ABGs
This test is often done when a patient is in respiratory distress to guide further treatment eg. need for intubation.
What is an arterial blood gas (ABG)?
Used when vascular access is necessary but difficult to obtain
What is Intraosseous (IO) access?
This may be a sign of lung tissue damage, dislodged tube, or disconnected tubing
What is excess bubbling?
This can be ordered in an emergency if type and cross is not completed
What is emergency release blood (ideally O-positive)?
This medication is the most critical for the treatment of anaphylactic shock
What is epinephrine?
These two body systems help to regulate a body’s acid-base balance
What are pulmonary/lungs and renal/kidneys systems?
In response to pain from IO access, this medication may be administered
What is lidocaine?
The nurse should never do this when caring for a patient with a chest tube (think tubing)
What is strip the tubing (milking)?
This device is used when administering large volumes of blood quickly
What is a rapid infuser (Belmont Rapid Infuser)? (Level One Rapid Infuser accepted)
This is the most common cause of cardiac arrest in children
What is breathing difficulties?
This is the normal pH range
What is 7.35-7.45?
True or false: IO placement is contraindicated for a patient on an anticoagulant
False
Pt with no right lung sounds, tracheal deviation to the left, and jugular vein distention. The nurse suspects
What is tension pneumothorax?
Required pre, at the 15 minute mark, and at the end of the blood transfusion
What are vital signs (full set)?
You are performing High-Quality CPR in a cardiac arrest case. The AED indicates a shock is advised. After delivering the shock, this is the next immediate step?
What is CPR?
The body system that is first and fast to compensate when a patient’s pH is abnormal
What is the respiratory System?
Recommended needle size for 40kg patient, with a proximal humerus site insertion
What is 45 mm?
When setting up the drainage system the nurse sets the initial suction wall setting to this amount.
What is 80mmHg?
This is the first sign of a blood transfusion reaction
What is itching?
You are using an AED and the device indicates that a SHOCK is advised. This is the VERY last step before pressing the SHOCK button
What is clear the patient?
In a patient with a respiratory disorder, when the PaCO2 increase, the patient becomes
What is acidotic?
Immediately after placement the IO is aspirated with no blood return. The nurse should...
What is flush the IO and assess for extravasation?
This devise may be used for a patient with a simple pneumothorax.
What is a Thora vent? (cook, pigtail, or Heimlich valve accepted)
15 minutes after starting a transfusion, patient complains of itching and has a new temperature of 100.4F. The nurse should
What is stop the infusion and call the physician?
A seven-year-old accidentally ingests grandma’s pain medication. The nurse should administer this drug to reverse the sedation
What is Naloxone?