Hypertensive Emergencies
Greater than or equal to
160 systolic or 110 diastolic
During CPR this is how many chest compressions are necessary per minute
100-120 chest compressions/minute
This is what the acronym SBAR stands for
SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION
Your patient at 32 weeks gestational age is diagnosed with HELLP.
True or false: You may delay delivery to give a course of antenatal steroids if maternal and fetal status remain stable.
TRUE
According to ACOG, from gestational age of viability through 33w6d you MAY delay delivery for 24-48 hours to administer a course of antenatal steroids.
Following a maternal seizure, fetal bradycardia is commonly seen due to maternal hypoxia. TRUE OR FALSE: Stabilization of the mother is the first priority followed by resuscitation of the fetus
TRUE
During a maternal cardiac arrest, it becomes necessary to deliver the fetus for maternal resuscitative purposes. Delivery should be within this many minutes from pulselessness .
4 MINUTES
This is where the airway manager stands during a code CAC
Patient's head/ head of the bed
During an eclamptic seizure these maneuvers can ensure the airway is open
Jaw thrust or
head-tilt/chin-lift
This is the INITIAL dose and route of labetalol to treat an OB hypertensive emergency.
20mg IV (give over 2 minutes)
Continuous manual left uterine displacement should be performed on all pregnant women in cardiac arrest in which the uterus is palpated above this anatomical landmark
Above the umbilicus
Many of the sequelae of seizures such as hypertensive brain hemorrhage and maternal hypoxic brain damage are due to the cessation of respiration and hypoxia. Therefore, this critical team role MUST be assigned during an eclamptic seizure
Airway manager
This is the most common prodromal neurological symptom prior to an eclamptic seizure
Headache
This is how often to reassess blood pressures in a patient with severe range blood pressures upon arrival to triage
Every 5 minutes (for at least 15 minutes)
True/false: Left uterine displacement should be continued during CPR and after delivery of the fetus
FALSE
Left uterine displacement should be continued during CPR UNTIL the delivery of the fetus
Dr. White: “Nurse Smith, please administer hydralazine 5mg IV”;
Nurse Smith: “ Dr. White, the Hydralazine 5mg has been administered IV.” This is an example of...
Closed loop communication
In a patient with ongoing severe range blood pressures, this is how often to document patient’s status in the EMR
Every 30 minutes
If a patient continues to have seizures despite a repeat loading dose of magnesium sulfate, alternative anticonvulsants should be considered. Name one.
Lorazepam (Ativan) 2-4mg IV over 2-5 minutes
Diazepam (Valium) 5-10mg IV slowly
When using an AED, it is important to analyze/defibrillate every ___ minutes?
Every 2 minutes. Then immediately resume CPR for at least 2 minutes. Consider switching person providing compressions every 2 minutes as well.
I am the person during a code who is responsible for preparing equipment, deploying medications and running the defibrillator
Crash cart manager
Adverse events can emotionally impact healthcare workers. This is sometimes referred to as a "second victim syndrome." This is the H&H program to support healthcare workers who have been through traumatic events.
This is the DOSE and ROUTE of Magnesium Sulfate in a patient with ECLAMPSIA with no IV access
10 grams of 50% solution IM (5 grams in each buttock)