10.03 Acute Respiratory Failure for CCRN Review
Overview Type I Hypocapnic Decreased oxygen Normal or low CO2 Imbalance between perfusion and ventilation Causes → initially low to normal CO2 Pulmonary Edema Pulmonary Embolism Asthma Aspiration pneumonia ARDS Type II Hypercapnic Decreased oxygen HIGH CO2 Level Imbalance of respiratory performance Causes: Drug overdose Guillean bureau COPD Spinal cord injury CVA V/Q Mismatch Ventilation […]
10.04 Pulmonary Question Review for CCRN Review
04.02 Hematology Review Questions for CCRN Review
02.18 Cardiovascular Practice Questions for CCRN Review
09.06 Renal Practice Questions for CCRN Review
05.04 Ruptured Spleen for CCRN Review
Nursing Points General Ruptured spleen Spleen’s role is to: Helps maintain fluid balance Removes damaged RBCs Involved in immune response Not vital organ Symptoms Kehr’s sign is a positive symptom of a ruptured spleen Left shoulder pain Present in 55% of cases Saegassers sign is another symptoms of a ruptured spleen Produces pain […]
05.05 GI Practice Questions for CCRN Review
06.01 Organ Failure, Dysfunction & Trauma for CCRN Review
Nursing Points General Multi-system organ failure/Multi-organ dysfunction Syndrome Failure of vital organs Lungs Kidneys Liver Blood Brain Heart Multisystem Trauma Remember to ask AMPLE Allergies Medications Past Illnesses Last meal Events preceding injury
06.02 Poisoning for CCRN Review
Nursing Points General Poisoning Patient presents as comatose Give/ administer Dextrose Thiamine Activated Charcoal Antidote Poisoning type: Tylenol Destroys liver Grades Grade I – Nausea/vomiting Grade II – RUQ pain Grade III – Liver function abnormalities Antidote Mucomyst Activated charcoal Only if less than 4 hours since ingestion Poisoning type: Aspirin Destroys kidneys […]
06.03 Multi-System CCRN Important Points for CCRN Review
Nursing Points General Important points for testing Massive blood transfusion–> Large amount over 24-hour period High amounts of citrate which can cause hypocalcemia Citrate = Preservative in blood donation bag Binds to calcium and inactivates it Citrate then reduces calcium level in blood Removed from blood by liver quickly but not in large amounts and […]