NR 341 Final Exam
Interventions for hypothermia ANS: warm iv fluid
room >80degrees
bearhugger
cover pts head
Complications of hypothermia ANS: Myocardial dysfunction =decreased contractility (give milrinone)
Dysrthymias
Hypercoagulability what pts? ANS: hypothermic pts
pregnant pt
pts on estrogen
vessel wall damage from what? ANS: Surgery/trauma pt
central lines
pa catheters
venous stasis ANS: immobility
atrial fib
Normal serum osmolality ANS: 285-295
what's the most important electrolyte when talking about Osmo? ANS: Sodium
low serum osmolality s/s ANS: fluid volume excess
, delusional hyponatremia
Siadh
high serum osmolality s/s ANS: fluid deficit
dehydrated
DI
DKA
airway trauma ANS: bleeding
vomiting
turn pt on side
suction
Breathing (trauma) ANS: examine chest wall movement
assess rest rate
AVPU ANS: Alert
Verbal
Painful Stimuli
Unresponsive
Complications of trauma (compartment syndrome) ANS: 4 p's
neurovascular assessment first
measure abdominal girth
intra abdominal pressure measurement
Interventions for hypothermia ANS: warm iv fluid
room >80degrees
bearhugger
cover pts head
Complications of hypothermia ANS: Myocardial dysfunction =decreased contractility (give milrinone)
Dysrthymias
Hypercoagulability what pts? ANS: hypothermic pts
pregnant pt
pts on estrogen
vessel wall damage from what? ANS: Surgery/trauma pt
central lines
pa catheters
venous stasis ANS: immobility
atrial fib
Normal serum osmolality ANS: 285-295
what's the most important electrolyte when talking about Osmo? ANS: Sodium
low serum osmolality s/s ANS: fluid volume excess
, delusional hyponatremia
Siadh
high serum osmolality s/s ANS: fluid deficit
dehydrated
DI
DKA
airway trauma ANS: bleeding
vomiting
turn pt on side
suction
Breathing (trauma) ANS: examine chest wall movement
assess rest rate
AVPU ANS: Alert
Verbal
Painful Stimuli
Unresponsive
Complications of trauma (compartment syndrome) ANS: 4 p's
neurovascular assessment first
measure abdominal girth
intra abdominal pressure measurement
