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A series of questions and answers related to critical care in the icu and bkat settings. It covers a range of topics including medication administration (tpa, diltiazem, amiodarone, epinephrine, dopamine, nitroprusside), ventilator management, acid-base balance, electrolyte imbalances (hyperkalemia), neurological assessments (icp, stroke), and other critical care procedures. Designed to test and reinforce knowledge of essential icu protocols and pharmacology, making it a valuable resource for healthcare professionals and students in critical care settings. It includes key concepts such as recognizing symptoms of dka and hypoglycemia, understanding ecg changes in hyperkalemia, and preventing ventilator-associated pneumonia. The content is structured to facilitate quick review and knowledge assessment.
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while receiving tpa, what would warrant for you to stop the medication - ANSWER>>change in mental status systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is? - ANSWER>>aortic stenosis removing a line hold pressure for? - ANSWER>> 8 - 10 minutes CVP reading directly reflects pressure in the - ANSWER>>right atrium elevated CVP may indicate? - ANSWER>>right heart failure pulmonary artery occlusive wedge pressure reflects pressure where? - ANSWER>>left ventricle normal pulmonary artery pressure is - ANSWER>> 10 - 20/0- 4 mean 5- 10 mmhg normal PAOP - ANSWER>> 6 - 12 elevated PAOP indicates - ANSWER>>Left ventricle failure
68 year old complains of feeling a little funny in his chest and ecg shows afib/flutter. what medication should be used to treat? - ANSWER>>diltiazem qrs complex longer that .12 indicates - ANSWER>>bundle branch block care should be exercised when administering IV dopamine because? - ANSWER>>infiltration leads to tissue necrosis strong ventricular stimulus is potentially dangerous when it lands where - ANSWER>>t wave indication for use of external cardiac pacemaker includes - ANSWER>>symptomatic complete heart block initial drug treatment for sustained ventricular tachycardia when a pulse is present - ANSWER>>amiodarone 150mgIV bolus over 10 minutes patient become apneic and pulseless. the monitor shows asystole. the drug used initially? - ANSWER>>epinephrine antidote for heparin - ANSWER>>protamine sulfate most important step in preventing central venous related sepsis is - ANSWER>>thorough handwashing
most important nursing acticity for patient with dx of cervical spinal cord injury is - ANSWER>>immobilize head earliest sign of increase ICP is? - ANSWER>>change in LOC assess proper positioning of et tube, most important nursing action? - ANSWER>>listen for bilateral breath sounds deepening ICP characterized by - ANSWER>>widened pulse pressure drug of choice to reduce ICP - ANSWER>>mannitol positive Babinski in adult represents - ANSWER>>abnormal finding which of the following is wrong -- acute phase of stroke treatment - ANSWER>>initiating tpa if within 8 hours most important part of neuron check - ANSWER>>evaluating LOC DKA sx - ANSWER>>fruity breath, deep and rapid breathing sx of hypoglycemia - ANSWER>>weakness, headache, diaphoresis
what would you NOT give to someone in DKA coma - ANSWER>>dextrose DM acutely ill require insulin dose - ANSWER>>higher dose of insulin psychophysiology stress response fro acute illness and being in an icu can result in decrease - ANSWER>>urine output which of the following insulins will have peak action within 2 - 4 hours - ANSWER>>regular NPH - when would you expect an insulin reaction to occur - ANSWER>> 1 - 2 hours (NOT 3-4) patient with ET tube audibly speaks - what do you do? - ANSWER>>check cuff Pt post op craniotomy fasting bs of 100, extreme thirst and urine output greater than 1000mls over two hours, suspect - ANSWER>>DI 150 pound person normal urine out put - ANSWER>> 30 practices to decrease catheter associated urinary tract infection does not include which of the following - ANSWER>>d/c enteral tube feeing if diarrhea occurs
precautions in using iV nitroprusside is not included in which response below? - ANSWER>>continuous monitoring for sudden decrease in BP dosage of which drug must be tapered off slowly to prevent acute adrenal insufficiency - ANSWER>>cortisone which of the following is not a manifestation of dig tox - ANSWER>>PAT with block Health care power of attorney has right to - ANSWER>>decide on husbands care if he loses consciousness initial measures for treatment of anginga doesnt include - ANSWER>>beta blockers (includes nitro, oxygen, resting) elevated cardiac iso enzymes generally do not occur in what - ANSWER>>CHF major therapeutic goal in treatment of cardiogenic shock - ANSWER>>improve renal function nipride plus dobutamine effects? - ANSWER>>reduce preload and afterload improving contractility pt with cervical spine injury, most important observations that most concern which of the following parameters? - ANSWER>>respirations