SEPSIS
Mechanical Ventilation
ACLS
Medications
Core Measures ICU
Electrocardiogram
100

This mean arterial pressure (MAP) goal is targeted in the ICU to maintain organ perfusion

> 65

100

This mode of ventilation allows the patient to breathe on their own but will deliver a set tidal volume

Assist Control

100

This is the dose of IV epinephrine during cardiac arrest

1mg

100
This is a common sedative used in the ICU and is also an opioid analgesic

Fentanyl

100

ICU patients should receive prophylaxis with SQ Heparin or LMWH/Lovenox for this reason

Prevention of DVT/PE

100

This is the placement of a 5 lead ECG

White on Right Arm

Black on Left Arm

Green on Right Leg

Red on Left Leg

Brown in the Middle of chest equal to nipple line

(Salt & Pepper, Lettuce & Tomato, Hamburger/Meat in the middle) :)

200

This vasopressor is first line for hypotension refractory to adequate fluid resuscitation in septic patients

Norepinephrine/ Levophed

200

The volume of oxygen delivered by the ventilator is known as

tidal volume

200

CAB is an acronym for

Circulation, Airway, Breathing

200

This medication is used to treat unstable SVT

Adenosine

200

This prophylactic therapy should be initiated in ICU

patients who are mechanically ventilated >48 hours

Stress Ulcer Prophylaxis (PPI)

200

A patient is noted to be in sinus tachycardia. What are possible causes of this disorder?

caffeine

fever

pain

anxiety

hypovolemia

300

The Surviving Sepsis Campaign recommends at least this amount of IV fluid (mL/kg) be given as a bolus for fluid resuscitation in septic patients

30 mL/kg

300

This is the amount of oxygen that should be delivered to prevent barotrauma 

tidal volume 5-7ml/kg

300

This is the rate of chest compressions

30:2 or 100-120bpm

300
This may be administered to a patient in Torsades de Pointes

Magnesium Sulfate

300

Insulin should be re-initiated in ICU patients after two BG readings over this value are obtained (mg/dL)

150 mg/dL

300

What is the treatment for this rhythm if the patient is unstable?

Pace the patient

400

Antimicrobial agents should ideally be administered within this time frame (hours) after recognition of sepsis

1 hour

400

This type of noninvasive ventilation (NIV) may be utilized to provide extra support to a patient but requires the patient to breathe on their own

BiPap

400

This is the depth of chest compression

At least 2 inches

400

This medication should only be administered AFTER sedation in the ICU and is used for vent synchrony 

Paralytics- i.e. Vecuronium, Atracurium, Cisatracurium, Rocuronium, Mivacurium

400

This sedative is the only agent approved for use in non-intubated ICU patients

Dexmedetomidine/ Precedex

400

A patient with this rhythm would likely experience what kind of signs/symptoms?

This patient would have no pulse and would be unresponsive.

500

Sepsis is associated with an increase or decrease in preload and afterload?

decrease in both preload (CVP) and afterload (SVR)

500

Name two nursing interventions to prevent ventilator associated pneumonia

HOB > 30

oral care at least q4h

suction prn

turn q2h

GI prophylaxis

500

Name 1 of 2 alternative routes of medication administration if IV access is unavailable

Intraossesous 

Endotracheal

500

This medication may be used to treat heart failure and is a positive inotrope

Digoxin-oral agent

Dobutamine- IV agent

500

Parenteral nutrition should only be considered in ICU patients who cannot be fed by the enteral route after this many days

7 days

500

The nurse understands increased risks associated with a client being in the following rhythm. What signs and symptoms would alert the nurse to potential complications of this rhythm?

increased risk for stroke--> unilateral weakness, slurred speech, decreased responsiveness, etc

increased risk for PE--> tachycardia, CP, SOB

600

A nurse is caring for a client with sepsis and notes a CVP of 20. What signs and symptoms would the nurse expect to see?

CVP is too high--> we want CVP higher than normal, but this high could indicate we have overloaded the patient. volume overload s/s? SOB, crackles, edema

600

A patient is agitated and breathing over the ventilator. this would cause what type of alarm?

high pressure alarm

600

A patient is in unstable ventricular tachycardia. What treatment is associated with improved outcomes and should be initiated as soon as possible?

Synchronized Cardioversion

600

The nurse should be aware that this vasopressor can worsen tachycardia

Epinephrine

600

This is used for hypothermia in the ICU

Bair Huggar/ warmer

600

A patient is noted to be in asystole and CPR is initiated. What is the initial drug of choice for a patient in this rhythm?

Epinephrine

700

Most common antibiotics given for septic patients

Vancomycin and Zosyn

700

A nurse is caring for a patient on mechanical ventilation and notes a low pressure alarm. What should the nurse do first?

Check the connections from the vent to the patient

700

This is often given during code situations to reverse acidosis but is not part of the ACLS algorithm 

sodium bicarbonate

700

This vasopressor is a known vesicant and should be administered through a central line

Norepinephrine/ Levophed

700

A patient in the ICU is confused and pulling at lines. This may be caused by: 

ICU Delirium

700

Identify the following rhythm: 

Second degree heart block type I/Wenckebach/Mobitz I

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