NRNP 6566 Week 11 Final Exam Study Guide
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(NRNP 6566 Week 11 Final Exam Study Guide, NRNP 6566 Week 11 Final Exam Study Guide)
Week 6 and 7
- Question: Interpret arterial blood gases (ABG). Differentiate alkalosis/ acidosis and respiratory / metabolic
- Question: Identify a ventilation – perfusion mismatch and how to treat it
- Question: Be able to calculate an Aagradient. Be able to interpret an Aagradient.
- Question: Identify clinical symptoms or conditions indicating a need to intubate and ventilate a patient
- Question: Persistent hypoxia (partial pressure of oxygen in arterial blood PaO2 less than 60mmHg and/or hypercarbia (partial pressure of carbon dioxide in arterial blood PaCO2 greater that 50mmHg refractory to noninvasive supplemental O2 and/or airway maintenance (suctioning and position)
- Question: At what point do you start considering whether your patient is ready to come off the ventilator?
- Question: How do you determine if the patient is capable of being separated from the ventilator?
- Question: Suppose your patient demonstrates that she can be separated from the ventilator. Should she be extubated?
- Question: Prescribe ventilator settings for newly intubated patient.
- Question: Suppose you put the patient on a volume-targeted Assist Control mode of mechanical ventilation. How do you choose the tidal volume?
- Question: What respiratory rate should you choose for the patient?
- Question: What should the FIO2 and PEEP be set at?
- Question: Describe static and plateau pressures on a ventilator
- Question: What do “static” pressures represent on the ventilator?
- Question: What do “peak” pressures represent on the ventilator?
Week 8
- Question: Be able to describe and differentiate between the levels of sedation (minimal, moderate, deep, general anesthesia, and dissociation).
- Question: Be familiar with the recommendation for ICU sedation in the Society of Critical Care Medicine guideline. Apply that guideline to patients with trauma, on ventilation, with hypotension.
- Question: Diagnostic criteria and treatment for pulmonary embolism, hypo volemic shock, pneumonia
- Question: Describe the step by step process for Rapid Sequence Intubation (RSI)
- Question: Identify medications used RSI
- Question: Know common doses of etomidate and succinyl choline. Be able to calculate those doses.
- Question: Describe the CDC guide for managing acute pain and opioidsensitive prescribing.
- Question: Differentiate the different types of pain and the best medications to treat them.
- Question: Discuss the use of lidocaine and lidocaine with epinephrine in blocks or local anesthesia. What is the maximum dose of lidocaine and lidocaine with epinephrine? Calculate those doses.
- Question: Be familiar with ketamine for procedure sedation, the appropriate dose, and required monitoring.
- Question: What medication could you use for a laceration repair if the patient is allergic to lidocaine?
- Question: Describe why a patient receiving IV opioids might develop chest wall rigidity and how to treatit.
- Question: What are antagonist drugs for benzodiazepines and opioids
Week 9
- Question: A good understanding of the gram positive and gram-negative bacteria is very helpful in understanding how to select antibiotics to treat the different infections
- Question: A general idea about what class of antibiotics treat gram positive and gram negative
- Question: Know the different types of penicillins and what they treat
- Question: Know the different generations cephlosporins and what they
- Question: Be familiar with the different antibiotic classes (fluoroquinolones, macrolides, tetracyclines, vancomycin) and the types of bacteria they are effective against.
- Question: Be familiar with the common side effects of each class of
- Question: Distinguish between treatment for hospital acquired pneumonia (HAP) and community acquired pneumonia (CAP).
- Question: Common antibiotic choices to treat urinary tract infections, community acquired pneumonia, pyelonephritis
- Question: Describe the relationship between penicillins and cephalosporins. If a patient is allergic to penicillins, can you prescribe them a cephalosporin
- Question: Review the sepsis guidelines and what broad spectrum antibiotic coverage would
- Question: Appropriate antibiotic treatment for MRSA infections
- Question: Work up and appropriate treatment for bacterial
- Question: Be able to choose an appropriate antibiotic treatment based on a bacterial sensitivity report
- Question: Appropriate antibiotic treatment for pelvic inflammatory
- Question: What is empiric antibiotic selection? What factors do you consider when making empiric antibiotic selections?
Week 10
- Question: Differentiate between the three types of kidney injury.
- Question: Understand causes of each and prescribe appropriate management plans for each type.
Week 11
- Question: Know the onset and duration of action of regular and basal insulins. Be able to provide instructions to patients regarding their insulin dosing based on this information.
- Question: Adjust insulin doses based on patient blood sugar readings over time.
- Question: Provide instructions for blood sugar monitoring and insulin administration when patients have nausea/vomiting/limited oral intake
- Question: Diagnostic criteria for diabetes and common initial medications prescribed. Calculate a standard initial insulin dose for a new diabetic
- Question: Differentiate between diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic syndrome (HHS) (labs, diagnostics, and treatment). IV therapy and Insulin