NURS 233 (HESI) FINAL EXAM STUDY GUIDE
LATEST UPDATED HERZING UNIVERSITY.
What is the 1st hypotension in MODS?
if MAP is consistently low, it is indicative of MODS
Shock s/s
loss of blood, low bp, high hr,
Sepsis- interventions
Get blood cultures before antibiotics to prevent infections & needs to be
implemented with all patient care.
ICP hazards
brain stem herniation, diabetes insipidus, siadh
SCI- intermediate intervention
rapid assessment, immobilization, extrication, and stabilization or control of
life-threatening injuries.
monitoring oxygen saturation
through pulse oximetry, and monitoring arterial blood gasses
Dissection aneurysm manifestations?
Severe and persistent pain, described as tearing or ripping, may be reported.
The pain is in the anterior chest or back and extends to the shoulders,
epigastric area, or abdomen
Cardiogenic shock- S&S
pain of angina, develop arrhythmias, complain of fatigue, express feelings of
doom, and show signs of hemodynamic instability (decreased cardiac output)
, Mechanical ventilation during shock
The lungs, which become compromised early in shock, are affected at this
stage. Subsequent decompensation of the lungs increases the likelihood that
mechanical ventilation will be needed
Cardiac tamponade PEA?
prepare the client for pericardiocentesis
Burns- assess
tbsa burn assessment, assess airway
Traumatic brain injury- ICP
The development of increased intracranial pressure (ICP) may be acute or
chronic.
Asystole drug choice
administering IV epinephrine, atropine, and vasopressor medications; and
initiating emergency transcutaneous pacing
When do you use dopamine in septic shock?
If fluid therapy alone does not effectively improve tissue perfusion, vasopressor
agents, specifically norepinephrine or dopamine, may be initiated to achieve a
MAP of 65 mm Hg or higher
Closed head injury-ICP monitoring?
- ICP is monitored closely; if increased, it is managed by maintaining adequate
oxygenation, elevating the head of the bed, and maintaining normal blood
volume
Auto dysreflexia documentation?
Auto dysreflexia- document-The rectum is examined for a fecal mass. If
present, a topical anesthetic agent is inserted 10 to 15 minutes before the
LATEST UPDATED HERZING UNIVERSITY.
What is the 1st hypotension in MODS?
if MAP is consistently low, it is indicative of MODS
Shock s/s
loss of blood, low bp, high hr,
Sepsis- interventions
Get blood cultures before antibiotics to prevent infections & needs to be
implemented with all patient care.
ICP hazards
brain stem herniation, diabetes insipidus, siadh
SCI- intermediate intervention
rapid assessment, immobilization, extrication, and stabilization or control of
life-threatening injuries.
monitoring oxygen saturation
through pulse oximetry, and monitoring arterial blood gasses
Dissection aneurysm manifestations?
Severe and persistent pain, described as tearing or ripping, may be reported.
The pain is in the anterior chest or back and extends to the shoulders,
epigastric area, or abdomen
Cardiogenic shock- S&S
pain of angina, develop arrhythmias, complain of fatigue, express feelings of
doom, and show signs of hemodynamic instability (decreased cardiac output)
, Mechanical ventilation during shock
The lungs, which become compromised early in shock, are affected at this
stage. Subsequent decompensation of the lungs increases the likelihood that
mechanical ventilation will be needed
Cardiac tamponade PEA?
prepare the client for pericardiocentesis
Burns- assess
tbsa burn assessment, assess airway
Traumatic brain injury- ICP
The development of increased intracranial pressure (ICP) may be acute or
chronic.
Asystole drug choice
administering IV epinephrine, atropine, and vasopressor medications; and
initiating emergency transcutaneous pacing
When do you use dopamine in septic shock?
If fluid therapy alone does not effectively improve tissue perfusion, vasopressor
agents, specifically norepinephrine or dopamine, may be initiated to achieve a
MAP of 65 mm Hg or higher
Closed head injury-ICP monitoring?
- ICP is monitored closely; if increased, it is managed by maintaining adequate
oxygenation, elevating the head of the bed, and maintaining normal blood
volume
Auto dysreflexia documentation?
Auto dysreflexia- document-The rectum is examined for a fecal mass. If
present, a topical anesthetic agent is inserted 10 to 15 minutes before the
