LPN exit class Final, (Answered)
Cranial Nerve I
Olfactory
-smell
Cranial Nerve II
Optic
-vision
Cranial Nerve III
Oculomotor
-most eye muscles
*test by following finger
Cranial Nerve IV
Trochlear
-superior oblique
*test by looking down at nose
Cranial Nerve V
Trigeminal
-facial sensation
-muscles of mastication (chewing)
Cranial Nerve VI
Abducens
-lateral rectus
*look to the side to test
Cranial Nerve VII
Facial
-facial expressions
-taste
*test by smile, raise the eyebrows, sugar or salt
Cranial Nerve VIII
Vestibulocochlear
-hearing
-balance
*test with a tuning fork, look for vertigo
Cranial Nerve IX
Glossopharyngeal
-pharynx sensation
*test with gag reflex
Cranial Nerve X
Vagus
-Muscles of larynx and pharynx, parasympathetic
*check for hoarseness, open wide and say "AH"
Cranial Nerve XI
Accessory
-Trapezius and sternocleidomastoid
*test shoulder raise or turning the head
,Cranial Nerve XII
Hypoglossal
-tongue muscles
*test by having patient stick out tongue
three stages of shock
compensatory - body tries to recover
progressive - body is loosing the battle
irreversible - when we cant turn things around
IV fluids administered in shock
-replace fluids in a 3:1 ratio
(300 ml for every 100 ml fluid loss)
oxygen therapy in shock
administer oxygen via nonrebreather mask at 12 to 15 L/min
goals of shock treatment
(ABCDE)
-Airway
-control work of breathing
-optimize circulation
-assure adequate oxygen delivery
-achieve end points of resusitation
different types of shock
-hypovolemic shock
-anaphylactic shock
-septic shock
-neurogenic shock (container)
-cardiogenic shock (pump)
hypovolemic shock
Shock caused by fluid or blood loss.
hypovolemic shock
(diagnostic tests)
-BUN
-electrolytes
-hematocrit
-hemoglobin
-orthostatic vitals
-24 hr. I&O
-albumin
-total protein
(help hold fluid in intravascular space)
hypovolemic shock
(medications)
-fluids
-oxygen
, -zofran (if vomiting)
-Imodium (if diarrhea)
hypovolemic shock
(risk factors)
-dehydration
*V&D
*burns
-hemorrhage
-GI loss
-Diabetes insipidus
*increases urine output
-Diuresis
*from diuretics
hypovolemic shock
(teaching)
educate about the use of diuretics
anaphylactic shock
Severe shock caused by an allergic reaction.
anaphylactic shock
(diagnostic test)
-increased eosinophils
*WBC
anaphylactic shock
(risk factors)
allergies
-food
-med
anaphylactic shock
(medications)
-epinephrine
-antihistamines
*benadryl
*zantac
-steroids
-oxygen
anaphylactic shock
(teaching)
-allergy tests
-keep food log
*try to figure out what pt. is allergic to
-With contrast dyes ask for
*iodine or shellfish allergy
anaphylactic shock
(subjective and objective assessment)
subjective: throat closing
objective: sweating, SOB, rash
Cranial Nerve I
Olfactory
-smell
Cranial Nerve II
Optic
-vision
Cranial Nerve III
Oculomotor
-most eye muscles
*test by following finger
Cranial Nerve IV
Trochlear
-superior oblique
*test by looking down at nose
Cranial Nerve V
Trigeminal
-facial sensation
-muscles of mastication (chewing)
Cranial Nerve VI
Abducens
-lateral rectus
*look to the side to test
Cranial Nerve VII
Facial
-facial expressions
-taste
*test by smile, raise the eyebrows, sugar or salt
Cranial Nerve VIII
Vestibulocochlear
-hearing
-balance
*test with a tuning fork, look for vertigo
Cranial Nerve IX
Glossopharyngeal
-pharynx sensation
*test with gag reflex
Cranial Nerve X
Vagus
-Muscles of larynx and pharynx, parasympathetic
*check for hoarseness, open wide and say "AH"
Cranial Nerve XI
Accessory
-Trapezius and sternocleidomastoid
*test shoulder raise or turning the head
,Cranial Nerve XII
Hypoglossal
-tongue muscles
*test by having patient stick out tongue
three stages of shock
compensatory - body tries to recover
progressive - body is loosing the battle
irreversible - when we cant turn things around
IV fluids administered in shock
-replace fluids in a 3:1 ratio
(300 ml for every 100 ml fluid loss)
oxygen therapy in shock
administer oxygen via nonrebreather mask at 12 to 15 L/min
goals of shock treatment
(ABCDE)
-Airway
-control work of breathing
-optimize circulation
-assure adequate oxygen delivery
-achieve end points of resusitation
different types of shock
-hypovolemic shock
-anaphylactic shock
-septic shock
-neurogenic shock (container)
-cardiogenic shock (pump)
hypovolemic shock
Shock caused by fluid or blood loss.
hypovolemic shock
(diagnostic tests)
-BUN
-electrolytes
-hematocrit
-hemoglobin
-orthostatic vitals
-24 hr. I&O
-albumin
-total protein
(help hold fluid in intravascular space)
hypovolemic shock
(medications)
-fluids
-oxygen
, -zofran (if vomiting)
-Imodium (if diarrhea)
hypovolemic shock
(risk factors)
-dehydration
*V&D
*burns
-hemorrhage
-GI loss
-Diabetes insipidus
*increases urine output
-Diuresis
*from diuretics
hypovolemic shock
(teaching)
educate about the use of diuretics
anaphylactic shock
Severe shock caused by an allergic reaction.
anaphylactic shock
(diagnostic test)
-increased eosinophils
*WBC
anaphylactic shock
(risk factors)
allergies
-food
-med
anaphylactic shock
(medications)
-epinephrine
-antihistamines
*benadryl
*zantac
-steroids
-oxygen
anaphylactic shock
(teaching)
-allergy tests
-keep food log
*try to figure out what pt. is allergic to
-With contrast dyes ask for
*iodine or shellfish allergy
anaphylactic shock
(subjective and objective assessment)
subjective: throat closing
objective: sweating, SOB, rash
