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NUR 2755 MDC4 – Examination Blueprint – Exam 2

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MDC4 – Examination Blueprint – Exam 2 • Assessment – Expected laboratory values – stages - • Treatment – Fluids -skin grafts - Fluid overload S&S • Phase of Burn Injury management �... �� Emergent/Resuscitative Phase, Acute Phase, Rehabilitative Phase • Total body surface area (TBSA) – Rule of Nines • Depth of burns • Parkland Formula • Urine Output 0.5ml/kg/hr • Carbon monoxide poisoning • Complication-eschar, burn shock,stridor, Infection, Curling Ulcers: treatment escharotomy Respiratory Diseases(Assessment, Nursing interventions) • Acute respiratory distresssyndrome (ARDS) – Stridor – Risk Factors o Clinical manifestations:….refractory hypoxemia, non-cardiac pulmonary edema o Treatment: Prone, PEEP • Hypoxemia • Pulmonary embolism – Laboratory Values – Thrombophlebitis - Medications • Pulmonary edema • Pneumonia – Aspiration Pneumonia • Flail chest - Paradoxical respiration – paralysis of the diaphragm – respiratory failure • Pneumothorax – Signs and symptoms o Chest tube management (watch Respiratory SR lecture) • Treatment - endotracheal tube – tracheostomy - mechanical ventilation - bag-valve-mask device - pulse oximeter, Chest Tubes • Mechanical Ventilators: o Settings o Complications o Nursing interventions o Low pressure and high-pressure alarms o Ventilator Acquired Pneumonia (VAP) Protocol • ABG Interpretation Shock • Hemodynamics: Central Venous pressure, Wedge pressure • Meant Arterial Pressure Calculation MAP={SBP + 2(DBP)}/3. Usual Range 70-110 • Types, Cause, Risk factors o Hypovolemic o Cardiogenic o Neurogenic o Septic o Anaphylactic • Stages Progression • Assessment/Clinical Manifestations/Labs and Diagnostics • Interventions: o ABC o Specific interventions • Client teaching/prevention • Complications: o DIC o MODS o ARDS o SIRS Medications: (Therapeutic Effect, Uses, Side effects, Nursing Considerations) Drug Class: Anticoagulant Heparin Clopidogrel Warfarin Ticlopidine Enoxaparin Drug Class: Anticoagulant antidote • Protamine Sulfate • Vitamin K Antiulcer Medication: Proton Pump Inhibitors-prazole: omeprazole lansoprazole esomeprazole pantoprazole Histamine blockers: -dine: famotidine ranitidine cimetidine Drug Class: Antibiotics Vancomycin Ciprofloxacin Silversulfadiazine Penicillin V Drug Class: Thrombolytic Alteplase Urokinase Reteplase Streptokinase Medsfor anaphylaxis Epinephrine Drug Class: • Antihistamines • Corticosteroids Drug Class: Corticosteroids Methylprednisolone Hydrocortisone Prednisone Cortisone Fludrocortisone Drug Class: Inotropes Dobutamine Digoxin Volume Replacement Normal Saline Lactated Ringers Blood Products • Consent, 20G, 2RNs, 4 hours max Clotting Factors Drug Class: Diuretic Furosemide Hydrochlorothiazide Spironolactone Drug Class: Vasopre [Show More]

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