Debbie's Supplemental Learning Classes

Here are the powerpoint presentations for Debbie O'Sullivan's Presentations

Saturday, January 10, 1200-1600

Topic: Respiratory System*

Location: Valley Brew (157 W. Adams St.)

Presenter: Paul Barraza, R.T.

* covering Antaran's N7 syllabus outline on the topic

Link to Respiratory Powerpoint

Monday, January 12, 1700-1900

Topic: Cardiac meds

Location: Fireside Room, Central Methodist Church, across from UOP

Presenter: UOP pharmacology student

Link to Cardiac Meds PowerPoint


Thanks Debbie!!

SBAR Review

The SBAR (Situation-Background-Assessment-Recommendation) technique provides a framework for communication between members of the health care team about a patient's condition. SBAR is an easy-to-remember, concrete mechanism useful for framing any conversation, especially critical ones, requiring a clinician’s immediate attention and action. It allows for an easy and focused way to set expectations for what will be communicated and how between members of the team, which is essential for developing teamwork and fostering a culture of patient safety.
From: SBAR Technique for Communications -- a Situational Briefing Model

Other SBAR information:

• Talking the Talk: How Hospitals Use SBAR to Standardize Communication
• A Sample of How to Use SBAR
• SBAR report to physician about a critical situation (pdf)

Tis the Season

There's a Christmas tree in upper Danner that Gloria and her team of elves put together, and a toy drive for the kids at Family Ties is underway. SNA is looking for donations and volunteers!

Read more about these activities at http://sjdcsna.blogspot.com/

Also, the Student Nursing Association has just elected new officers. That information will be posted on the SNA blog soon...

Peds Cardiovascular Questions

1. which might be found indicating a cardiac defect when assessing a 1 month old infant?
a. Weight gain
b. Hyperactivitry
c. Poor nutritional intake
d. Pink mucous membranes
2. which statement about PDA is correct?
a. HF is uncommon
b. The ductus normally closes completely by age 6 wks
c. An open ductus arteriosus causes decreased blood flow to the lungs
d. It represents a cyanotic defect c decreased pulmonary blood flow
3. which drug is recommended for a preterm neonate to close a PDA?
a. Indomethacin
b. Prostaglandin E1
c. Surgical ligation
d. Cardiac cath
4. which finding is expected in a child c PDA?
a. Weak peripheral pulses
b. Machine like murmur
c. Narrowed pulse pressure
d. RV hypertrophy
5. which may be seen in a child c VSD?
a. Cyanosis of nailbeds
b. Above average height on growth chart
c. Above average weight gain on growth chart
d. Pink nailbeds c cap refill les than 2 secs
6. which conditions best describes VSD?
a. Narrowing of the aortic arch
b. Failure of the septum to develop completely between the atria
c. Narrowing of the valves at the entrance of the pulm artery
d. Failure of the septum to develop completely between the ventricles
7. which curative surgical intervention is recommended for a child c VSD?
a. Surgery c PA banding
b. Defect repair thru cardiac cath
c. Surgery c purse string suture or dacron patch repair
d. Surgery when severe pulm HTN is noted
8. a child c VS repair is receiving dopamine post op. which response is expected?
a. Decreased HR
b. Decreased UO
c. increased CO
d. Decreased contractility
9. which produces left to right shunt?
a. ASD
b. Pulmonic stenosis
c. Tet of fallot
d. Total anomalous pulmonary venous return
10. a child c AS respire is entering postop day 3. whch intervention would be most appropriate?
a. Child to be NPO
b. Maintain strict bedrest
c. Take VS q 8 hrs
d. Admin analgesic prn
11. which condition best describes coarctation of th aorta?
a. Absent tricuspid valabe
b. Narrowing in the area of the aortic valve
c. Localized constrxn or narrowing of the aortic wall
d. Narrowing at some location along RV outflow tract
12. what assessment finding would be expected c Coarc of aorta?
a. Normal BP
b. Increased BP in upper extremities
c. Decreased BP in upper extremities
d. Decreased or absent pulses in upper extremities
13. which procedure is recommended to tx coarc?
a. Drug therapy
b. Balloon angioplasty
c. Surgery s CPbypass
d. Surgery c CP bypass
14. which is an important assessment for a child c a possible cardiac anomaly?
a. HR
b. Temp
c. BP
d. BP in 4 extremities
15. which intervention is recommended post op for a pt c coarc repair?
a. Vasoconstrictor
b. Main hypothermia
c. maintain a normal to low BP
d. Gove a bolus of IV fluids
16. which is expected when assessing a child c tet of fallot?
a. Machine like murmur
b. Eisenmenger’s complex
c. Increasing cyanosis c crying or activity
d. Higher pressures in the upper extremities than lower
17. which is correct for achild c tet?
a. The condition is commonly referred to as “blue tets”
b. They experience hypercyanotic or “tet” spells
c. They experience frequent respiratory infxns
d. They experience decreased or absent pulses in lower extremities
18. which best describes transposition of the great arteries?
a. The body receives only saturated blood
b. Its classified as an acyanotic defect c increased pulmonary blood flow
c. the PA leaves the LV and the aorta exits the RB
d. It’s a condition in which the RA and the LA empty into one ventricular chamber
19. which statement about transposition is correct?
a. Dx is made at birth
b. Dx can be made in utero
c. CXR can show an accurate view of the defect
d. HF isn’t a related complication
20. which defect is associated c transposition of the great arteries
a. mitral atresia
b. ASD
c. Patent foramen ovale
d. Hypoplasia of the LV
21. which surgical prodecure is recommended for repair of transposition?
a. Jatene operaqtion
b. Fontan procedure
c. Balloon atrial septostomy
d. Blalock-taussig operation

Here are a couple of links related to shock I found on Bonnie's site:

• CCM tutorial
• Study stack

Also, back in October, Trina posted two sets of NCLEX-style questions below if you want to test yourself. (Just scroll down the page...)

I found a good PowerPoint presentation -- Identification of shock states that Caralee Bromme put together when she taught N7, plus our ATI book's got a nice little review starting on page 341.

So -- once again -- we have lots of good information, just too little time to absorb it all!

Ah... the last exam of the third semester...