Sepsis
This is the number one organ failure found in sepsis
What is kidney failure
What are the three categories of GCS?
What specific EKG changes indicate a STEMI?
What is ST- segment elevation in at least 2 contiguous leads.
32-week pregnant female arrives to LCMC with c/o sinus congestion x 1 week. Where should this patient be seen?
What is ER/CC
Where are the EPIC down time protocols found?
What is drawer by nursing station
Nurses control these two interventions that directly affect sepsis mortality.
Administration of fluids and antibiotics.
Fact: Mortality increases 8% every hour an antibiotic is delayed in a sepsis patient.
Who can call a stroke alert?
How do you call a stroke alert?
Any RN/LPN.
Overhead page ~ Call ER.
What is the most common cause of pulmonary edema?
What is congestive heart failure
What is headache, visual changes, epigastric pain
If the fetal heart monitor is showing moderate variability and/or accelerations, you can confidently rule out what?
What is fetal metabolic acidemia?
When should antibiotics be started required by CMS to pass sepsis criteria?
What is 60 minutes
This is done when performing CPR on a pregnant woman when the fetus is large enough to compress the vena cava.
What is displacing the fetus to the left.
What is the time from onset of chest pain or arrival of patient to time EKG is completed?
10 minutes
What is the only cure for pre-eclampsia?
What is delivery of the placenta
Who responds to a "rapid response"?
What is the code team
Are elevated lactate levels and early or late sign of sepsis in children?
Late
Early in adults
What are cranial nerves
A patient is in sinus bradycardia with a HR of 45 bpm, c/o dizziness and BP of 82/60. Which intervention should the nurse anticipate?
Is this patient stable or unstable?
What is: transcutaneous pacing
Unstable
During a maternal cardiac arrest, it becomes necessary to deliver the fetus for maternal resuscitative purposes. Delivery should be within this many minutes from pulselessness.
What is 5 minutes
If you have to hold someone down to give behavioral health emergency medications, you need this order.
What is violent restraint or physical hold
What are three signs/symptoms of sepsis?
What is: Fever, Tachycardia, hypotension, hypoxia, tachypnea, confusion, decreased urine output, weakness, malaise, decreased appetite, SOB.
What is the max dose for Tenecteplase r/t stroke?
25 mg.
What is a STEMI, and how does it differ from other types of MI?
STEMI is a type of heart attack that is complete blockage of a major coronary artery which leads to distinctive ST changes on EKG.
NSTEMI is a type of heart attack that is a partial blockage or NOT major coronary artery involvement.
38-week pregnant female arrives to the ER after being involved in a MVA. Where should this patient be seen?
What is ER with OB consult.
What is the most important component of patient care?