Exam 2 Medsurg - NSG 223
1. What is the pathophysiology of Occlusion in the pul artery normally caused by
small emboli pulmonary embolism ? that get stuck in the arterioles causing
necrosis of the area its
in.
2. what do symptoms depend on -Size and type of embolism in pulmonary
embolism? -Location of embolism
3. How do you treat unstable PE? -Begin emergency procedure to regain respiratory
and cardiovascular system
-start on thrombolytic therapy to lysis the
embolism (Dissolve) and prevent.
4. How do you treat stable PE? Immediate anticoagulation to prevent reoccurrence
10 days
- 6 months anticoagulation (Warfarin) and
Heparin.
5. *A pt who just had surgery can Isometric, Leg pumps do ______________
Exercises like _____ __________ while they are in bed to prevent PE's.
6. What are the main clinical man- Severe dyspnea, hypoxemia doesn't respond to
O2, nasal ifestations of ARDs? flaring, tachycardia, change in mental, retraction,
hyperven-
tilation and tachypnea.
7. *If a patient has a 140 Heart Yes rate is this is sign of ARDs?
8. *What does PEEP do? Keeps alveoli open at end of expiration; prevents alveolar
collapse. Helps to recruit more and more
alveoli for gas exchange and decrease work of
breathing (improves compliance).
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, Exam 2 Medsurg - NSG 223
9.
How do you care for a patient Full assessment Q4 hrs, Make sure tube is in right
position on a ventilator? and check vent settings, Maintain hob at 30 degrees, oral
care
Q2 hrs, Picture board for communication.
10. * ______________ is given to pts Vecuronium before they
are intubated to relax the vocal muscles and making
intubation easier.
11. What is a good nursing in- Sit up with leg of the bed raised
to increase venous return.
tervention for a patient with pulmonary
HTN/edema who is bedridden?
12. *When caring for a pt with pul- Furosemide monary edema
the nurse will give the diuretic ___________
13. *If a client has a potassium lev- Sodium Polystyrene
Sulfonate el of 5.6. The nurse will give ________ _______
_______.
14. *The nurse is caring for a client Metabolic with the following
pH - 7.25 HCO3 -
18
CO2 - 42
The patient has ___________ Acidosis
2/8
1. What is the pathophysiology of Occlusion in the pul artery normally caused by
small emboli pulmonary embolism ? that get stuck in the arterioles causing
necrosis of the area its
in.
2. what do symptoms depend on -Size and type of embolism in pulmonary
embolism? -Location of embolism
3. How do you treat unstable PE? -Begin emergency procedure to regain respiratory
and cardiovascular system
-start on thrombolytic therapy to lysis the
embolism (Dissolve) and prevent.
4. How do you treat stable PE? Immediate anticoagulation to prevent reoccurrence
10 days
- 6 months anticoagulation (Warfarin) and
Heparin.
5. *A pt who just had surgery can Isometric, Leg pumps do ______________
Exercises like _____ __________ while they are in bed to prevent PE's.
6. What are the main clinical man- Severe dyspnea, hypoxemia doesn't respond to
O2, nasal ifestations of ARDs? flaring, tachycardia, change in mental, retraction,
hyperven-
tilation and tachypnea.
7. *If a patient has a 140 Heart Yes rate is this is sign of ARDs?
8. *What does PEEP do? Keeps alveoli open at end of expiration; prevents alveolar
collapse. Helps to recruit more and more
alveoli for gas exchange and decrease work of
breathing (improves compliance).
1/8
, Exam 2 Medsurg - NSG 223
9.
How do you care for a patient Full assessment Q4 hrs, Make sure tube is in right
position on a ventilator? and check vent settings, Maintain hob at 30 degrees, oral
care
Q2 hrs, Picture board for communication.
10. * ______________ is given to pts Vecuronium before they
are intubated to relax the vocal muscles and making
intubation easier.
11. What is a good nursing in- Sit up with leg of the bed raised
to increase venous return.
tervention for a patient with pulmonary
HTN/edema who is bedridden?
12. *When caring for a pt with pul- Furosemide monary edema
the nurse will give the diuretic ___________
13. *If a client has a potassium lev- Sodium Polystyrene
Sulfonate el of 5.6. The nurse will give ________ _______
_______.
14. *The nurse is caring for a client Metabolic with the following
pH - 7.25 HCO3 -
18
CO2 - 42
The patient has ___________ Acidosis
2/8
