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Study sets matching "critical care nursing"

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Study sets matching "critical care nursing"

25 terms
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
30 terms
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…
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)
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
...
39 terms
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
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…
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
...
30 terms
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…
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.
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
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…
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
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
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…
20 terms
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
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%
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…
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…
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
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…
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…
76 terms
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
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%
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
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…
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…
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…
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
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
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.
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
11 terms
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
61 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…
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…
61 terms
Emergency and Critical Care Nursing
A 68-year-old patient has been in the…
Which hemodynamic parameter is most ap…
While family members are visiting, a p…
Following surgery for an abdominal aor…
ANS: B... Clustering nursing activities and providing uninterrup…
ANS: B... Systemic vascular resistance reflects the resistance t…
ANS: B... Research indicates that family members want the option…
ANS: B... A low CVP indicates hypovolemia and a need for an incr…
A 68-year-old patient has been in the…
ANS: B... Clustering nursing activities and providing uninterrup…
Which hemodynamic parameter is most ap…
ANS: B... Systemic vascular resistance reflects the resistance t…
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…
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…
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…
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…
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
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
73 terms
ah 3 Critical Care Nursing
What is Hemodynamic Monitoring?
What are values that are measured in t…
What is Cardiac Output?
What is the Stroke Volume?
Measurement of pressure, flow and oxygenation within the card…
Systemic and Pulmonary arterial pressures, central venous pre…
The volume of blood in liters pumped by the heart in 1 minute.
The volume ejected with each heartbeat.
What is Hemodynamic Monitoring?
Measurement of pressure, flow and oxygenation within the card…
What are values that are measured in t…
Systemic and Pulmonary arterial pressures, central venous pre…
25 terms
Hematologic, nursing management, critical care
A patient who is receiving methotrexat…
A patient is hospitalized for treatmen…
A patient is admitted to the hospital…
Which statement by a patient with sick…
Folic acid
Alternate periods of rest and activity
Potential complication: Infection
Risk for a crisis can be lowered by having an annual influenz…
A patient who is receiving methotrexat…
Folic acid
A patient is hospitalized for treatmen…
Alternate periods of rest and activity
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
66 terms
Critical Care Nursing Quiz 1
normal electrical conduction of heart
What does P wave represent?
What does QRS wave represent?
What does the T wave represent?
SA node to AV node (& R/L atria) to Bundle of His to R/L Bund…
Sequential depolarization of R and L atria
Simultaneous rapid depolarization of R and L ventricles
Ventricular repolarization
normal electrical conduction of heart
SA node to AV node (& R/L atria) to Bundle of His to R/L Bund…
What does P wave represent?
Sequential depolarization of R and L atria
31 terms
Essentials in Critical Care Nursing -Sepsis
The nurse is identifying interventions…
While caring for an older patient, the…
Which evidence based intervention woul…
Which statement accurately describes t…
Correct Answer: 4... Rationale 1: Current mortality rates for se…
Correct Answer: 1... Rationale 1: The most common source of seps…
Correct Answer: 2... Rationale 1: Oral hygiene is a clean, rathe…
Correct Answer: 3... Rationale 1: Sedation vacation is necessary…
The nurse is identifying interventions…
Correct Answer: 4... Rationale 1: Current mortality rates for se…
While caring for an older patient, the…
Correct Answer: 1... Rationale 1: The most common source of seps…
65 terms
Introduction to Critical Care (Nursing 4 TEST 1)
Size varies considerably. Usually priv…
What is a typical ICU usually like?
Comprehensive care (they take care of…
Most of these units are at teaching ho…
ED
less than 20 beds; private rooms
LEVEL 1 ICU
LEVEL 1 ICU
Size varies considerably. Usually priv…
ED
What is a typical ICU usually like?
less than 20 beds; private rooms
1 of 10