Central Line
IV therapy
Blood Administration
Gastric
Chest tube/trach care
Mock Code
100
Where should the tip of the CVAD catheter be located?
Superior vena cava above the right atrium
100
What is the first step a nurse takes before giving an IV medication?
Assess the patency of the IV
100
Guage of IV catheter used for blood administration
18
100
Normal Gastric pH
less than 5.5
100
If a pt has a hemothorax what will you see in the chest tube
blood
100
What med is given for chest pain?
Nitroglycerin
200
What is used to clean the skin during a central line dressing change?
Chlorhexidine
200
How do you hang the primary and secondary IV fluids?
Make sure the primary is 6 inches lower than the secondary
200
What do you need to make sure is signed prior to starting a blood transfusion
Informed Consent
200
Purpose of NG tube? list 3
decompress/remove fluid, short term nutrition, remove substances from stomach
200
chest tube has fallen out of a patient. What do you do?
Apply an occlusive dressing
200
What is the CPR compression to breath ratio
30:2
300
Advantages of a CVAD
IV fluid administration, medication, and hemodynamic monitoring
300
After getting flashback in your peripheral IV what do you do next?
Advance the catheter
300
A pregnant female patient needs blood immediately what do you give?
O-
300
Once NG hits back of nose what should pt do?
Tilt chin to chest
300
How do you perform trach suctioning?
insert catheter without suction; apply intermittent suction while removing the catheter; make sure to suction no longer than 10-15 seconds
300
Your pt is unresponsive and has asystole on the monitor what should you do next?
Initiate chest compressions with a 30:2 ratio
400
your pt develops sudden shortness of breath and chest pain with a CVAD. What three things do you do?
Clamp central line, turn pt on left side in trendelenburg, call provider
400
How far above the insertion site do you apply the tourniquet?
4-6 inches above
400
How long do you have to administer blood
4 hours
400
If a stoma has compromised perfusion what does it look like?
Dusky and gray
400
Bubbling in the water seal chamber indicates?
Air leak in the system
400
What rhythm is this?
Atrial Fibrillation
500
Contraindications to CVAD use? 3 of them
Coagulopathies, chest/neck tumors, pt with a DVT history
500
Signs and symptoms of Infiltration
Swelling, coolness, leaking IV fluids at the site
500
What is the advantage of autotransfusion
Reduces risk of mismatched blood
500
When do you empty the ostomy bag
when it is 1/3 full
500
If your pt coughs out their established tracheostomy what do you do?
Insert the spare tracheostomy and obturator and insert it into the site
500
What rhythm is this?
Second degree type one. Wenckebach