N4581 - Exam 1 (Complex Needs - Reid) Questions With
Complete Solutions
When would patient receive tPA?
NON hemorrhagic stroke (don't add more
bleeding!)
s/s occurring 3-4hrs ago
∅ hx of trauma, MI, or major sx
AFTER labs: INR, PTT, & platelets
*do not give aspirin/heparin w/in 24hrs after*
What medications should be avoided while
receiving tPA?
anticoagulants!!
aspirin and heparin
can give 24hrs after tPA tx
What is the underlying cause of seizures?
Common causes (4)
electrical disturbances in nerve cells
congenital (epilepsy)
trauma (stroke, injury, tumor, SAH)
electrolyte imbalances
infection
,Discuss the nursing interventions for the following;
seizure precautions (4)
during seizure (4)
post ictal (3)
precautions: suction @ bedside, pad rails, bed in
lowest position, timely admin of meds
during: sidelying (facilitate drainage), suction,
ensure patent airway, document thoroughly
post ictal: assess ABCDS, good assessment of
neuro, incontinent of stool/urine?
Duration of a seizure lasting _______ is classified as
_______.
+30min
status epilepticus
Patient is having a seizure lasting 30+ minutes,
what is this called?
What medications do you expect?
If those medications don't work?
status epilepticus
meds: diazepam/lorazepam/fosphenytoin
(antiseizure med)
if meds don't immediately halt seizure,
general anesthesia w/ short-acting
barbiturate
Nurse management for patient with Parkinson's
, A: airway: aspiration risk ∵ difficulty swallowing
and ↑drooling
B: breathing: ↓muscle strength, ineffective
breathing
C: circulation: postural hypotension common
with PD
S: safety: assist with ambulation, etc.
List the normal ABG values;
pH
PaCO2
HCO3
PaO2
SaO2
pH: 7.35-7.45
PaCO2: 35-45
HCO3: 22-28
PaO2: 80-100
SaO2: 90
What is the difference between SaO2 and PaO2
and SpO2?
SaO2: oxygen saturation, percent of HgB
saturated w/ O2, invasive need blood draw
PaO2: oxygen dissolved IN blood, "p" for partial ∵
other gases dissolved in blood too
Complete Solutions
When would patient receive tPA?
NON hemorrhagic stroke (don't add more
bleeding!)
s/s occurring 3-4hrs ago
∅ hx of trauma, MI, or major sx
AFTER labs: INR, PTT, & platelets
*do not give aspirin/heparin w/in 24hrs after*
What medications should be avoided while
receiving tPA?
anticoagulants!!
aspirin and heparin
can give 24hrs after tPA tx
What is the underlying cause of seizures?
Common causes (4)
electrical disturbances in nerve cells
congenital (epilepsy)
trauma (stroke, injury, tumor, SAH)
electrolyte imbalances
infection
,Discuss the nursing interventions for the following;
seizure precautions (4)
during seizure (4)
post ictal (3)
precautions: suction @ bedside, pad rails, bed in
lowest position, timely admin of meds
during: sidelying (facilitate drainage), suction,
ensure patent airway, document thoroughly
post ictal: assess ABCDS, good assessment of
neuro, incontinent of stool/urine?
Duration of a seizure lasting _______ is classified as
_______.
+30min
status epilepticus
Patient is having a seizure lasting 30+ minutes,
what is this called?
What medications do you expect?
If those medications don't work?
status epilepticus
meds: diazepam/lorazepam/fosphenytoin
(antiseizure med)
if meds don't immediately halt seizure,
general anesthesia w/ short-acting
barbiturate
Nurse management for patient with Parkinson's
, A: airway: aspiration risk ∵ difficulty swallowing
and ↑drooling
B: breathing: ↓muscle strength, ineffective
breathing
C: circulation: postural hypotension common
with PD
S: safety: assist with ambulation, etc.
List the normal ABG values;
pH
PaCO2
HCO3
PaO2
SaO2
pH: 7.35-7.45
PaCO2: 35-45
HCO3: 22-28
PaO2: 80-100
SaO2: 90
What is the difference between SaO2 and PaO2
and SpO2?
SaO2: oxygen saturation, percent of HgB
saturated w/ O2, invasive need blood draw
PaO2: oxygen dissolved IN blood, "p" for partial ∵
other gases dissolved in blood too
