Critical Thinking and Interventions
The medication used to treat ventricular tachycardia with a pulse
What is Amiodarone
What is the maximum dose for administering nicardipine?
15 mg/hr
These two components make up cardiac output
What is Heart Rate and Stroke Volume
Which site for a central line has an increased risk of infection and needs to be re-sited as soon as possible?
What is a femoral central line?
When administering precedex, what vital sign do you want to monitor for as an adverse effect?
What is bradycardia
What must be monitored with administering a paralytic medication?
What is sedation and level of paralysis
-Train of four
-BIS
The volume of blood in the ventricles at the end of diastole (end diastolic pressure)
What is preload
What necessary equipment is utilized for an arterial line set up to ensure the line remains patient?
What is a continuous flush device
What is the normal range for CVP?
100 BONUS POINTS for giving an example for a reason for both increased and decreased CVP
What is 2-8 mmHg
Increased: Elevated intravascular volume, constrictive pericarditis, cardiac tamponade, pulmonary HTN, Left Ventricular failure, tricuspid or pulmonic valve dysfunction
Decreased: Reduced intravascular volume, decreased MAP, vasodilation
This medication infusion requires the use of a 0.2 micron filter for administration
What is Amiodarone
The resistance the left ventricle must overcome to circulate blood.
What is afterload
How many mm Hg should a pressure bag be inflated to for arterial line maintenance?
What is 300 mm Hg
You receive an order for titration of vasopressin medication for your patient. What is your next action?
What is question the order with the physician because vasopressin is a non-titratable vasoactive medication.
What medication produces 3 different responses based on the different receptors it acts on?
What is Dopamine
Preload, afterload and contractility can be altered to affect which element of cardiac output?
What is Stroke Volume
What is every Wednesday (every 7 days) or sooner if needed
Your nursing student asks you how to calculate MAP on your patient.
What do you tell her?
What is [(2 x diastolic) + systolic] / 3
Which vasopressor is a PURE alpha-adrenergic agonist?
100 BONUS POINTS for describing what alpha 1 and alpha 2 receptors are responsible for
What is Phenylephrine?
A1: Promote smooth muscle contraction, vasoconstriction, and sweat secretion
A2: Increase blood's clotting tendency, decreases the release of insulin, and decreases vascular resistance in the peripheries
What hemodynamic measurement provides information about right ventricular preload?
What is CVP
What is the correct location for leveling arterial line?
What is the phlebostatix axis found at the intersection between the 4th intercostal space and half the AP diameter of the chest