Shared Flashcard Set

Details

CCRN Numbers
NA
36
Nursing
Post-Graduate
05/14/2014

Additional Nursing Flashcards

 


 

Cards

Term
Coopernail's Sign
Definition
Bruising of scrotum or labia
Term
Kehr's Sign
Definition
Defered left shoulder pain due to phrenic nerve irritation related to splenic rupture
Term
Intra Abdominal Pressure
Definition

> 12mmHg is intraabdominal hypertension

 

>20mmHg results in intra-abdominal compartment syndrome

Term
Chvostek's Sign
Definition
Facial muscle twitching seen when cheek is tapped
Term
Trousseau's Sign
Definition
Hand spasm when BP cuff is inflated beyond systolic pressure
Term
Right Shift on Oxyhemoglobin Dissociation Curve
Definition

More O2 is released

 

-Low pH

-Increase PaCO2

-Increase in body temperature

-Increase in 2,3 diphosphoglycerate (2, 3-DPG)

Term
Left Shift on Oxyhemoglobin Dissociation Curve
Definition

 

 

 

 

 

 

Term
pH
Definition
7.35-7.45
Term
PaCO2
Definition
35-45 mmHg
Term
pO2
Definition
80-100 mmHg
Term
SaO2
Definition

Carried on hemoglobin

 

>95%

Term
HCO3
Definition
22-26 mEq/l
Term
Base Excess
Definition
-2 to +2
Term
Tidal Volume
Definition
6-8 mL/kg
Term
Minute ventilation
Definition

RR x TV

 

5-10 mL/min

Term
Peak Inspiratory Pressure
Definition
below 35
Term
ARDS
Definition
PaO2/FiO2= < 200mmHg
Term
Acute Lung Injury
Definition
PaO2/FiO2= 200-300 mmHg
Term
Virchow's Tirad
Definition

Increased risk for clot formation

 

1. Blood stasis

2. Hypercoaguability

3. Vessel Injury

Term
Normal Anion Gap
Definition
4-6
Term
CVP
Definition
2-8 mmHg
Term
PAOP
Definition

8-12 mmHg

 

18-25 mmHg indicates pulmonary edema/heart failure

Term
RVEDI
Definition
60-100 mL/m2
Term
PVR
Definition
100-250 dynes/s/cm
Term
SVR
Definition
800-1200 dynes/s/cm
Term
CO
Definition
4-8 L/min
Term
CI
Definition
2.5-4.3 L/min/m2
Term
SvO2
Definition
60-75%
Term
Phenylephrine
Definition

Pure alpha 1

 

Works on vasculature, VASOCONSTRICTION

 

Dose 2-200 mcg/min

Term
Norepinephrine
Definition

Both alpha and Beta 1 effects

 

Vasoconstriction and increases HR and contracility

 

Dose 2-30 mcg/min

 

Can cause tachyarrhythmias

Term
Epinephrine
Definition

Equal alpha 1 and Beta 1 &2 effects

 

Increases HR, MAPs, vasoconstriction, increases afterload and contractility

 

Dose 2-10 mcg/min

Term
Dopamine
Definition

Both alpha and B1 effects

 

Primairly increase heart rate and contracility and at high doses causes vasoconstriction

 

1-10 mcg/kg/min

Term
Vasopressin
Definition

Works on V1 and V2 receptors

 

Causes vasoaconstrcition and increased MAPS

 

Dose 0.3-0.4 units/min

Term
Dobutamine
Definition

Pure beta activity, B1 >B2

 

Increases HR and contracility, will cause some vasodilation and may decrease preload and afterload

 

Dose 2-20 mcg/kg/min

Term
Milrinone
Definition

Phsphodiesterase inhibitor

 

Causes increased contracility and vasodilation

 

Dose 0.375-0.75 mcg/kg/min

Term
Nitroglycerin
Definition

Nitric oxide mediated smooth muscle vasodilation, most prominent in venous system, decreases preload and dilates coronary arteries

 

Dose 5-10 mcg/min, usual dose about

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