NUR 254 Exam #4
1. What does the train of 4 twitches mean?: giving electrostim to determine if pt is adequately paralyzed
2. What medication do we do train of 4 testing for?:
3. What do we want the train of 4 to be when our pt is paralyzed?: we want this to be zero for paralyzed pt
4. What is the epi dosage for a cardiac arrest: 1mg every 3-5 minutes 5. What are important facts about propofol?: used
ICU/OR monitor lipids/triglycerides while pt is on this drug!
sedative
6. What are important facts about precedex?: awake, supporting own airway but super chill great for ICU delirium shouldn't
be on it for more than 24 hours
BRADYCARDIA
7. What are the common medications used for moderate sedation?: Midazolam and Fentanyl
8. What is the primary function of Midazolam?: Antianxiety and sedative
9. Why is pain control important for sedated patients?: To ensure patient comfort and safety during sedation
10. What is dopamine?: used for hypotension
can also be used for RENAL FAILURE:
if we use 2/4mcg per kg
11. What is renal dosing for dopamine?: 2/4mcg per kg 12. What is dobutamine?: used for hypotension
can also be used for heart failure helps with contractility
13. What are need to knows for TPN?: DW
BG
monitor electrolyte status Q6
PICC
14. What is the tx of ARDS?: high fiO2
high PEEP
Tx of underlying Dx
1/8
, NUR 254 Exam #4
15. Hepatic encephalopathy: Due to liver failure confused slurred speech different gait
treated with lactulose
16. DKA signs and symptoms: Fruity breath (from acetone), dry mucous membranes from polyuria
Deep respirations possibly kussmaul respirations
Drowsiness, stupor or coma
Low BP from polyuria
Glucosuria, ketonuria, Polyuria and polydipsia,
n/v, not necessarily hunger Glucose at 300-
800mg/dl 17. Tx for DKA?: Insulin drip hourly
BG checks
NPO!!
electrolytes Q6 (K and Mg are replaced a lot in these pt)
if your K is too low, your body won't make enough insulin, which causes higher sugar
18. how to notice your pt is in sepsis?: tachypnea low BP
high HR
19. What to do if your pt is in sepsis?: notify the MD follow sepsis bundle
(fluids, ABX, cultures, pressors when that fails)
20. What is hypovolemic shock?: Hemorrhagic vs non Hemorrhagic shock
weak and thready pulse clammy cool skin
low BP tachycardia
21. What is the Tx for hypovolemic shock?: fluids for Hemorrhagic: blood
when that doesn't work: levofed
22. What is cardiogenic shock?: exaggerated heart failure, postop CABG, massive MI
2/8
1. What does the train of 4 twitches mean?: giving electrostim to determine if pt is adequately paralyzed
2. What medication do we do train of 4 testing for?:
3. What do we want the train of 4 to be when our pt is paralyzed?: we want this to be zero for paralyzed pt
4. What is the epi dosage for a cardiac arrest: 1mg every 3-5 minutes 5. What are important facts about propofol?: used
ICU/OR monitor lipids/triglycerides while pt is on this drug!
sedative
6. What are important facts about precedex?: awake, supporting own airway but super chill great for ICU delirium shouldn't
be on it for more than 24 hours
BRADYCARDIA
7. What are the common medications used for moderate sedation?: Midazolam and Fentanyl
8. What is the primary function of Midazolam?: Antianxiety and sedative
9. Why is pain control important for sedated patients?: To ensure patient comfort and safety during sedation
10. What is dopamine?: used for hypotension
can also be used for RENAL FAILURE:
if we use 2/4mcg per kg
11. What is renal dosing for dopamine?: 2/4mcg per kg 12. What is dobutamine?: used for hypotension
can also be used for heart failure helps with contractility
13. What are need to knows for TPN?: DW
BG
monitor electrolyte status Q6
PICC
14. What is the tx of ARDS?: high fiO2
high PEEP
Tx of underlying Dx
1/8
, NUR 254 Exam #4
15. Hepatic encephalopathy: Due to liver failure confused slurred speech different gait
treated with lactulose
16. DKA signs and symptoms: Fruity breath (from acetone), dry mucous membranes from polyuria
Deep respirations possibly kussmaul respirations
Drowsiness, stupor or coma
Low BP from polyuria
Glucosuria, ketonuria, Polyuria and polydipsia,
n/v, not necessarily hunger Glucose at 300-
800mg/dl 17. Tx for DKA?: Insulin drip hourly
BG checks
NPO!!
electrolytes Q6 (K and Mg are replaced a lot in these pt)
if your K is too low, your body won't make enough insulin, which causes higher sugar
18. how to notice your pt is in sepsis?: tachypnea low BP
high HR
19. What to do if your pt is in sepsis?: notify the MD follow sepsis bundle
(fluids, ABX, cultures, pressors when that fails)
20. What is hypovolemic shock?: Hemorrhagic vs non Hemorrhagic shock
weak and thready pulse clammy cool skin
low BP tachycardia
21. What is the Tx for hypovolemic shock?: fluids for Hemorrhagic: blood
when that doesn't work: levofed
22. What is cardiogenic shock?: exaggerated heart failure, postop CABG, massive MI
2/8
