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Nclex study guide

The document is a critical care cheat sheet from Beautiful Nursing LLC, covering various medical topics including fluid types, ventilator modes, Glasgow Coma Scale, and pupil scale. It details the uses of different fluids in severe medical situations and outlines the functions of various ventilator settings. Additionally, it provides information on vasopressor and inotropic medications, including their effects on blood pressure and heart rate.

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15 views

Nclex study guide

The document is a critical care cheat sheet from Beautiful Nursing LLC, covering various medical topics including fluid types, ventilator modes, Glasgow Coma Scale, and pupil scale. It details the uses of different fluids in severe medical situations and outlines the functions of various ventilator settings. Additionally, it provides information on vasopressor and inotropic medications, including their effects on blood pressure and heart rate.

Uploaded by

rzckywycjd
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Cardiovascular

Respiratory

Infection

Blood

Beautiful Nursing LLC


GI & Sex Hormones

Psyche

PAIN

MISCELLANEOUS

Beautiful Nursing LLC


0.45% 0.9% 3%
NS NS NS

hypOtonic Isotonic hypErtonic


Fluid replenishes cells from

fluid losses without

changing shape.

Uses: BAD Situations


Severe Hyponatremia

DKA Burns or Blood Loss Overload of Fluid

Increased Total Fluid Anaphylaxis/Sepsis Cerebral Edema

Gastric Fluid Loss Dehydration Ketosis

Note: Gauge = Needle

GREEN PINK BLUE YELLOW PURPLE

Beautiful Nursing LLC


Critical Care Cheat Sheet BEAUTIFUL NURSING LLC
Machine that moves air
Ventilators in & out of lungs. Glasgow Coma Scale
MODE WHAT IS IT? Spontaneous........................4
Also known as Continuous Mandatory On command........................3
Assist Control
Ventilation (CMV) that delivers a fixed To pain..................................2
Ventilation (ACV) or
volume of O2 to patient with each EYE Unresponsive........................1
(CMV)
assisted breath.
Oriented.................................5
Synchronized Similar to ACV with a set tidal volume
Confused...............................4
Intermittent-Mandatory but patients can partially breathe on
Inappropriate........................3
Ventilation (SIMV) own.
Incomprehensible.................2
Continuous non-stop positive pressure Unresponsive.........................1
Continous Positive VERBAL
applied throughout respiratory cycle.
Airway Pressure (CPAP)
Ex: COPD Obeys Commands................6
Localizes Pain.......................5
Bilevel Positive Airway Pushes air into lungs and requires a
Pressure (BIPAP) mandatory # of breaths. Withdraws from Pain............4
Abnormal Flexion..................3
Positive airway pressure applied to the
Positive Expiratory End Abnormal Extension..............2
ventilator at the end of each breath to
Pressure (PEEP) MOTOR Unresponsive.........................1
reduce alveoli collapse.

Low = Leaks Score: 15 is the Best Score


NCLEX: LOW 13-14: mild, 9-12: moderate, <8: severe
Assess, reinflate cuff if needed, and
Pressure Alarm
tighten loose or disconnected tubing.
Pupil Scale

NCLEX: HIGH
High = Block
B: Biting Tube, L: Liquid in Tube, O: 3 4 5 6 7 8 9
2mm
Pressure Alarm Obstruction, C: Copious Secretion, K:
Kinked Tubing
Rhythms
CHEST TUBES: used to reestablish
negative pressure in the pleural space.
Normal Sinus Rhythm
AIR LEAK: "bubbling in water seal
chamber" then clamp chest tube.
DISLODGEMENT: cover chest tube site Atrial Fibrillation
with sterile dressing on three sides.
NCLEX: Strict Aseptic Technique for Setup

Vasopressor & Inotropic Meds Atrial Flutter


Med Constrict or Dilate? BP HR
Phenylephrine Vasoconstrict
Vasopressin Vasoconstrict Ventricular Tachycardia
Epinephrine Vasoconstrict SHOCK
Norepinephrine Vasoconstriction
Mild Vasodilation &
Dobutamine Ventricular Fibrillation
Inotrope
Mild Vasodilation & SHOCK
Milirinone -
Inotrope
Asystole: no rhythm. Admin Atropine/Epi
Beautiful Nursing LLC

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