Code Blue/ Critical Patient
What is the length of time allotted to call Lifelink once a clinical trigger pops up?
What is
One hour
What size syringe is utilized when drawing up and administering cathflo?
Hint- 2.2mL of sterile water is utilized
What are
10mL syringe(s)
What is the name of the order now needed when bair huggers are in use (per joint commission)?
What is
"Apply Warming Blanket"
Where is the "zone of protection" located?
Policy: NUR405
Hint: Theraworks
What is
Navel to Knees
What is one of the most known S&S of Rhabdomyolysis?
What is
Tea colored Urine (also will accept- weak/stiff muscle pain)
You and your peers have completed x3 rounds of CPR on a patient. 1g of Epinephrine has been given. What is the next drug and dosage in the ALCS algorithm?
What is
300mg Amiodarone
What cardiac effect are we concerned about when titrating Precedex?
What is
Bradycardia (& hypotension)
*Dex is a selective alpha- adrenergic receptor agonist. When these receptors activate it stops Norepi release in the brain (therefore decreasing sympathetic Nervous system activity), when your sympathetic NS has decreased activity, HR and BP lower, (leading to sedation)
What type of water goes into the Level 1 heating reservoir?
What is
Distilled water (will also accept sterile)
NOT TAP WATER nor Na+Cl-
Per policy, what is the max amount of time a rectal tube (with balloon) can be inserted in a patient?
Policy- NUR201
What is
No more than 29 days
What type of silverlon goes onto a femoral CVL?
What is
Round "normal" silverlon, followed by a large rectangular silverlon (stacked on top).
What lab value should get checked frequently when mass transfusing? (Bonus 100 Points if you can explain why)
Hint: The answer I am looking for is not CBC (although not incorrect)
Ionized Calcium
Explanation: Citrate is placed in PRBC's to help prevent coagulation during storage. The citrate in PRBC's bind to the calcium in the body and deplete it.
What is the MOA of Nimbex?
Skeletal Muscle Paralysis
*Nimbex binds to acetylcholine receptors (at the neuromuscular junction) and therefore prevents acetylcholine from being activated. This leads to ion channels being closed therefore halts muscle fiber depolarization.
Where is the CVP port on the PAC vs on a CVL?
What is
Proximal port = Swan
Distal port = CVL
How often should patients who are on a ventilator have oral care completed (Brushing/Suctioning)? How often should the VAP bundle be charted on?
Policy: NUR241
Hint: This is a three part answer
What is
Q2-4 hr oral care (brushing)
Q6 hr suctioning
VAP bundle- Q4 hour charted on (with every assessment)
Where do soiled or used hover matts go after patient use?
The blue bin the in the soiled utility room (hover matts are recycled)
*Unless pt is on airborne precautions, then toss them*
What are the 2 types of organ donors?
What is
1. BDD (Brain Dead Donor)
2. DCD (Donation after circulatory (cardiac) death)
What is the dopamine IV infusion rate (per ACLS protocol)?
What is
5-10 mcg/kg per min
What are the areas that the TOF can be placed on?
Hint: 3 different places
What is
Facial, Ulnar, Posterior Tibial Nerves
(Ulnar nerve preferred for most accurate monitoring)
How long is the order for "violent restraints" good for in Epic (for adults)?
Policy: BST113
What is
Q4 hours
(24 hours for nonviolent)
What % of ICU patients experience some form of an AKI?
What is
30%
List the H's & T's
Hint: 5 H's and 4/5 T's (depending on how you organize your answer)
What are
H's: Hypoxia, Hypothermia, Hyperkalemia, H+ ions (acidosis), Hypovolemia
T's: Tamponade (cardiac), Tension Pneumothorax, Toxins, Thrombosis (pulmonary and coronary)
What is a common off label use of Vasopressin?
What is
Diabetes Insipidus (DI)
*Think DDVAP (Desmopressin). Treating DI focus is to reduce UOP and maintain electrolyte balance. Vasopressin can be used when a RAPID control of diuresis is required.
What happens to oxygenation and hemodynamics when PEEP is increased on a ventilator?
What is
PEEP increase = increase Oxygenation (pressure forcing the alveoli to recruit more/stay open) which will also cause an increase in intrathoracic pressure (which can cause a decrease in CO/CI).
What are three contraindications for a nasal bridle? (There are 7 listed in the policy)
Policy: NUR217
What are
Nasal fractures, thrombocytopenia (< 100), septoplasty, mechanical obstruction in nasal airway, pt that may cause serious injury to themselves with a bridle, bone graft, facial fractures
How many unit(s) of whole blood are equivalent to one MTP round?
What is
2 units of whole blood = 1 round of MTP
1 MTP cooler = 4 PRBC, 4 Plasma, 1 Platelet
*Platelets are not physically in the cooler*