Final exam prep

  1. what kind of agent is Sarin?

    How does it kill you?

    What are the 2 reversal agents?
    • Nerve agent
    • excess amounts of acetycholine "runny nose, crying, drooling, defecating, urinating and vomiting kind of poisoning"

    KILLS cuz leads to respiratory muscle weakness 

    Atropine and 2-PAM
  2. Nerve agents like Sarin, VX, novicheck...

    What kind if s/s would you see in those exposed?
    • confusion
    • pin-point pupils
    • muscle twitching
    • seizures
    • flaccid paralysis
    • coma
  3. What steps should you do in a nerve agent attack?
    • First, stay calm!
    • 1. get into open air
    • 2. cover mouth with cloth (preferably wet)
    • 3. dont lay down
    • 4. shallow breathes
    • 5. antidote
    • 6. decontaminate (all clothes off, shower with soap and water)
    • 7. flush eyes for 5-10 minutes each
  4. What is an example of a Toxic Asphyxiant?

    s/s?
    • Cyanide ( colorless liquid or gas)
    • **smell of bitter almond odor

    • initially tachy and hypertension, then hypotension and bradycardia
    • increased RR
    • SOB, chest tightness
    • ab pain, n/v
    • eye irritation and swelling
    • cherry red skin color
  5. Cyanide TX
    • decontaminate
    • 100% oxygen
    • sodium nitrate or sodium thiosulfate IV
  6. What kind of chemical is Phosgene, Ammonia, chlorine?
    • pulmonary Irritants (causes direct lung injury)
    • smells like mowed hay
    • no antidote
    • They must REST!!
  7. What are 2 Blistering Agents?

    name a few s/s?
    Sulfur Mustard, Lewisite

    • red, itchy painful skin
    • sore throat
    • cough
    • THEN SOB and eye damage
  8. Besides liver damage, what condition could show elevated bilirubin and hepatic enzymes, low albumin and HYPOXIA?
    SEPSIS!!!
  9. What do the s/s of anthrax mimic?

    antibiotics used to treat anthrax?
    present with flu like symptoms

    ciproflaxin, rafampin, clindomycin
  10. How is EBOLA transmitted?
    All secretions! yuck!
  11. What is clinical incident stress debriefing? (CISD)
    talk about what happened, and administrative review, which is plan for future interventions that needs to be taken.
  12. How do you triage?
    What kind of questions
    • age
    • all vital signs
    • PAIN, where and for how long?
    • general appearance? (color of skin)
    • behavior (restlessness)
    • history of present illness (describe what and where they are at)
    • meds?
    • have any medical conditions?
    • allergies?
    • traveled?
  13. What are some common drugs that get overdosed on?
    • alcohol
    • acetaminophen
    • aspirin
    • antidepressants 
    • stimulants
    • opioids
    • sedative hypnotics
  14. ANTIDOTES please

    1.Acetaminophen
    2.Digoxin
    3. benzodiazepine
    • 1. mucomyst
    • 2. digibind
    • 3. Flumazenil (Romazicon)
  15. ANTIDOTES for...

    1. Narcotic overdose
    2. Coumadin
    3. Heparin
    • 1. narcan (0.2mg)
    • 2. Vit. k
    • 3. protamine sulfate
  16. First priority with an overdose?
    monitor patients respirations!!
  17. Who are most risk for Endocarditis?
    • IV drug users
    • dental procedures
    • trauma
    • cardiac surgery
  18. What are Endocarditis clinical manifestations?

    Treatments, how should we care for them?
    • osler node
    • Janeway lesion (flat and red)

    • antibiotics, rest, if HF....treat, good hygiene for RN and Pt
    • IF surgical...valve replacement or repair
  19. What is pericarditis?

    s/s? nursing interventions?

    what will the ECG look like?
    inflammation of pericardium (sack around the heart)

    bed rest, anti infammatories

    • pericardial rub
    • s/s of HF, like JVD
    • hypotensive,muffled heart signs, cool skin IF from a cardiac tamponade

    ECG will have PR depression and ST segment elevation in EVERY lead!!
  20. Who is at risk for developing SEPSIS?
    • very young/old
    • those with compromised immune system
    • Have wounds or injuries
    • from certain addictive habits
    • from certain treatments 
    • anyone prone to develop sepsis because of genetic factors
  21. What IS Sepsis?

    what is septic shock?
    life threatening organ dysfunction due to dysregulated host response to infection.

    subet of sepsis....profound circulatory, cellular and metabolic abnormalities substantially increase mortality.
  22. What are the most common pathogens associated with sepsis?
    • gram neg bacteria...psedomoas aerguinosa, e-coli, 
    • gram pos bacteria.... staph and strep
  23. What is SEPTIC SHOCK?
    multiple organ failure and uncontrolled bleeding

    refractory hypotension (low BP despite lots of fluids)

    • measure preload with CVP (central venous pressure) measures amount of fluid going into pt.
    • use NS
  24. What is qSOFA?
    quick sequential organ failure assessment

    What are the warning signs (3) and how many of the 3 are needed to be priority?
    • 1. alteration in mental status
    • 2. is SBP equal or <100?
    • 3. Respiration is greater than 22

    2
  25. What is serum lactate level?
    >2
  26. What is the order of treatment for surviving sepsis?
    • First give FLUIDS, then vasopressors. Fill the tank first. 
    • Maintain MAP >60...measurement of perfusion
  27. Surviving Sepsis Campaign
    What 4 things need to be done within 3 hours from presentation?

    What should be done within 6 hours?
    • 1. measure lactate levels... IF greater than 2, not good.
    • 2. obtain blood cultures (from different sites) BEFORE giving antibiotics
    • 3. administer broad spectrum antibiotics
    • 4. Give 30ml/kg crystalloid (normal saline)for hypotension or lactate greater than 2

    • 5. apply vasopressors (like epi or noriepi)to maintain MAP above 65
    • 6. IfSTILL hypotensive and lactate >2, re-assess volume status and tissue perfusion.
    • 7. Re-measure lactate level
Author
NurseAnnaS
ID
343300
Card Set
Final exam prep
Description
final exam prep
Updated