Emergency Drugs
What drug is used to treat ventricular arrhythmias such as ventricular defibrillation and pulseless ventricular tachycardia?
Amiodarone
What is the most important rule of BLS?
Scene safety then follow ABCs
What is the purpose of a rapid assessment?
To gather information quickly without doing a full head to toe assessment
What does CVC stand for?
Central Venous Catheter
Who can suction a tracheostomy?
Any licensed healthcare professional with the correct training.
What medication would be used to treat and reverse the effects of benzodiazepines?
Flumazenil
How many people are needed to run a safe/efficient code blue?
1, but ideally- 3:
1 leader and 2 teammates to sub out for compressions/breaths
What is included in the rapid assessment of an adult c/o chest pain?
vitals, heart and lung sounds
How often do you change CVCs
1x week/PRN/per hospital policy
What do you need to suction?
Suction tubing
suction cannister
sterile water/saline (per MD order)
sterile gloves
What routes can nitroglycerin be administered
Sublingually, Transdermal, Intravenously
When is a code blue activated?
When an individual is found unconscious, with no pulse, or not breathing
Is triaging the same thing as a rapid assessment?
NO; a rapid assessment can be used to determine the order of triage, but triaging is a different process
What are the different types of CVCs?
implanted ports
tunneled catheters
non-tunneled catheters
peripherally inserted central catheters
How many passes can you do before giving your patient a break?
Roughly 3 times, each suction should be kept to <15 seconds
What medication is used to treat supraventricular tachycardia?
Adenosine
What is the proper decision tree for running a code by yourself? What is the ration of c:b?
start CPR after assessing, high-quality CPR consists of compressions at a rate of 100-120 bpm and a ration of 30:2
A patient is complaining of RUQ pain that started 2 days ago and is 10/10 pain, what do you do first?
ASSESS the physical-ABCs, then chemical (labs)
LABS: WHAT LABS?? - per MD order
How long can CVC's stay in place before they need to be removed?
weeks to months to years; depends on the kind
What is the purpose of suctioning?
To remove mucus, other airway secretions around the tracheostomy opening and lower airway
Name three vasopressors.
Epinephrine, Norepinephrine, Dobutamine, Dopamine,
Adult:2-2.4 inches
Child:2 inches
If your patient is c/o 10/10 headache and is having blurry vision, what would you do first to assess what this patient needs?
ASSESS blood pressure after ABCs
If a patient receives an order to insert/clean/remove a CVC, what supplies must be included in order to SAFELY change the dressing change?
swab sticks (some kind of cotton tipped applicator)
gauze
biopatch (or some type of antimicrobial agent to cover insertion site with)
tegaderm (or some type of dressing)
masks for both nurse and patient
sterile gloves and regular gloves for removal
alcohol pads for removal
new luer lock caps/needless connectors (if needed)
tape
a writing utensil to date/time/initial
If you are performing tracheostomy care by yourself, what is the order of steps you perform the set up in?
Per protocol/company policy