NU 424 Neuro SG NU 424 CARDIAC ATI
MIDTERM EXAM WITH COMPLETE
SOLUTIONS | 2025 A+ GRADED
The priority with increased ICP - raise the HOB
CPP of 110 - edema
Increased ICP due to perfusion - cerebral edema
If you have a pt with an epidural hemorrhage or hematoma that comes to the ER and
has a GCS of 5, - prepare them for surgery
Hypovolemic shock: change in - LOC
Distributive SATA - -sepsis -anaphylactic
Volume loss - -changes in LOC-hypotension with greater than 30% blood loss
Treatment for volume loss: - fluid resuscitation
When patient gets blood products from the lab, it can cause - acidosis
Cardiogenic shock leads to heart failure: you will see and increase in - BNP (BNP of
450)
What can treat cariogenic shock? - Nitroglycerin
When does cariogenic shock often occur? - at home in the early morning hours
S/S of cariogenic shock: pulmonary congestion (crackles, gurgles, hemoptysis due to
pulmonary HTN), capillaries due to pressure cause pink frothy sputum. This means they
are in HF which means they could have a heart attack. What meds should you give?
SATA - -nitroglycerin -morphine -lasix
Treatment for cariogenic shock: - fluids, diuretics, nitrates
Distributive shock - Anaphylaxis (allergens)
Septic shock qualifies you for - MODS
Metabolic changes with septic shock: - increased energy consumption which may cause
hypoglycemia, they need high nutrition, hyperglycemia can be cause by TPN, likely on
sliding scale (test question says decreased energy consumption, do NOT pick it)
, Physical find gins of septic shock - changes in LOC, tachypnea, fever, hypothermia,
decreased urinary output, decreased bowel sounds, diminished peripheral pulses, pan
culture (to culture everything you can)
Treatment for Septic shock: - antibiotics (broad spectrum until causative organism is
identified, restoring volume with crystalloids/colloids, monitoring for fluid overload with
PA Cath, dopamine, levophed, vasopressin, dobutamine
MODS: (multi organ system failure) - sepsis
Mechanism of injury: ordering question for pretreating injury - 1) primary survey 2) apply
pressure 3) VS 4) head to toe
Blunt injury: prehospital management to prevent pneumonia - do a swallow study first
A detailed head to toe assessment is done during which survey? - Secondary
Primary survey - airway, breathing, ventilation, life-threatening injuries identified
Secondary survey - head to toe
Patient comes in after MVA, - stabilize his N/V bc it will increase ICP (do NOT pick
seatbelt)
Musculoskeletal injuries: fat embolism syndrome: long bones and pelvic injuries. What
is a red flag for pt with a femur fracture? - pt is restless and agitated
Toxidrome: a syndrome caused by a dangerous level of toxins in the body. Includes -
heroin (pick the symph one)
A pt is admitted to the ICU for suspected suicidal OD. Temp is 96, HR is 60, and
regular, respiration are 12 and shallow. The pt does follow commands and his pupils are
constricted. The agent most likely responsible is what? - opioids
How do you get an opioid out? - Narcan
Secondary survey: mental status, use of Narcan (naloxone) and the "coma cocktail". Pt
is unconscious and doesn't know what is going on. SATA: - -narcan -romazixon -D50 -
thiamine
A small child is admitted to the ED after swallowing bleach. The child is awake and
oriented but is very scared and crying. What is true regarding initial decontanement of
this substance? - have the child drink 2-8 ounces of milk
MIDTERM EXAM WITH COMPLETE
SOLUTIONS | 2025 A+ GRADED
The priority with increased ICP - raise the HOB
CPP of 110 - edema
Increased ICP due to perfusion - cerebral edema
If you have a pt with an epidural hemorrhage or hematoma that comes to the ER and
has a GCS of 5, - prepare them for surgery
Hypovolemic shock: change in - LOC
Distributive SATA - -sepsis -anaphylactic
Volume loss - -changes in LOC-hypotension with greater than 30% blood loss
Treatment for volume loss: - fluid resuscitation
When patient gets blood products from the lab, it can cause - acidosis
Cardiogenic shock leads to heart failure: you will see and increase in - BNP (BNP of
450)
What can treat cariogenic shock? - Nitroglycerin
When does cariogenic shock often occur? - at home in the early morning hours
S/S of cariogenic shock: pulmonary congestion (crackles, gurgles, hemoptysis due to
pulmonary HTN), capillaries due to pressure cause pink frothy sputum. This means they
are in HF which means they could have a heart attack. What meds should you give?
SATA - -nitroglycerin -morphine -lasix
Treatment for cariogenic shock: - fluids, diuretics, nitrates
Distributive shock - Anaphylaxis (allergens)
Septic shock qualifies you for - MODS
Metabolic changes with septic shock: - increased energy consumption which may cause
hypoglycemia, they need high nutrition, hyperglycemia can be cause by TPN, likely on
sliding scale (test question says decreased energy consumption, do NOT pick it)
, Physical find gins of septic shock - changes in LOC, tachypnea, fever, hypothermia,
decreased urinary output, decreased bowel sounds, diminished peripheral pulses, pan
culture (to culture everything you can)
Treatment for Septic shock: - antibiotics (broad spectrum until causative organism is
identified, restoring volume with crystalloids/colloids, monitoring for fluid overload with
PA Cath, dopamine, levophed, vasopressin, dobutamine
MODS: (multi organ system failure) - sepsis
Mechanism of injury: ordering question for pretreating injury - 1) primary survey 2) apply
pressure 3) VS 4) head to toe
Blunt injury: prehospital management to prevent pneumonia - do a swallow study first
A detailed head to toe assessment is done during which survey? - Secondary
Primary survey - airway, breathing, ventilation, life-threatening injuries identified
Secondary survey - head to toe
Patient comes in after MVA, - stabilize his N/V bc it will increase ICP (do NOT pick
seatbelt)
Musculoskeletal injuries: fat embolism syndrome: long bones and pelvic injuries. What
is a red flag for pt with a femur fracture? - pt is restless and agitated
Toxidrome: a syndrome caused by a dangerous level of toxins in the body. Includes -
heroin (pick the symph one)
A pt is admitted to the ICU for suspected suicidal OD. Temp is 96, HR is 60, and
regular, respiration are 12 and shallow. The pt does follow commands and his pupils are
constricted. The agent most likely responsible is what? - opioids
How do you get an opioid out? - Narcan
Secondary survey: mental status, use of Narcan (naloxone) and the "coma cocktail". Pt
is unconscious and doesn't know what is going on. SATA: - -narcan -romazixon -D50 -
thiamine
A small child is admitted to the ED after swallowing bleach. The child is awake and
oriented but is very scared and crying. What is true regarding initial decontanement of
this substance? - have the child drink 2-8 ounces of milk
