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Exam one block 2 bsn
Exam 1 block 2 bsn
Question | Answer |
---|---|
pH: 7.30, PCO2: 50, HCO3: 24 | Respiratory acidosis |
pH: 7.50, PCO2: 30, HCO3: 25 | Respiratory Alkalosis |
pH: 7.32, PCO2: 40, HCO3: 20 | Metabolic Acidosis |
pH: 7.53, PCO2: 41, HCO3: 29 | Metabolic Alkalosis |
What does SBAR stand for? | Situation, Background, Assessment, Recommendation |
What is Eriksons newborn/infant stage? | Trust vs. mistrust |
What is Eriksons Toddler stage? | Autonomy vs shame and doubt |
What is Eriksons preschool stage? | Initiative vs guilt |
What is Eriksons school age stage? | industry vs inferiority |
What is Eriksons adolescence stage? | identity vs role confusion |
What is Eriksons young adult stage? | intimacy vs isolation |
What is Eriksons middle age stage? | generativity vs stagnation |
What is Eriksons old age stage? | ego integrity vs despair |
Normal ph level | 7.35-7.45 |
Normal PCO2 | 35-45 |
Normal HCO3 level | 22-26 |
Are aspirin and CO2 acidic or alkalatic? | acidic |
What is the reversal agent for opiod narcatics? | Narcane |
What is the reversal agent for benzodiapes? | Ramazacon |
What happens during a p wave? | Atrium depolarizing |
What happens during QRS? | Ventricle depolarizing |
What happens During a t-wave? | Repolarization |
Whats the pathophsiology of the heart? | SA node > Av valve >bundle of His > Purkinje fibers |
What are the 4 questions one should ask when interepting a EKG? | Is it regular? Does it have a P wave? Is there a P wave for every QRS? Is the QRS skinny? |
What are the 2 labs that are checked for MI? | CK-MB, Tropin, Myoglobin, LDH |
No t waves on a EKG means what? | Hypokalemia |
Larger t-wave then QRS means what? | Hyperkalemia |
What drug brings down the K+ level? | Kaxalate |
When you think Na what system should you think of? | Neuro changes |
When you think K+ what system should you think of? | Heart and muscle changes |
When you think Calcium what system should you think of? | Muscle |
When you think Magnesium what system should you think of? | Muscle |
Ape to Man? | Aortic area, Pulmonic area, Tricucspid area, Apex |
What is happening to a person with coronary artery disease? | Narrowing of the arteries |
What are the 4 steps in dealing with a person having chest pains(angina)? | O2, Nitro, Aspirion, Morphine |
How long does lasix last and what electolyte should you watch? | Lasts 6 hoursWatch K+ |
SX of a pt with right sided heart failure? | Pitting edema in feet, legs, scrum, back and buttocksdistended neck veinstenderness of right upper quadrantAbd pain, bloatinganorexiaSigns evident in SYSTEMIC CIRCULATION |
SX of pt with left sided heart failure? | cough, dyspnea on exertion, orthopnea, paroxysmal nocturnal dysneacrackles on auscultationconfusion and disorientationsings of cerbral anoxiasigns evident in PULMONARY SYSTEM |
ACE inhibitor drugs usally end with? | PrilRemember APRIL- A for ace inhibitor and Pril for the suffix of the drug name |
Beta blockers drugs usally end with? | ololRemember Bolol- B for beta blocker and OLOL for the suffix of the drugs name |
What does CABE mean? | Coronary artery bypass graft |
Anterior Pitutary excrets what 7 hormones? | GH, FSH, MSH, ACTH, TSH, LH, Prolactin |
Posterior Pitutary excrets what 2 hormones? | ADH, Oxytocin |
Normal K+ level | 3.5-5 |
Normal Na level | 135-145 |
Normal Calcium level | 8.5-10 |
Normal Phosphorus level | 2.7-4.5 |
Normal Magnesium level | 1.6-2.6 |
SX of Hypokalemia | fatigue, muscle weakness, Cramps, Decreased muscle tone and reflexes, Confusion, Tachycardia, Flat t wave |
SX of Hyperkalemia | drowsiness, irritablilty, anxiety, muscle weakness, Peaked t waves, diarrhea |
SX of Hyponatremia | CNS problems, confusion, flushed skin, hypertension |
SX of Hypernatremia | Fluid excess, fluid deficit |
SX of Hypocalcemia | + Chvosteks (Facial twiching)+ Trousseau'sNumbness and tingling in extremitiesseizuresabd cramping and distentionHyperreflexia |
SX of Hypercalcemia | anorexia, anusea, constipation, CNS depression, pathological fractures, dysrthythmias |
Sx of Hypophosphatemia | Cardiovascular, shallow respirations, neuromuscular, CNS, Hematological |
Sx of Hyperphosphatemia | + Chvosteks and trousseaus, neuromuscluar irritablitiy, numbness and tingling in extremities, seizures, hyperreflexia |
Calcium and Phosphate have what type of relationship | Inverse- When one is up the other is down and vice versa |
sx of Hypomagnesemia | Shallow respriations, hyperreflexia, seizures, tachycardia |
Hypermagnesemia sx | cardiovascular changes, respiratory insufficiency, neuromuscular changes |
D5W, 0.9% NS, LR are what type of solution | Isotonic |
0.33% NaCL, 0.45% NaCL are what type of solution | Hypotonic |
D5/0.45% NaCL, D10W, D5NaCL 0.9% are what type of solution | Hypertonic |
What is Freud's five psychosexual stages? | Oral, Anal, Phallic, Latency, Genital |
TSH and T4/T3 have what type of relationship? | Inverse. When one up the other is down and vice versa |
Sypmtoms of Hypothyroidism? | Hair loss, intolerance to cold, facial and eyelid edema, extreme fatigue, lethargy, brittle hair/nails, constipation |
Symptoms of Hyperthyroidism? | Intolerance to heat, bulging eyes, tachycardia, weight loss, localized edema, diarrhea, finger clubbing, tremors |
What are the 3 polys of Diabetes? | Polyuria, polydipsia, polyphagia |
Sx of Cushings syndrome | Hyperglycemia, moon face, CNS irritability, Increased susceptibilty to infection, fat deposit on back, osteoporosis, na & fluid retention, thin extremities, GI disturbances, thin skin, purple strire, Hypernatremic, HypoKalemic, buffalo hump, |
Sx of Addisons disease | bronze colored skin, hypoglycemia, weight loss, weakness, HyperKalemic, Hyponatremic |
SX of diabetes insipidus | Polyuria, polydipsia, too little ADH, Hypernatremic |
SX of SIADH | Too much ADH, decreased urine output, fluid retention, electrylytes decrease |
Number one cause of Cushings? | Long term Steroid use |
what rhythm starts at the SA node and has a rate between 60-100/min | Normal sinus rhythm |
What rhythm starts at the SA node and has a rate of 60 or less bpm | Sinus Bradycardia |
What drug would you treat Sinus Bradycardia with? | Atrophine |
What rhythm starts at the SA node and has a rate of 100-160 bpm | Sinus Tachycardia |
Treatment for Sinus Tachycardia? | Vagal stimulation, Valsalva maneuver, adenosine, diltiazem, metopolol, atenolol |
What happens during a premature atrial contractions (PAC) | 1 p wave was stimulated from someplace else in the artium other then the SA node |
Treatment for PAC | Beta blockers |
What are the carateristics of Afib (atrial fibrillation) | blood pooling in the heart, cardiac output drops, no P waves, no atrial contraction-just quivers |
What are the characteristics of atrial flutter? | Rate of 250-350bpm, Lots of P waves(looks like saw tooth), Reduces cardiac output |
What are the characteristics of Premature Ventricular Contraction (PVC) | No P-waves, Wide QRS, Cardiac muscle contracts without stimulation |
What are the characteristics of Ventricular Tachycardia (Vtach) | Run of 3 or more PVCs in a row |
What is Asystole? | Absence of ventricular activity |
How long does Angina usually last? | 5 to 15 mins |
The ride side of the heart pumps what kind of blood into where? | Deoxygenated blood into the lungs |
What does the left side of the heart do? | Pumps oxygenated blood out to the organs and tissues |