might be. You can run the broad spectrum antibiotics before getting the results back from the culture Important lab to draw for sepsis ANSWER Lactate is very important to draw for sepsis (normal level: 2 means they're starting to go into sepsis); anaerobic metabolism which increases lactate levels if they're in septic shock How to catch sepsis ANSWER assess HR, RR, temp, WBC count 1 hour sepsis bundle ****** ANSWER -Measure lactate level* -Obtain blood cultures before administering antibiotics. -Administer broad-spectrum antibiotics.