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Cardiac nursing is one of the most heavily tested topics on the NCLEX, covering everything from heart sounds and ECG interpretation to heart failure, myocardial infarction, and car...
Obstetrics and Pediatrics nursing covers everything from caring for expectant mothers and newborns to supporting children through their growth and development. With so many conditi...
Category: Critical Care Nursing In patients with an unexplained anion gap metabolic acidosis, drugs such as salicylates, methanol or ethyleneglycol toxicity should be considered....
Category: Critical Care Nursing Emergent airway management leaves little time to perform a thorough airway assessment. In conscious and cooperative patients, an inability to bite...
Acronyms and Acrostics are often used to help people remember specific facts. A few of the most popular acronyms are listed below: To remember the colors of the rainbow (red, or...
Category: Critical Care Nursing In electrochemical neutrality, total cations must equal total anions. With this, a number is derived from the difference. When cations are in exces...
Category: Critical Care Nursing Clinically, the P/F ratio (PaO2/FiO2) is most commonly used to approximately quantitate the degree of venous admixture, composed of ventilation/per...
Category: Critical Care Nursing Avoiding hypoxemia is essential to preserve safe conditions during intubation. If oxygen saturation drops, the first rescue maneuver is the BMV tec...
Category: Critical Care Nursing The first reported in children and then recognized also in adults, prolonged high-dose propofol (>100 μg/kg/min) is associated with the “prop...
Category: Critical Care Nursing Features that predict difficult laryngoscopy include limited ability to open airway (interincisor distance), displaced tongue (large tongue, short...
Category: Critical Care Nursing If the BMV using an oropharyngeal airway technique fails to improve hypoxemia, a second-generation supraglottic airway should be used. The devices...
Category: Critical Care Nursing The history and physical examination can often give clues as to the underlying acid-base disorder. For example, severe diarrhea could lead to loss...
Category: Critical Care Nursing An rapid shallow breathing index (RSBI) threshold of less than 105 has both a high positive predictive value (0.78) and high negative predictive va...
Category: Critical Care Nursing The PaO2 is dependent on the fraction of inspired oxygen (FiO2), ventilation and perfusion matching (V/Q) and the mixed venous oxygen saturation (S...
Category: Critical Care Nursing Hypoxia is unlikely to occur in mild hypoxemia (PaO2 = 60-79 mm Hg) when cardiovascular reflexes remain intact. Moderate hypoxemia (PaO2 = 45-59 mm...
Category: Critical Care Nursing The first therapeutic maneuver in patients with a metabolic alkalosis is to replace any volume deficit with normal saline and correct electrolyte d...
Category: Critical Care Nursing Rapid-sequence intubation has an inherent delay of 45-90 seconds between medication administration and laryngoscopy. In patients with refractory hy...
Category: Critical Care Nursing Tissue oxygenation depends on the delivery of oxygenated blood (both dissolved and bound to hemoglobin). The PaO2 is the partial pressure of oxygen...
Category: Critical Care Nursing In the case of medication-induced respiratory alkalosis, the ABG and further studies with toxicology panel would help to identify the causes. Hypox...
Category: Critical Care Nursing Infusion of bicarbonate can lead to a variety of problems in patients with acidosis, including fluid overload, hypernatremia and metabolic alkalosi...
Category: Critical Care Nursing Failing respiratory muscles, pain preventing effective breathing, increased abdominal pressures and agents that suppress respiratory drive - all de...
Category: Critical Care Nursing Critically ill patients run higher risks of hypoxemia. Preoxygenation is limited by functional residual capacity and the ability to denitrogenate t...
Category: Critical Care Nursing It is possible for a patient to have an acid-base disorder with normal pH, PaCO2 and HCO3-, with the only clue to an acid-base disorder being an in...
Category: Critical Care Nursing Long-term use of lorazepam can result in the accumulation of propylene glycol, resulting in AKI, metabolic acidosis and altered mental status. Prop...
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