7. ASSIST IN INTUBATION
MAINTAIN MECHANICAL VENTILATION
ASSESSMENT OF VITAL SIGNS AND ABG’S
PREVENT COMPLICATIONS
FACILITATE LEARNING
NURSING MANAGEMENT
8. SUDDEN AND PROGRESSIVE PULMONARY EDEMA
INCREASING BILATERAL INFILTRATES ON CHEST X-RAY
HYPOXEMIA REFRACTORY TO OXYGEN
SUPPLEMENTATION
REDUCED LUNG COMPLIANCE
CHARACTERISTICS
9. ASPIRATION
GASTRIC SECRETION, DROWNING, HYDROCARBONS
DRUG INGESTION AND OVERDOSE
HEMATOLOGIC DISORDERS
DIC, MASSIVE TRANSFUSIONS
PROLONGED INHALATION OF HIGH CONCENTRATIONS
OF OXYGEN, SMOKE, OR CORROSIVE SUBSTANCES
LOCALIZED INFECTION
ETIOLOGY
11. INTERCOSTAL RETRACTIONS AND CRACKLES
BILATERAL INFILTRATES IN X-RAY
RATIO OF PARTIAL PRESSURE OF OXYGEN OF
ARTERIAL BLOOD TO FRACTION OF INSPIRED
OXYGEN (PAO2/FIO2) LESS THAN 200 MMHG
MANIFESTATIONS
12. IDENTIFICATION AND TREATMENT OF
UNDERLYING CONDITION
OXYGEN THERAPY
INTUBATION AND MECHANICAL VENTILATION
CIRCULATORY SUPPORT, ADEQUATE FLUID
VOLUME, AND NUTRITIONAL SUPPORT
MANAGEMENT
36. 0 LEVEL OF H20 MANOMETER AT THE LEVEL OF
RIGHT, MID-AXILLARY, 4TH INTERCOSTAL SPACE
NORMAL READING
SUPERIOR VENA CAVA: 0-12 CM H20
RIGHT ATRIUM: 5-12 CM H20
CENTRAL VENOUS PRESSURE
37.
38.
39. RIGHT AND LEFT VENTRICULAR FUNCTION
PULMONARY ARTERY PRESSURES
CARDIAC OUTPUT
ARTERIAL-VENOUS OXYGEN DIFFERENCE
CENTRAL VENOUS PRESSURE
40. ELEVATED PAP AND CPAP INDICATES LEFT SIDED
CONGESTIVE HEART FAILURE
SWAN-GANZ CATHETER
NORMAL READING
PAP: 4-12 MMHG
CPAP: 4-12 MMHG
PRACTICE ASEPSIS
PAP AND PCWP
62. LEFT HEMIPLEGIA
RIGHTLEFT VISUAL FIELD DEFECT
SPATIAL-PERCEPTUAL FIELD DEFECT
INCREASED DISTRACTABILITY
IMPULSIVE BEHAVIOR
RIGHT CEREBROVASCULAR ACCIDENT
65. RESTLESSNESS INITIAL SIGN
ALTERED LEVEL OF CONSCIOUSNESS
AFFECTION OF ASCENDING RETICULAR
ACTIVATING SYSTEM
HEADACHE
NAUSEA AND VOMITING
MANIFESTATIONS
68. PAPILLEDEMA
COMPRESSION OF CRANIAL NERVE II
LATERALIZING SIGN
DECUSSATION OF MOTOR FIBERS AT MEDULLA
OBLONGATA
BRAIN STEM IMPAIREMENT
DOLL’S EYE SIGN
DECORTICATION
MANIFESTATIONS
72. HOB ELVATION TO 15 TO 30 DEGREES
ADEQUATE OXYGENATION
SAFETY
REST
MANAGEMENT
73. NAUSEA AND VOMITING
VALSALVA MANEUVER
OVER SUCTIONING OF SECRETIONS
RESTRAINTS
RECTAL EXAMINATION
ENEMA
BENDING OR STOOPING
FACTORS THAT INCREASE ICP
89. CARE FOR CLIENT WITH INCREASED ICF
MONITOR DRAINAGE FROM NOSE AND EARS
MONITOR FOR SIGNS & SYMPTOMS OF
MENINGITIS, ATELECTASIS, PNEUMONIA, UTI
MANAGEMENT
90. CARE FOR CLIENT WITH INCREASED ICF
MONITOR DRAINAGE FROM NOSE AND EARS
MONITOR FOR SIGNS & SYMPTOMS OF
MENINGITIS, ATELECTASIS, PNEUMONIA, UTI
91. INSULIN OR ORAL HYPOGLYCEMICS OVERDOSE
OMISSION OF MEALS OR TOO LITTLE FOOD
EXCESSIVE ACTIVITY
GASTROINTESTINAL UPSET
HYPOGLYCEMIA
96. 10 TO 15 G OF FAST ACTING SIMPLE
CARBOHYDRATES
COMMERCIALLY PREPARED GLUCOSE TABLETS
6 TO 10 SWEET HARD CANDY
4 TSP OF SUGAR
1/2 CUP OF FRUIT JUICE OR REGULAR SOFTDRINK
3 GRAHAM CRACKERS
MILD HYPOGLYCEMIA MANAGEMENT
97. RETEST BLOOD GLUCOSE LEVELS IN 15 MINS
ONCE SYMPTOMS RESOLVE, GIVE 2 SLICES OF
SANDWICH OR CRACKERS, THEN PROVIDE
REGULAR MEAL WITHIN 60 MINUTES
MILD HYPOGLYCEMIA MANAGEMENT
98. 15 TO 30 G OF FAST ACTING SIMPLE
CARBOHYDRATE
GIVE ADDITIONAL FOOD AFTER 10 TO 15 MINS
RETEST BLOOD GLUCOSE LEVELS IN 15 MINS
MODERATE HYPOGLYCEMIA MANAGEMENT
99. GLUCAGON ADMINISTERED SUBQ, IM OR IV
NOTIFY PHYSICIAN IF SEVERE HYPOGLYCEMIC
REACTION OCCURS
ADMINISTER 50% DEXTROSE IN WATER, 25 TO 50
ML PER IV AS ORDERED
SMALL MEAL IF CLIENT HAS AWAKENED
SEVERE HYPOGLYCEMIA MANAGEMENT
100. UNDERDOSE OR MISSED INSULIN
ILLNESS OR INFECTION
OVEREATING
STRESS OR SURGERY
UNTREATED TYPE I DM
DIABETIC KETOACIDOSIS CAUSES
104. MAINTAIN PATENT AIRWAY
ADMINISTER OXYGEN AS PRESCRIBED
NORMAL SALINE 0.9 % RAPID IV
D5NS OR 5% DEXTROSE IN 0.45% SALINE FOR
BLOOD GLUCOSE 250 TO 350 MG/DL
REGULAR INSULIN IV AS PRESCRIBED
DIABETIC KETOACIDOSIS MANAGEMENT
105. MIX PRESCRIBED IV DOSE OF INSULIN TO
SALINE SOLUTION FOR
CONTINUOUS INFUSION
MONITOR SERUM POTASSIUM LEVELS,
GLUCOSE, AND URINE OUTPUT
CORRECT ELECTROLYE IMBALANCES
DIABETIC KETOACIDOSIS MANAGEMENT
106. BLOOD GLUCOSE LEVEL OF 600 TO 2,000 MG/DL
HYPOTENSION
DEHYDRATION
MENTAL STATUS CHANGES
TACHYCARDIA
NEUROLOGIC DEFICITS
SEIZURES
HYPERGLYCEMIC HYPEROSMOLAR
NONKETOTIC SYNDROME
112. MAINTAIN PATENT AIRWAY
ADMINISTER IV FLUIDS
SYNTHROID IV AS PRESCRIBED
GLUCOSE IV AS PRESCRIBED
MONITOR AND MANAGE HYPOTHERMIA
MONITOR AND MANAGE HYPOTENSION
MONITOR FOR CHANGES IN THE LOC
MONITOR FOR ELECTROLYE LEVELS
MYXEDEMA COMA
113. SEVERE HEADACHE
SEVERE ABDOMINAL, LEG AND
LOWER BACK PAIN
GENERALIZED WEAKNESS
IRRITABILITY AND CONFUSION
SEVERE HYPOTENSION
SHOCK
ADDISONIAN CRISIS
114. ADMINISTER GLUCOCORTICOIDS
SOLU-CORTEF / HYDROCORTISONE
SODIUM SUCCINATE
MONITOR VS
MONITOR NEUROLOGICAL STATUS
MONITOR INTAKE AND OUTPUT
MONITOR ELECTROLYTES AND GLUCOSE
ADDISONIAN CRISIS
116. MONITOR VITAL SIGNS
MONITOR BLOOD GLUCOSE AND URINE
FOR KETONES
PROMOTE BED REST
AVOID SMOKING, DRINKING CAFFEINATED
BEVERAGES, AND CHANGING POSITION
SUDDENLY
PHEOCHROMOCYTOMA
122. RESTLESSNESS AND CONFUSION
TACHYCARDIA AND TACHYPNEA
DIAPHORESIS, COLD CLAMMY SKIN
DECREASED BODY TEMPERATURE
DECREASED URINE OUTPUT
RESPIRATORY ALKALOSIS
EARLY STAGE MANIFESTATIONS
