stroke/sepsis
Vasodilation, capillary leak and blood clots
What happens physiologically during sepsis
5 to 10 seconds
How long do you check for a pulse in an unresponsive person.
What does the H in CHAMP stand for?
Hand off effectively
Antibiotics, Solumedrol, Albuterol Nebulizer, and Oxygen
Pneumonia
Placement must be confirmed by either CXR or Abd. XRay
What is an NGT tube?
This test needs to be done within 20 minutes of stroke alert.
CT scan without contrast
30 to 2
Ratio of compressions to ventilations.
Name 2 Planetree services available to our patients?
Hair care, massage, Reiki, soft touch, vital stories, Care Partner, open visitation to name a few.
History of smoking, atrial fibrillation and HTN....discharged home on aspirin and Lipitor
Stroke
Aspeptic Technique, appropriate indication, stat lock, no kinks or dependent loops, empty when 2/3 full, remove asap when no longer needed, clean bid and prn.
What are components of the CaUTI bundle
Components to 1 hour sepsis bundle
blood cultures, broad spectrum antibiotocs, fluid bolus if lactic acid > 4
100 to 120 per minute
Compression rate
A Visitor that is an active participant in a patients care. Provides emotional support and some hands on care assistance.
What is a Care Partner
Leg edema, crackles, Cardiomems device, Entresto. Fluid restriction.
CHF
26ml/hr and 20 ml/hr
What is the maximum start rates for Heparin gtt VTE and ACS protocol
Sepsis lab that needs to be repeated in 6 hours if initial result was elevated
Lactic acid
1 every 6 seconds
Rescue breathing and or rate of ventilations during arrest when advanced airway in place.
Hospital Elder Life Program
Acute kidney failure, order for 12 lead EKG, 1 GM Calcium Gluconate, 10 units regular insulin IVP, 1 amp Dextrose 50 % IVP
Hyperkalemia ( high potassium)
What lab specimen must be labeled with your Meditech user name
What is a type and screen and/or ABO confirmation.---must be same person who logged into mobile phlebotomy.
Must be performed and charted prior to any PO intake including medications for stroke/Neuro patients.
Nursing Swallow Screening
Ashley's cardiac arrest lecture talks about Staying Calm and Doing CALM. What does CALM stand for?
Compressions. Airway. Lifespak. Monitor.
Planetree International is a non profit organization that sets the global standard for person-centered healthcare. Who owns this company?
Griffin Health Services Corporation owns Planetree International.
PH 7.1. Bicarb 12 Ketones in urine, anion gap18. Glucose 350. Potassium 5.2. BUN 33.
DKA
According to our CIWA protocol. What is the minimum CIWA score that you would give a PRN Benzodiazepine such as Versed/Ativan.
"If it's 8-you medicate"