I'VE GOT RHYTHM
This rhythm includes the P wave, QRS wave and T wave.
What is normal sinus rhythm.
This blood transfusion reaction is due to sensitization to donor WBCs, platelets, or plasma proteins.
What is febrile.
ABGs reading: pH 7.45; PaCO2 30mmHg; HCO3 20mEq/L indicate this acid-base imbalance.
What is Respiratory Alkalosis, compensated?
It is true that the intervention for every type of shock is a fluid bolus of normal saline.
What is false.
This is present in a patient receiving a synchronized shock.
What is a pulse.
This rhythm is referred to as "irregularly irregular."
What is A-Fib.
This blood transfusion reaction happens when the fluid is given faster than the circulation can accommodate.
What is TACO - Transfusion Associated Circulatory Overload.
A patient with an NG tube attached to intermittent suction is at risk for this acid-base imbalance.
What is metabolic alkalosis?
Increased respiratory rate is the earliest sign of this syndrome.
What is ARDS.
This anti-arrhythmic is used in pulseless v-tach or refractory v-fib.
What is amiodarone.
You will need to treat sinus bradycardia if a patient is this.
What is symptomatic.
This blood reaction occurs in the first 15 minutes of transfusion and may occur up to 2 hours after transfusion is complete.
What is hemolytic blood transfusion reaction.
All electrolyte imbalances cause this in the EKG.
What are dysrhythmias.
Dopamine is the priority intervention for this type of shock.
What is cardiogenic shock.
What is ROSC. Return of Spontaneous Circulation.
Vertical spikes on the EKG indicate the patient has this.
What is a pacemaker.
A patient having a septic reaction to a blood transfusion will appear with these symptoms.
What is rapid onset of chills and high fever, vomiting, diarrhea, hypotension, shock.
The neurological manifestations that can occur with both respiratory and metabolic acidosis.
What is lethargy, confusion, dizziness, headache, coma.
In addition to normal saline fluids and vasopressors, these types of fluids are also used to treat shock.
What are colloid fluids.
What is 94%.
Peaked t-waves on the EKG indicate this electrolyte problem.
Hyperkalemia
If your patient's temperature is 100.6F orally prior to a blood transfusion, this is your first action.
What is notify the primary care provider of the elevated temperature.
Acidosis causes the electrolyte potassium to do what.
What is increased potassium level.
A client in neurogenic shock will have these two indicators in their vital signs.
These are the five H's and T's.
What is: Hypoxia; Hypovolemia; Hydrogen Ions (acidosis); Hyper/Hypokalemia; Hypothermia.
Tension Pneumothorax, Tamponade, Toxins, Thrombosis (PE); Thrombosis (ACS).