Campus Collusion
Review Questions for Test Preparation

       
    

  



Problems with VentilationMedical-Surgical Nursing-7th edition

Review Online for Free
Lies about Study Techniques: Believe them at your own risk.
www.NursingInAFlash.com

Page 3
Skip Navigation Links
Question Answer
What EKG findings are suggestive of PE?
Show Answer
Anterior T wave inversion; tall, peaked P waves; and PEA.
What is an indicator that the source of a patient's hypoxemic respiratory failure is from a shunt and not V/Q mismatch?
Show Answer
They are more hypoxemic (PaO2 very low)
When alveoli fill with fluid like with ARDS, pneumonia, or pulmonary edema, what is the mechanism of hypoxemic failure?
Show Answer
Intrapulmonary shunt, blood flows thru the intrapulmonary capillaries but cannot exchange gas.
Using (+) airway pressure at _______ for _______ seconds can open collapsed alveoli without severe hemodynamic compromise or barotrauma.
Show Answer
PAP: 35-40 cm for 30-40 seconds
How is PEEP level selected for ARDS patients? What is the increased level recommended?
Show Answer
Titrate using hemodynamic monitoring; 6 mL/kg of ideal body weight; and no more than 22-24 cm.
What are common triggers for status asthmaticus?
Show Answer
Viral illness; NSAIDS, aspirin; stress; allergy; abrupt d/c of meds, especially corticosteroids; and beta-blockers.
When is an ARDS patient likely to experience hypercapnia?
Show Answer
In the later stages.
What is the major benefit for using a DPI for administration of asthma meds?
Show Answer
Requires less coordination and manual dexterity.
What effects do positioning therapies have on patients with ARDS?
Show Answer
Mobilize secretions, resolves atelectasis, improves V/Q, decreases interstitial fluid accumulation, decreases pneumonia, decreases skin breakdown, and decreases time in ICU/on vent.
_______ coughing involves sitting in a chair, breathing 3-4 times thru the mouth and coughing while bending forward and pushing a pillow against the diaphragm.
Show Answer
Staged
Download these questions to your phone here
How does a physician rule out a cardiogenic cause for pulmonary edema?
Show Answer
PAWP measurement (less than 18, not heart)
What are the risks of blood transfusions to increase perfusion in ARDS patients?
Show Answer
Inflammatory response and increases risk of infection/death.
What is the goal of perfusion therapies for ARDS?
Show Answer
Increases O2 transport between the alveoli and pulmonary capillaries.
Chest PT should be done for patients who produce _______mL/day of sputum or have atrlectasis or pulmonary infiltrates.
Show Answer
30 mL
How is hypotension treated for a patient with a PE?
Show Answer
1-2 L of a crystalloid infusion over an hour; Vasopressor like: norepinephrine, epinephrine, dopamine, or phenylephrine.
_______ echocardiography is useful for detecting intracardiac thrombi.
Show Answer
Transthoracic
What new cardiac findings can point to the presence of a PE?
Show Answer
Right bundle branch block, right axis deviation, and tricuspid regurgitation.
PE: Confusion - suspect _______, Decreased Hgb/Hct - suspect _______, Mental status changes while on thrombolytics - suspect _______, Weak pulse/mottled skin - _______.
Show Answer
Confusion: respiratory acidosis; Decreased Hgb/Hct: occult bleeding retroperitoneally or in GI tract. Thrombolytic: intracranial hemorrhage, Weak pulse/mottled: impending circulatory collapse
_______ is an anticoagulant used for patients with a submassive PE and DVT.
Show Answer
Low molecular weight heparin
_______ is a thrombolytic that uses recombinant DNA from a human melanoma cell line.
Show Answer
Alteplase; Load: 100mg/2 hours and Maintenance: none.
_______ has cultures from human source materials and carries a potential to transmit infectious agents when used as a thrombolytic.
Show Answer
Urokinase; Load: 4,400/10 min. and Maintenance: 4.400/kg/12hours
  
Page 3 Skip Navigation Links
Not what your looking for, continue searching

    
Skip Navigation Links