Blood Transfusion
What is the max length of time a blood transfusion can run for?
4 hours
What is the acronym we use for stroke?
B.E. F.A.S.T.
What type of diet is expected for this patient?
2g Sodium Diet
TRUE or FALSE
You can hang a fluid bolus and antibiotics at the same item
TRUE
(as long as blood cultures have been completed)
What triggers Malignant Hyperthermia?
Administration of Anesthesia
What needs to be included on a type and screen label?
Date, Time and Collectors Initials
Who can mix TNK? Who can administer TNK?
A trained RN can mix TNK, but only a provider can administer
Name two signs of worsening HF
Increased shortness of Breath, Rales, Peripheral Edema, Sudden Weight Gain, JVD, Coughing and Wheezing
What needs to be completed 15 minutes apart AFTER administering your IV fluids?
Vital Signs
If there is a patient with suspected Malignant Hyperthermia (MH) , where can you locate the MH tackle box?
D7
OR
L&D (B7)
How long is blood consent valid for?
30 days or the duration of treatment
A patient goes to sleep normal condition at 9pm, wakes up at 3am and shows signs of stroke. What time is considered onset of symptoms?
Cannot be determined
Why is it important to monitor daily weights on HF patients?
To assess for major fluctuations in weight which could indicate fluid retention
When does a repeat lactic acid need to be drawn?
Immediately after fluid bolus is complete
National Patient Safety Goals: What are the 3 main elements of a time out?
Right Patient, Right Procedure, Right Site
If your patient complains of itchiness and shortness of breath, what is your PRIORITY nursing intervention?
Stop the infusion
What does B.E. F.A.S.T. stand for?
Balance, Eyes
Face, Arms, Speech, Time
Name a medication you would expect a CHF patient to be on
Diuretic (Lasix)
Inotrope (Milrinone)
What needs to be done in the first hour of the sepsis bundle?
Draw Lactic Acid, Blood Cultures x2, Fluid Bolus (vasopressors), Broad Spectrum Antibiotics, and Vital Signs
Name three early warning signs of Malignant Hyperthermia?
Masseter spasm, Generalized muscular rigidity, Tachycardia, Hypercapnia, Hypoxia, Combined metabolic-respiratory acidosis
What 5 items do you need in place to start the process of a blood transfusion?
Type and Cross, Physician Order, Signed Patient Consent, Base Line Vital Signs, Patent IV access
What diagnostic test needs to be performed with possible stroke patients?
CT Scan
What specific lab value indicates that a person may be in heart failure?
BNP
What is the standard calculation for fluid bolus on a sepsis patient?
30ml/kg
What are the red box rules?
Hand Hygiene
Patient Identification
Time Out