Med Surg HESI
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88 questions
| 🇬🇧 | 🇬🇧 |
| Adjust oxygen flow to achieve what with a Non-Rebreather mask? | Keep reservoir bag 2/3 full |
| Troponin T level | Less than 0.1 |
| Which 4 antibiotics are given for TB? | Isonazid, Rifampin, Pyrazinmide, Ethambutol |
| COPD is a combo of what two disorders? | Emphysema and chronic bronchitis |
| How to remember low pressure/high pressure alarm | "high kink, low leak" |
| What causes a high-pressure alarm when using Mechanical Ventilation? | Excessive secretions, biting of the tube, kinks in the tube, coughing, pulmonary edema, bronchospasm, pneumothorax |
| What causes a low-pressure alarm when using Mechanical Ventilation? | Disconnection, tube leak, tube displacement |
| When do we use face tents | For patients with burns or facial trauma |
| Venturi Mask rate | 4-10 L |
| Troponin I level | Less than 0.03 |
| Non-Rebreather Mask rate | 10-15 L |
| Adjust oxygen flow to achieve what with a Partial Non-Rebreather? | Keep reservoir bag from deflating |
| Nasal canula rate | 1-6 L |
| How to remember right and left sided stroke | "right reckless, left language" |
| Right Hemisphere Stroke | Issues with visual awareness oversestimate abilities poor judgement and impulse control left sided neglect |
| Left Hemisphere Stroke | Issues with language skills, math skills, and analytical thinking expressive aphasia reading and writing difficulties right sided weakness or paralysis |
| Embolic stroke | Blood clot from another part of the body travels up to the cerebral artery |
| Thrombotic stroke | Blood clot in the cerebral artery |
| Lipase | Less than 160 |
| What will the PR interval and QRS interval be with Sinus Bradycardia? | PR: less than 0.20, QRS: less than .10 |
| What will the PR interval and QRS interval be with Sinus Tachycardia? | PR: less than 0.20, QRS: less than 0.12 |
| Normal QRS interval | Less than 0.12 seconds |
| Normal PR interval | 0.12-0.20 seconds |
| Specific gravity | 1.01-1.025 |
| BUN level | 10-20 |
| Creatinine level | 0.6-1.2 |
| Ammonia | 10-80 |
| Albumin | 3.5-5 |
| Bilirubin level | Less than 1 |
| Hemorrhagic stroke | Due to ruptured artery or aneurysm |
| Amylase | Less than 220 |
| Triglycerides level | Between 35-135 for women, between 40-160 for men |
| LDL level | Less than 130 |
| HDL level | Over 55 for women, over 45 for men |
| Total cholesterol level | Less than 200 |
| Myoglobin level | Less than 90 |
| Normal ICP | 10-15 |
| Tonic episode | Stiffening of the muscles and loss of consciousness |
| Tonic- Clonic Seizure | 3 phases; tonic, clonic, post ictal |
| Meds for bacterial Meningitis | Antibiotics, phenytoin (anticonvulsant) |
| Brudzinksi sign test | Patient lays on their back and you lift up their head. Pain is a positive sign and they will flex knees in |
| Kernig sign Test | Patient lays on their back and you lift up their leg with knees bent. Pain while extending the knee flat is a positive sign |
| Symptoms of meningitis | Headache, nuchal rigidity, photophobia, nausea and vomiting, positive kerning's and brudzinski's sign |
| What can a lumbar puncture help diagnose? | Multiple sclerosis, syphilis, meningitis, infection |
| Clonic episode | 1 to 2 minutes of rhythmic jerking |
| Symptoms of Increased ICP | Irritability (early), restlessness, headache, decreased LOC, Pupil abnormalities, abnormal respirations, abnormal posturing |
| What does a U wave indicate | Resting of the Purkinje fibers (uncommon) |
| What part of the cardiac cycle does the QRS represent? | Ventricle Contraction |
| What part of the cardiac cycle does the P wave represent? | Atrial Contraction |
| Skin of Venous ulcers | Warm, thick, brownish color |
| Skin of Arterial ulcers | Cool to touch, thin, dry, scaly, hairless |
| Meds for multiple sclerosis | Immunosuppressants Cyclosporine Prednisone Muscle Relaxants (Dantrolene, Baclofen) |
| Meds for Meniere's Disease | Antihistamines Anticholinergics Antiemetics meclizine, triperidol, diphenhydramine, scopolamine |
| Meniere's Disease | Inner ear disorder |
| Normal IOP | 10-21 |
| Glaucoma meds | Pilocarpine Timolol Mannitol |
| Meds for Migraines | NSAIDs Sumatriptans or Ergotamine |
| Meds for MG | Anticholinesterase Agents Pyridostignine/ Neostigmine Immunosuppressants |
| Myasthenia Gravis | Autoimmune disorder that causes severe muscle weakness |
| ALS med that slows deterioration | Riluzole |
| ALS | Degenerative neurological disorder of the upper and lower motor neurons |
| Symptoms of multiple sclerosis | Eye problems, muscle spasticity and weakness, bowel or bladder dysfunction, cognitive changes, ear problems, dysphagia, fatigue |
| Multiple Sclerosis | Autoimmune disorder that causes plaque buildup in the white matter of the CNS |
| Meds for Alzheimer's disease | Donepezil Antipsychotics Antidepressants Antianxiety meds |
| Meds for Parkinson's | Levodopa-Carbidopa (increases Dopamine) Benztropine (Anticholinergic) |
| Parkinson's disease is characterized by too little _____ and too much ______ | Dopamine, acetylcholine |
| Status Epilepticus | Repeated seizure activity within 30 minutes or a single seizure that lasts more than 5 minutes |
| Atonic Seizure | Loss of muscle tone and usually results in falling |
| Myoclonic Seizure | Brief stiffening of the extremities |
| Absence Seizure | Loss of consciousness for just a few seconds Blank staring, eye fluttering, lip smacking, picking at clothes |
| Post ictal phase | Very confused and sleepy |