Oxygen Delivery Devices
Most common, Liter flow should not exceed 6L/m
Nasal Cannula
Be sure to collect this before administering antibiotics
Blood cultures
First vital sign to change when a patient is starting to deteriorate?
Respiration
What do you do if you suspect sepsis?
Call the MD or APRN on the case, Rapid Response, or the Sepsis Coordinator.
I have a slow heart rate and cyanosis. What am I
Hypoxia
Used for 6-10 L/m, FiO2: 35-60%, Largely dependent on oxygen flow, mask seal to face and ventilatory pattern, exhalation air is able to go through side holes
Simple Face Mask
If you patient does not have one of these when a rapid or CODE is called, please insert
IV
Where can you go to see vital sign trends?
In epic, vitals graph
What are the time sensitive interventions that need to be done within 6 hours?
Repeat lactate if iniital lactate is >2, MD or APRN follow up exam
I have rapid heart rate, narrow QRS and blood loss. What am I?
Hypovolemia
Can achieve 24-50% FiO2, required L flow is printed on the side of the color pieces
Venturi Mask
Can achieve 90+% FiO2, no exhaled gas is rebreathes, one way flaps prevent rebreathing and cover exhaled air from entering the bag, should NEVER be used with less then 10-15 L/m
Non-rebreather
At what temperature are you required to call the doctor
101 F
What are the signs and symptoms of organ dysfunction?
Altered mental status, Acute respiratory failure, SBP <90 and/or lactate >2.
I have peak T waves and a widen QRS. What am I?
HyperKalimia
High flow oxygen up to 40L/100%, it uses a mixture of oxygen and air to deliver a set concentration via nasal cannula, humitified
Vapothem
Why do you want suction set up when a code or rapid are called?
aspiration, prep for intubation
What is the first thing you want to do for a patient with a HR of 190?
EKG
What are the SIRS signs and symptoms for sepsis?
Temp >101 F or < 96.8F, HR > 90, Resp > 20, WBC > 12,000 or < 4, 000 or > 10 % bands
I have a slow heart rate , narrow QRS, unequal breathing, JVD, and trachial deviation. What am I
Tension Pneumothrax
Bag serves as a reservoir for 100% O2, exhaled air mixes with 100% O2 in bag.
Partial Rebreather
Utilize your white board. What are notes that your would write on your patients board?
Your name, PCT name, last pain med and time of next does, goals, plan of care, anticipated discharge if known, that days plan
Your PCT lets you know your patients BP is 70/30. What is your initial action?
Check on your patient, repeat BP. if the patient is responsive call teh doctore.*If the patient is unresponsive call RR*
What are the time sensitive interventions that need to be done within 3 hours?
Collect initial lactate, blood cultures, administer broad sprectum antibiotics, if needed gove fluid bolus, if needed start on vasopressors.
I have a rapid heart rate, narrow QRS, JVD, muffled heart sounds and no pulse. What am I?
Tamponade