Why would vecuronium be given to a patient prior to intubation?
it is a fast acting neuromuscular that last only about 30 min that can help relax the vocal cords and jaw.
How does warfarin work?
Acts in liver to prevent synthesis of vit-K dependent clotting factors. Similar to vit-K in structure, it acts as a competitive antagonist to hepatic use of K
What is this: pH: 7.36 PaCO2: 37 HCO3: 25
normal ABGs
What does an IVC filter do?
Provides a screen in the IVC- allows blood through while blocking or fragmenting emboli from pelvis or lower extremities
Your patient has a high risk for DVT following a recent surgery. You should encourage them to dangle their legs for long periods of time if they won't ambulate. True or False?
False- dangling can restrict blood flow behind the knees. Need to ambulate.
What does AST measure?
AST is an enzyme that helps metabolize amino acids. Like ALT, AST is normally present in blood at low levels. An increase in AST levels may indicate liver damag
What is mannitol and why would it be used?
Diuretic. Force urine for those with AKI/oliguria (or brain swelling)
What happens during the oliguria phase of AKI?
Minimal urine output
Which acid-base imbalance can be caused by ingestion of antifreeze?
Metabolic Acidosis
Heparin is safe to use during pregnancy. True or False?
True- does not cross placental barrier and not secreted in breast milk
What is RIFLE?
AKI Classification: Risk, Injury, Failure, Loss, End Stage Kidney Disease
What is this: pH 7.27 PaCO2: 7 HCO3: 10
Metabolic Acidosis with partial compensation
Which acid-base imbalance can be caused by prolonged diuretic use?
Metabolic Alkalosis
What is the most severe type of pancreatitis?
necrotizing
What is the difference between compensated and decompensated cirrhosis?
Compensated: Still have most live functioning ability; Decompensating: liver is failing and not doing its job