CARDIOLOGY
what part of the conduction system do we call the hearts natural pacemaker
SA node
True or false- for efficient gas exchange airflow must be matched with blood flow
TRUE
What clinical tool do we use at Garnet to assess a patients level of consciousness
Glascow Coma scale
what is an example of a hypotonic IV fluids
.45% NS 0.33 % NS
when does an arterial line need to be zeroed?
at least once a shift ( start of every shift
position change
blood draws
any disconnection
clinical picture does not match reading
give an example of a calcium channel blocker
diltiazem, metroprolol , verapamil
what are some contraindications for BIPAP
decrease LOC, inability to protect ones airway, risk of vomiting, inability of pt to take mask off themselves
You walk into your pts room in 502 and notice she has a change in mentation and a right sided face droop. what are you next 2 actions?
1. Call RRT to get MD to bedside
2. Call code neuro
what type of IVF would you expect to use in hypovolemic shock, dehydration with low b/p, or burns and what are some examples?
Isotonic solution
NS, LR 5 % dextrose
How often do we need to complete a square wave test
once per shift, after opening the catheter system for zeroing of drawing blood, and whenever the waveform appears to be distorted
the right atrium receives oxygenated blood from the body - True or False
False
right atrium receives deoxygenated blood from the body ( specifically superior vena cava and inferior vena cava )
The amount of air delivered with each breath is called what?
Tidal volume
what information would you expect to give the tele stroke team
Last known well time, height and weight, history
Previous stroke? DM? HTN? recent surgery or trauma?
Describe how hypertonic solution works
they work by pulling water out of the cells and into the blood stream- this causes cells to shrink and increases intravascular volume
severe hyponatremia
3 % NS, 10 % dextrose in water
some interventions for an over dampened arterial line?
check system for air, blood, loose connections, or kinks in the tubing or cath
1st line vasopressor used in septic shock
Norepinephrine/ levophed
What is the most common ventilator setting that we use at GHM- Catskill
PRVC- pressure regulated volume control
If thrombolytic is recommended what code do we call?
code thrombolytic
give me an example of a colloid? or a volume expander?
Albumin, dextran, blood products
when putting in a chest tube what is the dry suction set to?
-20
Dobutamine has what effect on the heart?
increases the strength of the heart contractions and improves cardiac output
PH is 7.5
PC03 35
PaC02 40
interpret this ABG
Metabolic Alkalosis
What do we do to reconstitute tenecteplase
mix with 10 ml of sterile water swirl around for 1 min
in what clinical setting would we use isotonic solution? and provide an example
hypovolemic shock, dehydration or burns, blood loss, diarrhea NPO
NS and LR 5 % dextrose
what supplies should you expect to have at the bedside with a patient that has a chest tube
sterile gauze 4X4, Vaseline gauze, tape and clamps