Core Review Test 1

Jul 4, 2016 by in CRITICAL CARE Comments Off on Core Review Test 1

1 Core Review Test 1 1-1. A patient admitted with shortness of breath demonstrates the following findings: temperature 36.8° C, HR 120/min sinus tachycardia, BP 130/76 mm Hg, RR 36/min…

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Core Review Test 3

Jul 4, 2016 by in CRITICAL CARE Comments Off on Core Review Test 3

3 Core Review Test 3 3-1. Which of the following assessment findings would the nurse anticipate in patients with both right- and left-sided heart failure? A. S3 and S4 heart…

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Answers to Core Review Test 3

Jul 4, 2016 by in CRITICAL CARE Comments Off on Answers to Core Review Test 3

3 Answers to Core Review Test 3 3-1. (A) Extra heart sounds are heard in both right and left ventricular failure due to filling patterns in a noncompliant ventricle. Basilar…

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Answers to Core Review Test 2

Jul 4, 2016 by in CRITICAL CARE Comments Off on Answers to Core Review Test 2

2 Answers to Core Review Test 2 2-1. (A) In patients with ARDS, pneumothorax is frequently related to the use of high PEEP and tidal volumes intended to promote oxygenation…

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Answers to Core Review Test 1

Jul 4, 2016 by in CRITICAL CARE Comments Off on Answers to Core Review Test 1

1 Answers to Core Review Test 1 1-1. (B) Clinical signs of acute pulmonary edema include tachycardia, tachypnea, inspiratory crackles, and rhonchi with chest x-ray findings of Kerley B lines…

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FOR OBSTETRIC AND GYNECOLOGIC SURGERY

Jul 4, 2016 by in ANESTHESIA Comments Off on FOR OBSTETRIC AND GYNECOLOGIC SURGERY

ANESTHESIA FOR LABOR AND DELIVERY •  Nonpharmacologic analgesia choices: Hypnotherapy, hydrotherapy, and transcutaneous electrical nerve stimulation (TENS) •  Pharmacologic analgesia: Inhalation analgesia, parenteral opioid analgesia (fentanyl, nalbuphine), pudendal block, paracervical…

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ELECTROLYTES, & TRANSFUSION THERAPY

Jul 4, 2016 by in ANESTHESIA Comments Off on ELECTROLYTES, & TRANSFUSION THERAPY

(LR, NS, & hetastarch → shown to ↑ neutrophil activation; blood, 7.5% hypertonic saline, & albumin did not have this effect) Figure 9-1. Assessment of volume status. Colloid osmotic pressure (COP)…

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MONITORING

Jul 4, 2016 by in ANESTHESIA Comments Off on MONITORING

Figure 7-1. The hemoglobin-oxygen (Hb-O2) dissociation curve. NONINVASIVE BLOOD PRESSURE MONITORING (OSCILLOMETRIC SPHYGMOMANOMETRY) Basis: Air cuff inflated around extremity, transducer reads oscillations from systolic pulsation •  Inflation pressure raised above systolic…

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ANESTHESIA

Jul 4, 2016 by in ANESTHESIA Comments Off on ANESTHESIA

•  Infant chest wall deforms easily → because of cartilaginous structure • Accessory muscles provide limited support (poor anatomic rib configuration) • Infantile diaphragm contains 20–25% of fatigue-resistant type I…

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PAIN MANAGEMENT

Jul 4, 2016 by in ANESTHESIA Comments Off on PAIN MANAGEMENT

Acute pain: 0 to 4–6 wks Subacute pain: 1 to 3 mos Chronic pain: Persistent pain >3 mos without biologic value Figure 29-1. Algorithm for pharmacologic management of chronic pain. LOW…

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