Pain
The peak time for IV pain medication
What is 30 Minutes
What does FEVAR stand for
Fenestrated Endovascular Aneurysm Repair
What complication must we watch out for after a Carotid surgery? What are the signs and symptoms?
Stroke!!!
BEFAST!!!!
What does TAVR stand for?
What is Transcatheter Aortic Valve Replacement
TRUE OR FALSE:
Mastisol should be used with condom to help it stick
FALSE
Yes
How often do you assess a FEVAR once on the unit?
Every hour for 4 hours
What are you assessing on your patient during your checks q 1 hour once the patient arrives to the floor?
-Neurovascular checks
-Site checks (neck and groin) for hematoma/bleeding
-I&Os
-Full set of Vital Signs
The SBP parameters.
What is SBP less than 140
How often should your patients' teeth be brushed and documented
every shift minimum
Reassessment time for PO and IV pain medication administration
What is
IV: 30 Minutes
PO: 1 Hour
Cause of the SBP being too high or too low
high: risk of Endoleak or possible rupture
low: lac of perfusion
Dopamine is used for ____ when the SBP is less than ____.
What is Hypotension and less than 110
Who to call if your patient goes into an irregular rhythm
Cardiothoracic Surgery or Cardiology
Cardiology
The action the RN should take when a pulse is lost in an extremity
What is notify the provider
Patient complains of pain 8/10
Orders
Morphine 2MG PRN for severe pain (7-10)
Oxycodone 15MG PRN for moderate pain (4-6)
What should the patient be given?
What is Morphine
Signs of Spinal Cord Ischemia
- Loss of bowel/bladder control
- Sudden numbness/weakness of the lower extremities
- Absence of foot dorsiflexion
This procedure involves a catheter inserted into the artery.
What is Carotid Stenting
Why are their two groin accesses?
What is
2 sheaths, valve deployed on bigger side other side is for guidance during valve deployment, both incision sites should have a closure device
This clinical emergency exhibits sudden, severe low back pain, and bruising along flank.
What is Ruptured aortic aneurysm
When do you chart a POSS?
On initial assessment and reassessment
What is the cause for a decline in kidney function after a FEVAR?
The stent could be located too close to the renal artery causing accidental coverage or thrombosis of an accessory renal artery, restricting blood flow.
STRICT I&Os
The educational resource used to document your educated upon discharge after the surgery
What is KRAMES
Tell me the steps to remove a TVP
Check with charge nurse to get checked off if it is your first time!!
Turn off pacer box
Disconnect pacer cord from the box and patient
Deflate the balloon which is approximately 2cc of air
Gently pull pacer wire out of the introducer
Throw it in the trash
When you need to call out for your shift what number do you call?
321-841-2269 OR 2268