CRITICAL CARE HESI HINTS (Answered)
Graded A+
an unexpected, catastrophic pulmonary complication with no previous pulmonary
problems
ARDS
ARDS mortality rate:
50% (high)
interventions to prevent complications of vented patients with ARDS:
elevate HOB to at least 30 degrees
sedation vacations
strict oral hygiene
implement mobilization program
increased risk and mortality rate from ARDS in individuals who have a history of
_____________
alcohol abuse
suction only when ______________
secretions are present
before drawing a sample for ABGs from the radial artery, perform the
___________ to assess collateral circulation
allen test
infants and young adults __________ during expiration as respiratory distress
begins; this is how the body attempts to create a form of PEEP
grunts
a child in severe distress should be on what percent oxygen?
100
signifies respiratory failure:
PCO2 greater than 45
PO2 less than 60
((ON 50% OXYGEN))
three most common symptoms of respiratory failure:
dyspnea/tachypnea
intercostal and sternal retractions
cyanosis
early signs of shock:
agitation and restlessness
(from cerebral hypoxia)
all types of shock can lead to ___________ and result in ____________
SIRS
MODS
if cardiogenic shock exists in the presence of pulmonary edema (i.e., from pump
failure), how should you position the client to REDUCE venous return?
, high-fowler with legs down
IABP balloon should inflate during __________
diastole
(P wave spike on ECG)
monitor IABP tubing for what?
blood backup
all vasopressor and vasodilator drugs are potent and dangerous and require
______________
titration
most common type of shock
hypovolemic
drug used for the treatment of DIC
heparin
lab values for DIC
PT & PTT prolonged
decreased platelets
how to correct acidosis:
increase ventilation
first drug used for an in-hospital cardiac arrest:
epinephrine
a patient in cardiac arrest is noted on the bedside monitor to be in pulseless v
tach. what is the first action that should be taken?
defibrillate
hyperosmolar solution that should be administered IV:
dextrose 10%
isotonic solution used for irrigation with intermittent IV medication
normal saline
use only __________ solutions in irrigations (bladder irrigation, IV flushes, etc.)
isotonic
lab value directly related to the metabolic function of the liver and the excretory
function of the kidneys
BUN
in fluid volume deficit, urine osmolality and specific gravity ___________
increase
a low _______ level often accompanies a low K+, especially with the use of
diuretics
magnesium
if an IV catheter is suspected as the causative factor of sepsis, ensure that the tip
of the removed catheter is:
placed in a sterile container to be sent down to the lab for culture, along with the
ordered blood cultures
if defibrillation occurs during the ___ wave, the heart can be thrust into a life-
threatening dysrhythmia
Graded A+
an unexpected, catastrophic pulmonary complication with no previous pulmonary
problems
ARDS
ARDS mortality rate:
50% (high)
interventions to prevent complications of vented patients with ARDS:
elevate HOB to at least 30 degrees
sedation vacations
strict oral hygiene
implement mobilization program
increased risk and mortality rate from ARDS in individuals who have a history of
_____________
alcohol abuse
suction only when ______________
secretions are present
before drawing a sample for ABGs from the radial artery, perform the
___________ to assess collateral circulation
allen test
infants and young adults __________ during expiration as respiratory distress
begins; this is how the body attempts to create a form of PEEP
grunts
a child in severe distress should be on what percent oxygen?
100
signifies respiratory failure:
PCO2 greater than 45
PO2 less than 60
((ON 50% OXYGEN))
three most common symptoms of respiratory failure:
dyspnea/tachypnea
intercostal and sternal retractions
cyanosis
early signs of shock:
agitation and restlessness
(from cerebral hypoxia)
all types of shock can lead to ___________ and result in ____________
SIRS
MODS
if cardiogenic shock exists in the presence of pulmonary edema (i.e., from pump
failure), how should you position the client to REDUCE venous return?
, high-fowler with legs down
IABP balloon should inflate during __________
diastole
(P wave spike on ECG)
monitor IABP tubing for what?
blood backup
all vasopressor and vasodilator drugs are potent and dangerous and require
______________
titration
most common type of shock
hypovolemic
drug used for the treatment of DIC
heparin
lab values for DIC
PT & PTT prolonged
decreased platelets
how to correct acidosis:
increase ventilation
first drug used for an in-hospital cardiac arrest:
epinephrine
a patient in cardiac arrest is noted on the bedside monitor to be in pulseless v
tach. what is the first action that should be taken?
defibrillate
hyperosmolar solution that should be administered IV:
dextrose 10%
isotonic solution used for irrigation with intermittent IV medication
normal saline
use only __________ solutions in irrigations (bladder irrigation, IV flushes, etc.)
isotonic
lab value directly related to the metabolic function of the liver and the excretory
function of the kidneys
BUN
in fluid volume deficit, urine osmolality and specific gravity ___________
increase
a low _______ level often accompanies a low K+, especially with the use of
diuretics
magnesium
if an IV catheter is suspected as the causative factor of sepsis, ensure that the tip
of the removed catheter is:
placed in a sterile container to be sent down to the lab for culture, along with the
ordered blood cultures
if defibrillation occurs during the ___ wave, the heart can be thrust into a life-
threatening dysrhythmia
