Study sets matching "critical care nursing"

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Study sets matching "critical care nursing"

Critical Care Nursing Brain
Three layers of connective tissue cove…
What is a hemorrhage called that occur…
What is a hemorrhage called that occur…
What is a hemorrhage called that occur…
Dura Mater... Arachnoid Mater... Pia Mater
Epidural hemorrhage - arterial bleed
Subdural hematoma - venous bleed, classified based on time of…
Subarachnoid hemorrhage - usually result from aneurysms, resu…
Three layers of connective tissue cove…
Dura Mater... Arachnoid Mater... Pia Mater
What is a hemorrhage called that occur…
Epidural hemorrhage - arterial bleed
34 terms
Critical Care Nursing - Hemodynamics
CVP
PAP
PCWP
CO/CI
This is a measurement of right sided preload (right atrial pr…
This is a direct measurement of pressures in the pulmonary ar…
This is the earliest indicator of changes in the left ventric…
This is used to assess if the heart is pumping enough blood t…
CVP
This is a measurement of right sided preload (right atrial pr…
PAP
This is a direct measurement of pressures in the pulmonary ar…
26 terms
Critical Care Nursing
What is Critical Care Nursing
In critical care you HAVE to have...
Nurse to patient ratios in critical ca…
In critical care there is constant...
Concerned with human responses to life-threatening problems... A…
Good assessments... (You must be able to assess quickly)
1:1 or 1:2
Patient surveillance
What is Critical Care Nursing
Concerned with human responses to life-threatening problems... A…
In critical care you HAVE to have...
Good assessments... (You must be able to assess quickly)
Critical Care Nursing Drugs
Thrombolytic/Fibrinolytic Drugs: Altep…
Anticoagulants: Heparin, LMW Heparin (…
Antiplatelet: Aspirin
Antiplatelet: Clopridgrel (plavix), Pr…
ACTION: enzyme that digests the fibrin meshwork that holds cl…
ACTION: helps anti-thrombin inactivate clotting factors parti…
ACTION: works by causing irreversible inhibition of cycloxyge…
ACTION: Block receptors for adenosine diphosphate on platelet…
Thrombolytic/Fibrinolytic Drugs: Altep…
ACTION: enzyme that digests the fibrin meshwork that holds cl…
Anticoagulants: Heparin, LMW Heparin (…
ACTION: helps anti-thrombin inactivate clotting factors parti…
Highlighted Critical Care Nursing
mentation
two
CVP
<5cm
___-attitude of patient. BAR, QAR. ... Painful, depressed, agita…
TPR- should be taken at least ____ times daily and possibly u…
___ is the pressure within the cranial vena cava.
Normal CVP is ____ of H2O.
mentation
___-attitude of patient. BAR, QAR. ... Painful, depressed, agita…
two
TPR- should be taken at least ____ times daily and possibly u…
Highlighted Critical Care Nursing
mentation
two
CVP
<5cm
___-attitude of patient. BAR, QAR. ... Painful, depressed, agita…
TPR- should be taken at least ____ times daily and possibly u…
___ is the pressure within the cranial vena cava.
Normal CVP is ____ of H2O.
mentation
___-attitude of patient. BAR, QAR. ... Painful, depressed, agita…
two
TPR- should be taken at least ____ times daily and possibly u…
45 terms
Critical Care: Trauma Nursing
Revised trauma score
START system for rapid t
Goal of primary survey?
How do you open an airway if a suspect…
...
...
To identify life threatening injuries through ABCDE's.
Jaw thrust
Revised trauma score
...
START system for rapid t
...
45 terms
Critical Care: Trauma Nursing
Revised trauma score
START system for rapid t
Goal of primary survey?
How do you open an airway if a suspect…
...
...
To identify life threatening injuries through ABCDE's.
Jaw thrust
Revised trauma score
...
START system for rapid t
...
Emergency and Critical Care Nursing
The transfer of beneficial microorgani…
A procedure in which a relatively smal…
A tube inserted into the pleural space
A device that is used to cut a fetus i…
Transfaunation
Regional nerve block
Chest tube
Fetatome
The transfer of beneficial microorgani…
Transfaunation
A procedure in which a relatively smal…
Regional nerve block
13 terms
Intro to Critical Care Nursing
When was AACN founded?
Largest specialty org in the world?
What model does AACN use?
When was SCCM founded?
1969
AACN
Synergy Model
1970; it is a multi-professional organization
When was AACN founded?
1969
Largest specialty org in the world?
AACN
76 terms
Critical Care Nursing
vital signs
LOC
blood cell count
blood cultures
pulse, blood pressure, respirations, oxygen saturation level,…
Level of consciousness
monitor for bleeding and infection, usually drawn daily to mo…
identify microorganisms causing infection and to choose antib…
vital signs
pulse, blood pressure, respirations, oxygen saturation level,…
LOC
Level of consciousness
25 terms
Shock: Critical Care Nursing
Hypovolemic Shock
Loss of __ to __ or more of the normal…
Causes of hemorrhage
Causes of fluid loss
Decreased circulating volume.
15% to 30%
Trauma, surgery, GI bleed, ruptured aneurysm
Vomiting, diarrhea, ascites, third spacing
Hypovolemic Shock
Decreased circulating volume.
Loss of __ to __ or more of the normal…
15% to 30%
22 terms
Nursing 438: Critical Care
Critical Care Nursing
Hemodynamic Monitoring
Hemodynamic Monitoring Measurement Met…
Cardiac Output
a patient who is at high risk for actual or potential life-th…
measurement of pressure, flow and oxygenation within the card…
systemic and pulmonary arterial pressures, CVP, PAWP, cardiac…
volume of blood in liters pumped by the heart in 1 minute
Critical Care Nursing
a patient who is at high risk for actual or potential life-th…
Hemodynamic Monitoring
measurement of pressure, flow and oxygenation within the card…
Critical Care Nursing - Mechanical Ventilation
Common means of sedation for patient r…
Primary nursing concerns for patient w…
Once inserted, what is important for t…
Unless medically contraindicated, how…
Morphine... Ativan... propofol ("milk of amnesia")
Unplanned (inadvertent) extubation... Aspiration
Measurement of the tube (on the tube itself) at a specific po…
Supine, HOB at 30 - 45 degrees (to prevent aspiration)
Common means of sedation for patient r…
Morphine... Ativan... propofol ("milk of amnesia")
Primary nursing concerns for patient w…
Unplanned (inadvertent) extubation... Aspiration
Emergency Nursing-Critical Care
Triage: Black
Triage: Red
Triage: yellow
Triage: Green
expectant, deceased
emergent, immediate
urgent, delayed
non- emergent minor
Triage: Black
expectant, deceased
Triage: Red
emergent, immediate
29 terms
Critical Care Nursing
The nurse is caring for a patient who…
When planning care for a patient on a…
A patient's daughter asks the nurse wh…
Rationale - SIMV
The negative inspiratory force (NIF) measures inspiratory mus…
PEEP is positive pressure that is applied to the airway durin…
a) "SIMV is a mode that allows your father to breathe on his…
SIMV stands for synchronized intermittent mandatory ventilati…
The nurse is caring for a patient who…
The negative inspiratory force (NIF) measures inspiratory mus…
When planning care for a patient on a…
PEEP is positive pressure that is applied to the airway durin…
34 terms
Critical Care Nursing - Hemodynamics
CVP
PAP
PCWP
CO/CI
This is a measurement of right sided preload (right atrial pr…
This is a direct measurement of pressures in the pulmonary ar…
This is the earliest indicator of changes in the left ventric…
This is used to assess if the heart is pumping enough blood t…
CVP
This is a measurement of right sided preload (right atrial pr…
PAP
This is a direct measurement of pressures in the pulmonary ar…
Nursing Management Critical Care
The nurse is caring for a patient who…
When planning care for a patient on a…
A patient's daughter asks the nurse wh…
Which of the following interventions s…
d. The negative inspiratory force (NIF) measures inspiratory…
d. PEEP is positive pressure that is applied to the airway du…
d. SIMV stands for synchronized intermittent mandatory ventil…
c, d. Suctioning is preceded by a thorough assessment and hyp…
The nurse is caring for a patient who…
d. The negative inspiratory force (NIF) measures inspiratory…
When planning care for a patient on a…
d. PEEP is positive pressure that is applied to the airway du…
19 terms
Acute Critical Care Nursing
Critical Care
Critical Care Nursing
Critical Care Nurse
Critical Care Unit
A medical care for patients whose illness requires close and…
A specialty in nursing that deals specifically with human res…
A licensed professional nurse who is responsible for ensuring…
A specially designed and equipped facility staffed by skilled…
Critical Care
A medical care for patients whose illness requires close and…
Critical Care Nursing
A specialty in nursing that deals specifically with human res…
136 terms
Critical Care Nursing Exam 1
COMPETENCIES OF NURSES CARING FOR THE…
The nurse caring for acute and critica…
REDUCING ALL-CAUSE HARM
AMERICAN ASSOCIATION OF CRITICAL-CARE…
• Clinical judgment and clinical reasoning skills... • Advocacy…
Systematically evaluates the quality and effectiveness of nur…
Adverse drug events... • Infections... • Catheter-associated urin…
A... Meta-analysis of multiple controlled studies or metasynthe…
COMPETENCIES OF NURSES CARING FOR THE…
• Clinical judgment and clinical reasoning skills... • Advocacy…
The nurse caring for acute and critica…
Systematically evaluates the quality and effectiveness of nur…
Critical Care Nursing 1
vital signs
LOC
blood cell count
blood cultures
pulse, blood pressure, respirations, oxygen saturation level,…
Level of consciousness
monitor for bleeding and infection, usually drawn daily to mo…
identify microorganisms causing infection and to choose antib…
vital signs
pulse, blood pressure, respirations, oxygen saturation level,…
LOC
Level of consciousness
53 terms
Critical Care Nursing (Burns)
What two factors determine the severit…
What three factors determine degree of…
Superficial Thickness burns affect whi…
Two causes of Superficial-thickness bu…
Surface area involved, and depth of burn
agent, temperature, time
Only the epidermis. the epithelial cells and basement membran…
extended exposure to low-intensity heat, short exposure to hi…
What two factors determine the severit…
Surface area involved, and depth of burn
What three factors determine degree of…
agent, temperature, time
23 terms
Critical Care Nursing
Failure to Rescue
Failure to rescue s/s
Algorithms
Ethical Principals
Inability to save pt life after development of complications…
1. Fail to recognize & act... 2. Recognize & interventions too l…
Guidelines that represent an evidenced-based approach to trea…
Standards of what is right & wrong with regard to important s…
Failure to Rescue
Inability to save pt life after development of complications…
Failure to rescue s/s
1. Fail to recognize & act... 2. Recognize & interventions too l…
13 terms
Critical Care Nursing - Endocrine
Hypothalamus
Pituitary
Thyroid
Parathyroid
Master gland/control center. Makes ADH and Oxytocin, but stor…
Indirect: TSH, ACTH, FSH, LG... Direct: STH (GH), ADH, Oxytocin
Energy metabolism, T3 and T4, must have iodine (100mcg day),…
PTH, increases Ca in blood- GI holds on to Ca, bones release
Hypothalamus
Master gland/control center. Makes ADH and Oxytocin, but stor…
Pituitary
Indirect: TSH, ACTH, FSH, LG... Direct: STH (GH), ADH, Oxytocin
25 terms
Shock: Critical Care Nursing
Hypovolemic Shock
Loss of __ to __ or more of the normal…
Causes of hemorrhage
Causes of fluid loss
Decreased circulating volume.
15% to 30%
Trauma, surgery, GI bleed, ruptured aneurysm
Vomiting, diarrhea, ascites, third spacing
Hypovolemic Shock
Decreased circulating volume.
Loss of __ to __ or more of the normal…
15% to 30%
32 terms
Critical Care Nursing Introduction
Which patient would the nurse identify…
Of the following patients, which will…
The nurse, employed in a hospital in a…
The nurse, providing patient care in a…
Correct Answer: 2... Rationale 1: The blood pressure and respira…
Correct Answer: 1,4,5... Rationale 1: Critical care units are co…
Correct Answer: 3... Rationale 1: This level of care is provided…
Correct Answer: 1... Rationale 1: In an open ICU, nurses, pharma…
Which patient would the nurse identify…
Correct Answer: 2... Rationale 1: The blood pressure and respira…
Of the following patients, which will…
Correct Answer: 1,4,5... Rationale 1: Critical care units are co…
Nursing 210 Critical Care
CVP
PAWP
CO/CI
SV/SVI
Central venous pressure
Pulmonary artery wedge pressure
Cardiac output/cardiac index
Stroke volume/stroke volume index
CVP
Central venous pressure
PAWP
Pulmonary artery wedge pressure
16 terms
Critical Care Nursing Midterms
Tidal Volume
Minute Volume
Carbon Dioxide
Inspiratory Reserve Volume
Amount of air inhaled or exhaled during normal breathing.
Total amount of air expired per minute.
Response: increase or decrease in MV after breathing various…
Amount of air inspired over above-normal inspiration.
Tidal Volume
Amount of air inhaled or exhaled during normal breathing.
Minute Volume
Total amount of air expired per minute.
7 terms
Critical Care Nursing - Cardiac
SA Node
AV Node
Bundle of His
P wave
Pacemaker of the heart. 60-100 bpm, forms P wave
Gatekeeper or voice of reason of the heart, allows for a dela…
Located in the intraventricular septum, branches into right a…
Atrial contraction, starts at SA node
SA Node
Pacemaker of the heart. 60-100 bpm, forms P wave
AV Node
Gatekeeper or voice of reason of the heart, allows for a dela…
23 terms
Critical Care Nursing
Failure to Rescue
Failure to rescue s/s
Algorithms
Ethical Principals
Inability to save pt life after development of complications…
1. Fail to recognize & act... 2. Recognize & interventions too l…
Guidelines that represent an evidenced-based approach to trea…
Standards of what is right & wrong with regard to important s…
Failure to Rescue
Inability to save pt life after development of complications…
Failure to rescue s/s
1. Fail to recognize & act... 2. Recognize & interventions too l…
24 terms
Prefinals Critical Care Nursing
Coronary Artery Disease
Plaque
Atherosclerosis
Angina Pectoris
Is a term that refers to the effect of the accumulation of at…
It occurs when fatty acids deposits build up inside the coron…
Narrowing or obstruction of the coronary arteries may result…
Is the medical term to describe acute chest pain or discomfort.
Coronary Artery Disease
Is a term that refers to the effect of the accumulation of at…
Plaque
It occurs when fatty acids deposits build up inside the coron…
Critical care nursing
Cardiac output
Cardiac index
Stroke volume
Stroke volume index
Volume of blood in liters pumped by the heart in 1 min
CO adjusted for body surface area
The volume ejected with one heart beat
Stroke volume related to body surface area
Cardiac output
Volume of blood in liters pumped by the heart in 1 min
Cardiac index
CO adjusted for body surface area
27 terms
Critical Care Nursing - Mechanical Ventilation
Common means of sedation for patient r…
Primary nursing concerns for patient w…
Once inserted, what is important for t…
Unless medically contraindicated, how…
Morphine... Ativan... propofol ("milk of amnesia")
Unplanned (inadvertent) extubation... Aspiration
Measurement of the tube (on the tube itself) at a specific po…
Supine, HOB at 30 - 45 degrees (to prevent aspiration)
Common means of sedation for patient r…
Morphine... Ativan... propofol ("milk of amnesia")
Primary nursing concerns for patient w…
Unplanned (inadvertent) extubation... Aspiration
37 terms
220tswrn.Emergency & Critical Care Nursing Flash Cards
Nitroglycerin
Morphine
Atropine
Isoproterenol
...A preferential venous dilator affecting the venous system…
...most widely used Opiod and serves as the gold standard aga…
...Initial therapy for symptomatic bardycardia.
...Potent pure beta receptor agonist. Used typically for temp…
Nitroglycerin
...A preferential venous dilator affecting the venous system…
Morphine
...most widely used Opiod and serves as the gold standard aga…
68 terms
Final critical care nursing
Causes of embolic stroke
Left sided stroke
Right sided stroke
Airway
Embolism, a-fib,
Impaired comprehension, right sided motor deficits, impaired…
Dysphasia, impaired judgement, left hemianopsia, impulse cont…
Is always priority
Causes of embolic stroke
Embolism, a-fib,
Left sided stroke
Impaired comprehension, right sided motor deficits, impaired…
68 terms
Critical Care Nursing
what is ketorolac (toradol)
what is toradols onset and duration
what are the important things to remem…
what is the max dosage for tylenol
only IV NSAID available, 350 x more potent than ASA
1 hour to work, lasts 5-6 hrs
1. partially metabolized in the liver but also excreted in th…
4 g
what is ketorolac (toradol)
only IV NSAID available, 350 x more potent than ASA
what is toradols onset and duration
1 hour to work, lasts 5-6 hrs
6 terms
Nursing Management: Critical Care
The nurse is caring for a patient who…
When planning care for a patient on a…
A patient's daughter asks the nurse wh…
Which of the following interventions s…
Negative inspiratory force ... The negative inspiratory force (…
Prevention of alveolar collapse during expiration ... PEEP is p…
"SIMV is a mode that allows your father to breathe on his own…
Which of the following interventions should the nurse perform…
The nurse is caring for a patient who…
Negative inspiratory force ... The negative inspiratory force (…
When planning care for a patient on a…
Prevention of alveolar collapse during expiration ... PEEP is p…
29 terms
Intro to Critical Care Nursing
Critical Ill Patient
What is the most important need of fam…
Crisis
Whats importnat in helping the patient…
someone who is unstable and at risk for developing life-threa…
to have questions answered honestly and to know specific fact…
situation that happens suddenly and bcome fearful/overwhelmed…
assess coping behaviors, increase patients sense of control,…
Critical Ill Patient
someone who is unstable and at risk for developing life-threa…
What is the most important need of fam…
to have questions answered honestly and to know specific fact…
6 terms
Nursing Management: Critical Care
The nurse is caring for a patient who…
When planning care for a patient on a…
A patient's daughter asks the nurse wh…
Which of the following interventions s…
Negative inspiratory force ... The negative inspiratory force (…
Prevention of alveolar collapse during expiration ... PEEP is p…
"SIMV is a mode that allows your father to breathe on his own…
Which of the following interventions should the nurse perform…
The nurse is caring for a patient who…
Negative inspiratory force ... The negative inspiratory force (…
When planning care for a patient on a…
Prevention of alveolar collapse during expiration ... PEEP is p…
32 terms
Critical Care Nursing Care for the Critically Ill Patient
The nurse identifies a patient in the…
While caring for a patient in the crit…
The nurse realizes that which stressor…
A patient has just completed a preoper…
Correct Answer: 2... Rationale 1: This is not a definition of re…
Correct Answer: 1... Rationale 1: This situation describes the c…
Correct Answer: 4... Rationale 1: The inability to control elimi…
Correct Answer: 1,2,4,5... Rationale 1: An alternate method of c…
The nurse identifies a patient in the…
Correct Answer: 2... Rationale 1: This is not a definition of re…
While caring for a patient in the crit…
Correct Answer: 1... Rationale 1: This situation describes the c…
24 terms
Nursing - emergency/critical care
What is the difference between and eme…
What are 4 important aspects when it c…
What are common emergency cases that a…
What happens upon emergency patient ar…
emergency patient has an urgent medical problem that needs to…
Proper facility... proper equipment... trained staff... SOPs
trauma... foreign body... toxins... urinary... repro... GIT
quick initial assessment of the patients needs such as vitals…
What is the difference between and eme…
emergency patient has an urgent medical problem that needs to…
What are 4 important aspects when it c…
Proper facility... proper equipment... trained staff... SOPs
29 terms
Critical Care Nursing - Mechanical Ventilation
Common means of sedation for patient r…
Primary nursing concerns for patient w…
Once inserted, what is important for t…
Unless medically contraindicated, how…
Morphine... Ativan... propofol ("milk of amnesia")
Unplanned (inadvertent) extubation... Aspiration
Measurement of the tube (on the tube itself) at a specific po…
Supine, HOB at 30 - 45 degrees (to prevent aspiration)
Common means of sedation for patient r…
Morphine... Ativan... propofol ("milk of amnesia")
Primary nursing concerns for patient w…
Unplanned (inadvertent) extubation... Aspiration
29 terms
Critical Care Nursing - Mechanical Ventilation
Common means of sedation for patient r…
Primary nursing concerns for patient w…
Once inserted, what is important for t…
Unless medically contraindicated, how…
Morphine... Ativan... propofol ("milk of amnesia")
Unplanned (inadvertent) extubation... Aspiration
Measurement of the tube (on the tube itself) at a specific po…
Supine, HOB at 30 - 45 degrees (to prevent aspiration)
Common means of sedation for patient r…
Morphine... Ativan... propofol ("milk of amnesia")
Primary nursing concerns for patient w…
Unplanned (inadvertent) extubation... Aspiration
136 terms
Critical Care Nursing Exam 1
COMPETENCIES OF NURSES CARING FOR THE…
The nurse caring for acute and critica…
REDUCING ALL-CAUSE HARM
AMERICAN ASSOCIATION OF CRITICAL-CARE…
• Clinical judgment and clinical reasoning skills... • Advocacy…
Systematically evaluates the quality and effectiveness of nur…
Adverse drug events... • Infections... • Catheter-associated urin…
A... Meta-analysis of multiple controlled studies or metasynthe…
COMPETENCIES OF NURSES CARING FOR THE…
• Clinical judgment and clinical reasoning skills... • Advocacy…
The nurse caring for acute and critica…
Systematically evaluates the quality and effectiveness of nur…
18 terms
Critical Care Nursing
Tidal Volume
Minute Volume
Inspiratory Reserve Volume
Expiratory Reserve Volume
Amount of air inhaled or exhaled during normal breathing.
Total amount of air expired per minute.
Amount of air inspired over above-normal inspiration.
Amount of air exhaled after normal expiration.
Tidal Volume
Amount of air inhaled or exhaled during normal breathing.
Minute Volume
Total amount of air expired per minute.
171 terms
Quiz 3 Critical Care Nursing
Systemic Lupus Erythematosus Scleroderma
Lupus (Systemic Lupus Erythematosus Sc…
No, there is no known cause
Young Childbearing women
This is the most common type of Lupus
This autoimmune disease has a characteristic Butterfly facial…
Is there a clear cause of Lupus?
What age group is most often diagnosed with Lupus
Systemic Lupus Erythematosus Scleroderma
This is the most common type of Lupus
Lupus (Systemic Lupus Erythematosus Sc…
This autoimmune disease has a characteristic Butterfly facial…
33 terms
Critical Care Nursing: Hemodynamic Monitoring
Normal Intracardiac Pressures... AORTA -…
Normal Intracardiac Pressures... AORTA -…
Normal Intracardiac Pressures... PULMONAR…
Normal Intracardiac Pressures... PULMONAR…
100-130 mm Hg
60-90 mm Hg
15-25 mm Hg
8-15 mm Hg
Normal Intracardiac Pressures... AORTA -…
100-130 mm Hg
Normal Intracardiac Pressures... AORTA -…
60-90 mm Hg
94 terms
Critical Care Nursing Practice Exam
the most important outcome of effectiv…
as part of nursing management of criti…
working in an intermediate care unit t…
which nursing interven would best supp…
reduce patient error
bundle of care
work environment that is unhealthy
give condition update each morning and whenever changes occur
the most important outcome of effectiv…
reduce patient error
as part of nursing management of criti…
bundle of care
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