Med Surg ATI Review
Ch. 1 Health, Wellness, and Illness
• Variables
o Modifiable= can be changed, smoking, nutrition, health edu, sex practices, exercise
o Non modifiable= sex, age, developmental level, genetics
Ch. 2 Emergency Nursing Principles and Management
• Triage
o Resuscitation= level one
o Emergent= level two
o Urgent= level 3
o Less urgent= level four
o Nonurgent= level five, non life threatening condition require simple eval and care
management
• ABCDE
o Airway= maintain airway, head tilt/chin lift (do NOT perform if pt has spine injuryà
do modified jaw thrust maneuver), bag valve mask w/ 100% O2, nonrebreather w/
100% O2 use for spontaneous breathers
o Breathing
o Circulation
o Disability= loc
o Exposure= clothing
• Poisoning= use activated charcoal, gastric lavage (done w/I 1hr) aspiration
• Rapid response team= respond to emergency when pt has indications of rapid decline
• Cardiac emergency
o Vfib= defibrillate, CPR, admin IV antidysrhythmic (epi, amiodarone, lidocaine,
magnesium sulfate)
o Vtach
• Epi= stimulate alpha 1 (vasoconstrict), beta 1 (increase hr), beta 2 (bronchodilate), good for
superficial bleeding, increase bp, AV block and cardiac arrest and asthma
o s/e= htn crisis, dysrhythmias, angina
• Dopamine= renal blood vessel dilation, beta 1 increase hr, good for shock, hf
o s/e= dysrhythmias, angina
• Dobutamine= beta 1 increase hr, good for hr
Ch. 3 Neurologic Diagnostic Procedures
• Cerebral angiography= visualization of cerebral blood vessels, assess blood flow within
brain, id aneurysms
o Do NOT perform if pregnant, don’t eat food or fluids for 4-6hrs prior to procedure,
assess for allergy to shellfish or iodine b/c require use of contrast media, ask about
anticoag, assess BUN and creatinine; monitor area for clotting after procedure
• CT= cross section image
• EEG= id seizure activity and sleep disorder
o Wash hair b/f procedure, be sleep deprived, expose to flashing lights, hyperventilate
for 3-4 min
