CCRN REVIEW GUIDE
1. Frontal lobe: Understands what is said but is unable to express themselvesappropriately
2. Brudzinski's Sign: Lay flat on back, flex the head down towards the chest andthe knees
pop up = meningeal irritation
3. Kernig's sign: Lay flat on back, bend knee towards chest creates severe pain
= meningial irritation
4. Prerenal: Sodium <20 mEq/LBUN >25mg/dl
FENa <1%
*hypotension/hypo-perfusion
5. Postrenal: Sodium >40 mEq/LBUN <25 mg/dl * only in postrenal
*obstruction (tumors/stones)
6. Antidote for acetaminophen: N-Acetrylcysteine (Mucomyst)
7. Antidote for Opiates: Naloxone (Narcan)
8. Antidote for benzodiapine: Flumazenil (Romazicon)
9. Antidote for Digoxin: Digibind
10. Antidote for Beta Blockers: Glucagon, Calcium Chloride
11. Antidote for Carbon monoxide: 100% FiO2 or hyperbaric chamber
12. Antidote for Ethylene glycol and methanol: 10% ethanol infusion, dialysis
13. Antidote for Tricyclic antidepressants: sodium bicarb
14. Antidote for coumadin: Vitamin K
15. Antidote for heparin: Protamine sulfate
16. Antidote for amphetamines: benzodiazepines
17. Antidote for calcium-channel blockers: Calcium chloride, glucagon
18. Antidote for lithium: hemodialysis
19. Antidote for nitrates: methylene blue
20. Antidote for salicylates: sodium bicarb, hemodialysis
21. Dobutamine: Inotropic, chonotropic and vasodilator effectsTreats heart failure
Improves renal blood flow and u/o2-20 mcg/kg/min
22. Dopamine: Catacholamine raises bp refractory to fluid therapytreats heart failure
corrects hemodynamic imbalances during shock
, >6mcg/kg/min
23. Epinephrine: CatecholamineIncr CO by incr HR
Incr cerebral and coronary blood flowPotent alpha receptor vasoconstrictor1-10 mcg/min
24. Levophed: Catecholamine
Incr contractility to incr bp with mild effect to COUsed to treat hypotension and decr SVR
2-30 mcg/min
25. Milrinone: Inotropic vasodilating agent with little chronotropic activityIncr CO without
incr myocardial oxygen demand or HR
0.25-0.75 mcg/kg/min
26. Nitroglycerin: Venous vasodilator
Decr preload and afterload in L ventricular failure
Used for mycardial ischemia and dilator for coronary vasculature20-40 mcg/min
50-250 mcg/min
27. Nipride: Venous and arterial dilatorIncr CO by decr L ventricular afterload
Decr bp in hypertensive crises and decr pulmonary hypertension
0.5 - 10 mcg/kg/min
28. Neosynephrine: Sympathetic adrenergic agentConstricts blood vessels and raises bp
Stimulates baroreceptors to slow HR by incr vagal tone100-180 mcg/min (can go up to 300
mcg/min)
29. Vasopressin: Potent arterial vasoconstrictor
Used for severe hypotension/shock unresponsive to catecholamine therapy, upperGI
hemorrhages and ACLS protocol
0.01-0.4 units/min
30. ABG Values: pH 7.35-7.47PaCO2 35-45
PaO2 80-100
HCO3 22-26
31. Normal CBC values: Hgb 13-18 M 12-16FHct 40-52M 35-47F
32. Normal Coag values: PT 12-15 secaPTT 25-38 sec
Platelet 150,000 - 400,000
Fibrinogen 200-400
33. Normal Chemistry values: Na 136 - 145K 3.5 - 5.5
Ca 8 - 10.5
1. Frontal lobe: Understands what is said but is unable to express themselvesappropriately
2. Brudzinski's Sign: Lay flat on back, flex the head down towards the chest andthe knees
pop up = meningeal irritation
3. Kernig's sign: Lay flat on back, bend knee towards chest creates severe pain
= meningial irritation
4. Prerenal: Sodium <20 mEq/LBUN >25mg/dl
FENa <1%
*hypotension/hypo-perfusion
5. Postrenal: Sodium >40 mEq/LBUN <25 mg/dl * only in postrenal
*obstruction (tumors/stones)
6. Antidote for acetaminophen: N-Acetrylcysteine (Mucomyst)
7. Antidote for Opiates: Naloxone (Narcan)
8. Antidote for benzodiapine: Flumazenil (Romazicon)
9. Antidote for Digoxin: Digibind
10. Antidote for Beta Blockers: Glucagon, Calcium Chloride
11. Antidote for Carbon monoxide: 100% FiO2 or hyperbaric chamber
12. Antidote for Ethylene glycol and methanol: 10% ethanol infusion, dialysis
13. Antidote for Tricyclic antidepressants: sodium bicarb
14. Antidote for coumadin: Vitamin K
15. Antidote for heparin: Protamine sulfate
16. Antidote for amphetamines: benzodiazepines
17. Antidote for calcium-channel blockers: Calcium chloride, glucagon
18. Antidote for lithium: hemodialysis
19. Antidote for nitrates: methylene blue
20. Antidote for salicylates: sodium bicarb, hemodialysis
21. Dobutamine: Inotropic, chonotropic and vasodilator effectsTreats heart failure
Improves renal blood flow and u/o2-20 mcg/kg/min
22. Dopamine: Catacholamine raises bp refractory to fluid therapytreats heart failure
corrects hemodynamic imbalances during shock
, >6mcg/kg/min
23. Epinephrine: CatecholamineIncr CO by incr HR
Incr cerebral and coronary blood flowPotent alpha receptor vasoconstrictor1-10 mcg/min
24. Levophed: Catecholamine
Incr contractility to incr bp with mild effect to COUsed to treat hypotension and decr SVR
2-30 mcg/min
25. Milrinone: Inotropic vasodilating agent with little chronotropic activityIncr CO without
incr myocardial oxygen demand or HR
0.25-0.75 mcg/kg/min
26. Nitroglycerin: Venous vasodilator
Decr preload and afterload in L ventricular failure
Used for mycardial ischemia and dilator for coronary vasculature20-40 mcg/min
50-250 mcg/min
27. Nipride: Venous and arterial dilatorIncr CO by decr L ventricular afterload
Decr bp in hypertensive crises and decr pulmonary hypertension
0.5 - 10 mcg/kg/min
28. Neosynephrine: Sympathetic adrenergic agentConstricts blood vessels and raises bp
Stimulates baroreceptors to slow HR by incr vagal tone100-180 mcg/min (can go up to 300
mcg/min)
29. Vasopressin: Potent arterial vasoconstrictor
Used for severe hypotension/shock unresponsive to catecholamine therapy, upperGI
hemorrhages and ACLS protocol
0.01-0.4 units/min
30. ABG Values: pH 7.35-7.47PaCO2 35-45
PaO2 80-100
HCO3 22-26
31. Normal CBC values: Hgb 13-18 M 12-16FHct 40-52M 35-47F
32. Normal Coag values: PT 12-15 secaPTT 25-38 sec
Platelet 150,000 - 400,000
Fibrinogen 200-400
33. Normal Chemistry values: Na 136 - 145K 3.5 - 5.5
Ca 8 - 10.5
