Blood Products
Which of the following can be administered at the CP MH? (Check all that apply)
Red blood cells
Whole blood
Platelets
Plasma
Red blood cells are the only product available currently
In case of a medical emergency with a EMU patient at 2am, who should the nurse contact?
a. The EMU control room
b. Kelly Strazzante PA
c. The ED physician
d. Dr. Issa
c. The ED physician is available for medical emergencies
How many carbohydrate servings are recommended per meal?
3-4 carbs per meal and 1-2 per snack
What does BiPap stand for?
Bilevel positive airway pressure
If a central line has a transparent dressing, how often should the dressing be changed?
Every week on Sundays (and if soiled)
If a blood transfusion reaction is suspected, what is the first action to be taken?
STOP the infusion
-Changes in seizure medications
-To help localize seizure activity
-To determine if a patient has epilepsy or another disorder
-To specify if the seizures are focal or general
How many grams of carbohydrate equal one carb serving?
15g=1 carbohydrate serving
Which mode has a set rate? NIV or NIV-ST mode?
NIV-ST has a set rate and inspiratory time
If a central line has an occlusive dressing, how often should the dressing be changed?
Every other day (and when soiled)
If a physician is ordering blood for your patient, what are the two orders that must be placed in EPIC (at minimum)?
Type and screen, the blood product
A patient is having a generalized seizure, and you are alone on the unit. Place the following actions in the correct order:
Turn the patient on their side, ask the ictal exam questions, turn on the light and remove covers, notify physician
Turn on light and remove covers
Ask the ictal exam questions
Turn patient on their side toward the end of seizure
Notify physician
Which of the following would contain fewer carbohydrates?
Broccoli
Mashed potatoes
Apple
Chocolate chip cookies
Macaroni and cheese
Broccoli
What is the most common cause of failure or non-tolerance of BiPap use?
According to the UofC policy, when changing central line dressings, the skin should be cleaned for how long?
1 minute, switch chlorohexidine swabs, repeat (2 minutes total and allow to dry completely)
A patient needs 2 units of packed red blood cells and has B+ blood. As the nurse you know the patient can receive what type of blood? Select all that apply:
A. B- F. A-
B. A+ G. AB+
C. O- H. AB-
D. B+
E. O+
C. O-
D. B+
E. O+
Why are EMU patients not permitted to sleep in the prone position?
a. It impedes the electrical activity of the wiring
b. It increases the risk of SUDEP
c. Patients are more likely to seize in the prone position
b. 67% of patients with sudden death after epilepsy were in the prone position before their seizure.
Which statement from a diabetic is incorrect?
1. "If my blood sugar is high, it is better for me to skip a meal to get back to normal"
2. "If my blood sugar is low, I should take some fast-acting sugar and then a long-acting sugar"
3. "My insulin dose may need to be adjusted when I am sick"
Response 1. Carbohydrate ingestion should be consistent to keep the levels steady throughout the day.
Name 2 contraindications for BiPap use?
Patient in restrains, persistent apnea, craniofacial trauma, copious secretions
Heparin flush
How often should the cooler temperature be monitored if still containing a blood product?
Every hour
What is the common definition of epilepsy?
(exceptions apply)
Rank the following insulins by duration of action from shortest to longest:
NPH insulin, Insulin glargine, Insulin lispro, Regular human insulin
Insulin lispro (4-6 hours)
Regular human insulin (6-8 hours)
NPH insulin (>12 hours)
Insulin glargine (24 hours)
Name 3 assessments/evaluations that should be done specifically for a patient on Bipap
True or false: When drawing blood cultures from a central line, discard 10cc of blood before obtaining the cultures
False. The line should not be flushed and no blood should be wasted when obtaining blood cultures.