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?
This is the most important safety check before starting any high-risk infusion.
What is verify the dose, concentration, and patient weight?
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
First nursing action for a high-pressure alarm.
What is assess the patient?
This rhythm often presents with tall, peaked T waves and can lead to lethal arrhythmias. Cause and interventions?
What is hyperkalemia-related changes? Calcium gluconate to protect, insulin and dextrose to drive down K. Possible need for dialysis.
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
Type of dressing is commonly used to cover central line insertion sites and frequency of changing.
What is a sterile transparent CHG dressing and every seven days or PRN?
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?
Order: Dopamine 5 mcg/kg/min
Weight: 70 kg
Concentration: 400 mg in 250 mL
At what rate (ml/hr) will you run this medication? Round to the nearest TENTH
13.1 ml/hr
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
Continuous vigorous bubbling in this chamber may indicate this problem.
What is an air leak?
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?
This is the priority lab to monitor for a patient on a heparin drip.
What is aPTT?
Name five assessment findings for hypervolemia