Bundle Up!
Feelin' Gassy
Tea Time
Heart Block Haiku
Succs to be you
100
To prevent VAP, oral care should be performed this often on ventilated patients.
What is q2 hours.
100
This value is indicative of respiratory failure.
What is PaCO2?
100
This T has been the most frequent cause of death for Americans under the age of 50 since 2016.
What are Toxins?
100
Longer longer drop,
The block must exist somewhere
in the AV node.
What is Wenckeback? (AKA 2nd degree type one, or Mobitz type 1)
100
This is a common cause of peri-intubation arrest.
Hypoxia or hypotension (two most common causes)
200
These are three excellent ways to prevent pressure injury.
Braden risk documented each shift, pressure prevention or treatment pathway applied, skin team consult for open areas or identified skin breakdown, Reposition q2 and document in EHR, Use positioning wedges, early utilization of specialty beds, pad body prominences, protect skin from medical appliances.
200
This clinical condition may cause a respiratory acidosis.
Obstructive pulmonary disease, oversedation, head trauma, anesthesia, neuromuscular disorders, hypoventilation
200
This T can result in electrical alternans and muffled heart sounds.
What is a tamponade? (Cardiac tamponade)
200
Steady beats the heart,
QRS is far from P,
but it never drops.
What is a first-degree heart block?
200
This electrolyte abnormality may result from administration of Succinylcholine.
Hyperkalemia
300
Three ways to prevent a central line infection include:
Ensure dressing is clean and intact, dressing changed (dated) within 7 days, port protectors on any port not in use, scrub the hub 15 seconds and allow to dry for 15 seconds before each access, flush orders placed for each lumen and line, change tubing/needleless connectors q96hr, IV tubing/fluids dated/labeled/not expired, Daily CHG treatment.
300
This clinical condition may lead to respiratory alkalosis.
Hyperventilation, hypoxia, anxiety, pulmonary emboli, brain injury, over-bagging or hyperventilation with a vent
300
This drug is the preferred therapy for acute ischemic stroke.
What is tenecteplase/TNK?
300
Eerily steady
This most lethal of the blocks
Marches on slowly.
What is complete heart block? (AKA: third degree heart block)
300
During an RSI, you should push one of these drugs before pushing the paralytic.
What are induction agents? (Etomidate, Ketamine, Propofol, Midazolam)
400
During this part of the patient admission, the nurse may enter an order for C. Diff per protocol if the patient is high risk for C. Diff and the patient has a loose/liquid/watery stool.
Days 1-3 of admission
400
This clinical condition may lead to a metabolic alkalosis.
Vomiting, NG tube loss, diuretic therapy, Cushing's disease, severe K+ depletion, corticosteroid therapy, rapid correction of hypercapnia
400
This T can cause a mediastinal shift on the patient's CXR.
What is tension pneumothorax?
400
Daily Double: This person is the greatest educator of all time!
400
Unless otherwise ordered, a spontaneous breathing trial should be performed at this interval.
What is daily before 1000?
500
A foley that has been in place more than this many hours requires the nurse to remove and replace the foley before obtaining urine specimen.
What is 72 hours?
500
pH 7.32
pCO2 95
HCO3 49
B.E. +15
Partially Compensated Respiratory Acidosis
500
Myoglobin levels elevate immediately during and MI; this T takes between 2 and 6 hours to rise to a detectable level.
What is troponin?
500
Some beats are dropped
But the PR interval
is always the same.
What is Second Degree Type 2? (AKA: Mobitz II)
500
This is the typical goal range for sedation using BIS monitoring, where the patient does not respond to verbal commands and has a low probility of recall.
40-60