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Terms in this set (25)
Top 4 cause of acute respiratory decompensation in intubated pt
DOPE -- Displacement of the endotracheal tube, Obstruction within the endotracheal tube, Pneumothorax, and Equipment malfunction
virus associated with bronchiolitis
the most common pathogens of childhood pneumonia in patients with cystic fibrosis
S. aureus and Haemophilus influenzae
Treatment of a fat embolus
aggressive supportive care
management necrotizing mediastinitis
broad spectrum abx, surgical consult
bugs associated with atypical PNA
Legionella pneumophila, Chlamydophila pneumoniae, and Mycoplasma pneumoniae,
indication for hyperbaric therapy in setting of CO exposure
pregnancy if: ischemic injury, neurologic deficits, or an elevated carboxyhemoglobin (COHb) level over 15%.
COHb levels over 40% (some institutions go as low as levels >25%) and signs of tissue ischemia, such as altered mental status, neurologic deficits, myocardial ischemia, cardiac dysrhythmias, and syncope.
4 t's of mediastinal widening
lymphoma, thymoma, teratoma/germ cell tumor, and thyroid tissue
nodular, mobile, and smooth mass in breast
fibrocystic breast change
restrictive lung disease generally resulting from inhaling toxic substances, including coal dust (coal miner's lung, coal workers' pneumoconiosis, black lung disease) and silic
BP strategies with LHF and RHF
R: maintain pre-load; L: decrease afterload
stages of pertussis
catarrhal phase/prodromal phase: URI LIKE the signs and symptoms include rhinorrhea, low-grade fever, malaise, and conjunctival injection, and in some, apnea; HIGHEST INFECTIVITY
paroxysmal phase: no fever, cough increases, to whooping stage
bug associated with epiglottitis
Haemophilus influenzae type b
Pao2/Fio2 less than 300
what is the goal plateau pressure in ARDS management?
less than 30
what blood test can be used to r/o aortic dissection
correct sequencing and pressure of inflating the balloons in a blakemore
1) gastric balloon: 250 mL of air so that it abuts securely against the gastroesophageal junction. 2) esophageal balloon is inflated if bleeding persists. The esophageal balloon is inflated to a pressure of no more than 50 mm Hg to control esophageal variceal bleeding.
EKG rhythm associated with chronic severe digoxin toxicity
bidirectional ventricular tachycardia
stages or iron toxicity
Phase 1 of iron toxicity: GI upset
Phase 2: quiescent phase
Phase 3. seizures, shock, liver failure hepatic failure with alteration in gluconeogenesis.
Phase 4: pyloric stenosis.
PNA associated with alcoholics and abscess
PNA associated with GI upset, hyponatremia
PNA associated with classic lobar pattern, rust colored sputum and high fever (most common)
PNA associated with post-URI and IVDU
PNA associated with people under 40 and pathcy infiltrate
2nd most common PNA
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