Cardiac Arrest and the Chain of Survival
Epidemiology of cardiac arrest In 2006, coronary heart disease accounted for 1 of every 6 deaths (a total of 425,425) in the United States and one-third of these deaths occurred…
Post-Resuscitation Care
Introduction Return of a spontaneous circulation (ROSC) is a critical step in the continuum of resuscitation, but the quality of the patient’s ultimate survival depends on interventions applied in the…
Core Review Test 2
2 Core Review Test 2 2-1. A patient with ARDS has a PaO2 of 60% on mechanical ventilation with an FiO2 of 80% and 20 cm H2O of PEEP. Physical…
Core Review Test 1
1 Core Review Test 1 1-1. A patient admitted with shortness of breath demonstrates the following findings: temperature 36.8° C, HR 120/min sinus tachycardia, BP 130/76 mm Hg, RR 36/min…
Core Review Test 3
3 Core Review Test 3 3-1. Which of the following assessment findings would the nurse anticipate in patients with both right- and left-sided heart failure? A. S3 and S4 heart…
Answers to Core Review Test 3
3 Answers to Core Review Test 3 3-1. (A) Extra heart sounds are heard in both right and left ventricular failure due to filling patterns in a noncompliant ventricle. Basilar…
Answers to Core Review Test 2
2 Answers to Core Review Test 2 2-1. (A) In patients with ARDS, pneumothorax is frequently related to the use of high PEEP and tidal volumes intended to promote oxygenation…
Answers to Core Review Test 1
1 Answers to Core Review Test 1 1-1. (B) Clinical signs of acute pulmonary edema include tachycardia, tachypnea, inspiratory crackles, and rhonchi with chest x-ray findings of Kerley B lines…
FOR OBSTETRIC AND GYNECOLOGIC SURGERY
ANESTHESIA FOR LABOR AND DELIVERY • Nonpharmacologic analgesia choices: Hypnotherapy, hydrotherapy, and transcutaneous electrical nerve stimulation (TENS) • Pharmacologic analgesia: Inhalation analgesia, parenteral opioid analgesia (fentanyl, nalbuphine), pudendal block, paracervical…
ELECTROLYTES, & TRANSFUSION THERAPY
(LR, NS, & hetastarch → shown to ↑ neutrophil activation; blood, 7.5% hypertonic saline, & albumin did not have this effect) Figure 9-1. Assessment of volume status. Colloid osmotic pressure (COP)…
