Critical Care NCLEX

diabetes insipidus

Desmopressin (central); hydrochlorothiazide, indomethacin, amiloride (nephrogenic)

After a gastrojejunostomy (Billroth II) for cancer of the stomach, a client progresses to a regular diet. After eating lunch, the client becomes diaphoretic and has palpitations. What does the nurse conclude is the probable cause of these clinical manifestations?

Gastric dumping, teach client to lie down after eating

Positive pressure ventilation can cause what

Hypotension

Torsades De Pointes Treatment

IV magnesium

Therapeutic hypothermia

Most effective when it occurs within 6 hours of ROSC, The criteria to start includes: -Out of hospital VF or non-perfusing VT with ROSC but no neurological verbal or physical response. -18-80 years of age (research in the pregnant women has not been conclusive) -Absence of cardiogenic shock -Some facilities also use APACHE scores for inclusion. Patients myst be cooled to a core temp of 32-34, must have this core temp sustained 12-24 hours. Patient requires sedation and paralytic agents in most cases. Rewarming must be done slowly, 1 degree every hour until return of normothermic state.

New ileostomy diet

low residue diet >> low fiber

Allen's test

occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up, ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

Endotracheal suctioning

should only be done if clinically necessary >> high risk for injury if done frequently

Bladder cancer risk

smoking