Lab Values
What's the problem?
Interventions
Documentation
100

Lab you would need if a patient was hemorrhaging

What is Hbg/Hct

100

Redness to lower extremity 

What is a potential DVT symptom?

100

Medication used to prevent a blood clot

What is SQ heparin?

100

Every 2 hour assessment 

What is the pain documentation: Sedation, RR, Breathing depth/regularity?

200

Can cause significant arrhythmias if too low or too high.

What is abnormal potassium? 

200

Drop in blood pressure, increase in heart rate with standing

What are positive orthostatic vital signs?

200

Initial treatment for a low blood pressure.

What is IV fluid bolus?

200

Required documentation of this for every patient to prevent infection!

What is the daily CHG bathing treatment?

300

Blood glucose <40.

What is a critical low blood sugar value?

300

Symptoms of bloating, nausea, vomiting and absence of stool/bowel sounds

What is a paralytic ileus?

300
Used for decompression but can also be used to administer medications.

What is the purpose of a nasogastric tube?

300

Must be completed and documented twice a day?

What is urinary catheter care?

400

You need 2 bottle of blood for this 

What are blood cultures?

400

Separation or splitting open of layers of a surgical wound

What is dehiscence?

400

Expectation of every patient that can actively participate in deep breathing post surgery; restores lung volume.

What is the use of the IS?

400

A task you must complete either every 4 or 8 hours to chart IV fluid volumes.

What is pump rate verify?

500

Shows a severe inflammatory response in the body if elevated

What is elevated lactate?

500
Acute, new onset confusion.

What is delirium? 

500

Used to check residual urine volumes.

What is the point of a bladder scan?

500

Patient score >5 on Hendrich score?

What is considered a high fall risk?

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