Keep the Bugs Away
This is the #1 method of preventing hospital-acquired infections from occurring
What is handwashing
Blood gas results are: pH 7.33, paCO 56, HCO3 28, paO2 82. Analyze this blood gas result.
What is respiratory acidosis, partially compensated
This is the first medication & dose administered during a pulseless code (cardiac arrest) response.
What is epinephrine, 1 mg, IVP
These fluids do not affect the size of the cell. The extracellular fluid concentration is equal to the intracellular fluid concentration. Name 1 type of this fluid.
What is isotonic? 0.9% NS, LR, D5W
1st line drug to treat Torsades de pointes. How do you give this drug? IVP or IVPB?
What is magnesium? IVPB.
Identify three elements of the CAUTI bundle
What are: avoid unnecessary catheterization; insert with sterile technique, minimize duration, maintain a closed system, secure catheter to patient, maintain unobstructed flow, daily catheter care with soap & water/CHG wipes
Your patient is on a ventilator and his tubing that returns to the ventilator becomes disconnected. This alarm is most likely to sound.
What is the low pressure alarm
Heart rate x stroke volume =
What is cardiac output?
When fluid shifts out of the plasma and into areas that normally having minimal to no fluid
What is third spacing?
This is a common sedative used in the ICU and is also an opioid analgesic
What is fentanyl?
Identify three elements of the CLABSI maintenance bundle
What are daily discussions of line necessity, Curos cap use/scrub the hub prior to each line entry, daily CHG bath, dressing is kept CDI/occlusive and changed q7d per policy, line tubing changed q72hrs and labeled
This ventilatory maneuver in which positive pressure is applied to the airway during exhalation.
What is Positive End Expiratory Pressure (PEEP)?
What are the cornerstones of ACLS?
Excellent CPR and early defibrillation of treatable arrhythmias
Name two serum labs for assessing dehydration?
What is: Hgb, Hct, creatinine, BUN, serum osmolality, sodium, potassium
ICU patients should receive prophylaxis with UFH or LMWH for this reason
What is prevention of DVT/PE
What is the most common gram-positive organism associated with VAP?
What is Methicillin-Resistant Staphylococcus Aureus (MRSA)
Identify two interventions for the client with an ET tube:
Assess respiratory status, secure ET tube, monitor and record position of the ET tube, measure ET cuff pressure every shift, suction as needed, monitor for skin breakdown
The following are classic signs for what condition? 1. Increased JVD 2. Hypotension 3. Muffled heart sounds (this is also known as Beck's Triad)
What is cardiac tamponade?
What is the difference between crystalloids and colloids?
Crystalloids- contain water and small molecular weight solutes that pass freely through vascular endothelium
Colloids- contain large molecular weight solutes that do not pass free across vascular endothelium so they stay in the intravascular space. Used to increased blood volume and blood pressure
A patient in the ICU is confused and pulling at lines. This may be caused by:
What is delirium
Identify three elements of the VAP bundle
What are Interventions: HOB at 30 degrees, oral hygiene/cares, peptic ulcer prophylaxis, sedation holiday
Name 4 ventilator settings
What are rate, tidal volume, FiO2, PEEP
When measuring intervals on an EKG rhythm strip, a QRS complex wider than 0.12 seconds most likely indicates this.
What is a bundle branch block?
Name two types of colloids
What are blood products (FFP, platelets, cryo), albumin
Name two ICU admission criteria
What is: Unstable airway/respiratory failure, hypotension, life-threatening cardiac arrhythmias, severe metabolic derangements, need for frequent measurement of vitals (< q 2 hrs)