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
...
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
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