Nur 245 Exam 1 | Complete Questions And Answers

DIC {Ans: MASSIVE micro-emboli event happening all over the body *use up all clotting factors and then bleed profusely - sepsis - grave condition: unconscious severe decreased BP (vasopressor) dopamine, levo (nor-epi) decreased urinary output (no perfusion) decreased platelets}intracranial regulation {Ans: epidural bleed = emergency (perfusion to brain) subderal bleed = slower, venous increased ICP (above 15) ventriculostomy - drain CSF if ICP too high}Atrial Fibrillation (A-Fib) Treatment {Ans: goal* decrease ventricular response to less than 100, prevention of stroke, conversion to SR if possible. drugs for ventricular rate control* CCD, BB, dronedarone, and digoxin}encephalopathy late signs and symptoms {Ans: slurred speech astorixis impaired judgement}Papillary muscle rupture {Ans: onset of new murmur}cardiac tamponade {Ans: increased CVP decreased BP narrowed pulse pressure}PT {Ans: extrinsic pathway 11-12.5 = normal 1-2.5 greater than normal = therapeutic coumadin - antidote = Vit. K}MI complications {Ans: *1. dysrhythmias 2. CHF (crackles) 3. asystole 4. papillary muscle rupture 5. pericarditis decreased CO, cardiogenic shock, cardiac tamponade, V-tach, V-fib, onset new murmur}CAD diagnosed by {Ans: CXR 12 lead EKG = ST increased or decreased, Qwaves Holter = daily journal Stress test = treadmill or thallium Echo TEE =