NSG 233 - Medical-Surgical Nursing III
Exam 1
Question:
what will the SPO2 of a Carbon Dioxide Poison pt look like
Answer:
it will be Nl
Question:
whats does Hypothermia put pt's at risk for?
Answer:
hypoxia acidosis dysrhythmias
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Question:
a pt w/ dysrhythmias secondary to hypothermia is having secondary v-fib, what should RN know?
Answer:
pt must be rewarmed to >90F (32.2c) prior to defibrillation!!!!!
Question:
who all is screened in IPV?
Answer:
q pt.ask "do you feel safe at home?"
Question:
whats the pt w/ Compensatory Shock look like?
Answer:
Normal BP tachycardia tachypneic PaCO2<32 cold, clammy confused/agitated respiratory alkalosis
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Question:
whats Compensatory Shock?
Answer:
first phase of shock, pt is able to maintain fluid vol, normal BP
Question:
whats Progressive Shock?
Answer:
shocks begin to fail to meet metabolic needs bp starts to lower
Question:
whats the pt w/ progressive Shock look like?
Answer:
systolic <90 MAP <65 NEEDS fluid for BP TACHYYY >150 rapid, shallow RR crackles mottled, petechiae 3 / 4
lethargic metabolic acidosis
Question:
whats the pt w/ irreversible Shock look like?
Answer:
REQUIRES MECHANICAL / PHARMACOLOGIC SUPPORT
erratic
REQUIRES INTUBATION/MECH VENT
jaundice anuric - requires dialysis profound acidosis
Question:
whats MODS
Answer:
Multiple organ dysfunction syndrome
- altered organ function in acutely ill pt, requires mech vent for organ
support -can be a complication of shock -common in sepsis pt
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