CMI's
This drug is used to control the ventricular rate, has a half life of 8-10 minutes, and is a known vesicant.
What is Esmolol
These supplies/notifications are needed to administer adenosine.
What are adenosine, 3 way stopcock, 10 cc flush(es), alcohol wipes, EKG machine, notifications to CN/CRN/telemetry?
The prime volume of our blood tubing is how many cc's?
What is 40?
This allows blood to travel from the pulmonary artery, bypassing the lungs.
What is the PDA?
This lab is often used/followed to determine the degree of heart failure.
What is BMP?
CMI's are ordered and dosed based on this patient specific information.
What is dosing weight?
During a code blue, these roles should be identified early on.
What is team leader, bedside RN, documenter, code cart/medications, runner, charge/resource nurse, airway management, compressor.
True or False: Albumin can be administered through any centrally placed line.
False, cannot be given through a 1.9 Fr PICC.
**Use extension set not microbore tubing**
This valve separates the right atrium from the right ventricle.
What is the tricuspid valve?
These components make up your cardiac output?
What is heart rate and stroke volume?
This thrombin inhibitor should not be stopped/paused to give other meds, is monitored using DTI levels, and is not reversible with FFP.
What is Bivalirudin?
True or False: At CHOP, code blue documentation is only completed on the code sheet when medications are administered.
False
While receiving PRBC transfusion your pateint develops a fever, chills, hives and generally does not feel well. What are your next steps?
Stop transfusion
Flush line
Notify FLC
Complete reaction information
Return blood to Blood Bank
A patient with a BTT shunt presents with irritability, decreased O2 saturations, changes in murmur auscultation. What concerns you the most?
What is shunt occlusion?
Qualified Observers are utilized in these situations.
What are initiation of CMI's, changes in dose of CMI's, Changing to new syringe/bag, dressing changes, lab draws......more???
This drug vasodilates both arteries and veins, decreases afterload, increases the squeeze of the heart, and has a half life of 3-4 hours.
What is Milrinone?
Depending on your patients age/weight, this commonly used drug in resuscitations may need to be diluted to prevent increased risk of intracranial hemorrhage, hypernatremia, and rapid fluid shifts.
What is sodium bicarbonate?
These items should be done/checked prior to starting a blood transfusion.
What are confirmation of consent, active type and screen, review history for transfusion reactions, ensure adequate IV access, Vital signs?
This is the pressure the ventricles must generate to eject blood from the heart.
What is afterload?
Your patient is a post op stage 1 transferred out of the CICU earlier today. You are responding to an O2 sat alarm of 65%. What is the first thing you do when arriving to the bedside?
What is Assess the patient?
Nursing considerations for this class of drugs include: Strict I&O's; Monitoring VS; Following electrolyte status.
What are diuretics?
This is the bedside nurses responsibility during a code blue.
Stay at the bedside
Provide one liner to code team when arriving
Med Administration
You are administering PRBC's to a patient. The ordered volume is 250 cc's. The unit of blood is 260 cc's. You will program the pump with what VTBI.
What is 210?
This defect is characterized by higher BP's in the upper extremities as compared with the lower extremities, weak/absent femoral pulses, and cooler lower extremities.
What is coarctation of the aorta?
For GJ Tube wound issues/skin concerns this is the person(s)/role for your first contact?
What other resource should you consult?
Who are Your CNS Team Members?
What is the G/J/GJ Tube Complications Pathway?