Medications
Senokot, Miralax
What are bowel medications for a third degree laceration?
6-8 hours
What is the amount of time the patient has to have first void following Foley removal?
Activate stroke alert by dialing 3199 and call RRT
What is the first step when you think your patient has had a stroke?
AB+
What blood type is the "universal recipient"?
O- in known as the "universal donor".
20 mg Labetalol IV/2 minutes
What is the first line IV medication for a hypertensive crisis?
You should next wait 10 minutes and then repeat a blood pressure. If still high, contact MD. Next agents could be 40 mg Labetalol/4 minutes or jumping to hydralazine (5-10 mg IV/2 minutes)
Ensuring the doctor has placed an order.
What is the first action to take before foley placement?
BE FAST
What is the acronym for signs of a stroke?
Balance (change in balance), Eyes (sudden change in vision), Face (asymmetry, drooping or numbness), Arms (any weakness or numbness), Speech (slurred speech or difficulty understanding), Time (when was the last time the patient was seen at their base line?)
27 weeks
What is the number of weeks after which a HIV and syphillis test are considered to have been completed in the 3rd trimester?
Methylergonovine (methergine)
What medication is contraindicated in the case of hemorrhage in a patient with a history of HTN?
Straight Catheter
What is the best way to collect a urine culture (for a patient without a Foley catheter)?
15 minutes
What is the goal time to get patients with assumed stroke to CT?
Time is brain. Quickly identifying a stroke/ the type of stroke drastically improves that patients chance of recovery.
Platelets, AST, ALT, Creatinine and Proteinuria.
What are five lab changes we see in pre-eclampsia?
Protein leaks into the urine indicating kidney damage, serum creatinine increases, liver enzymes increase and platelets decrease.
Miralax, Dilaudid, Lasix, Lamictal
What are common high fall risk medications given on 3WH?
Supplies for foley care
What are with 5 bath wipes?
Extra credit, how are they used? →1 for the inner thighs, 1 for the labia majora (top to bottom), 1 for the labia minora and clitoris (top to bottom), 1 for the vagina to rectum, (remove gloves, hand hygiene and don new gloves) last one to clean catheter.
Amount of time our postpartum patients are at high risk for a stroke
What is 12 weeks?
Our patients experience significant physiological changes both during pregnancy and postpartum. The difference in blood volume, altered blood clotting factors, high blood pressure etc all can contribute to a higher risk for a stroke.
CBC w/o differential, Fibrinogen, PT, PTT
What are the labs included in a hemorrhage STAT panel?
Wait 15 minutes between doses / max 8 doses
What is Hemabate?
It is important to keep this in mind during a PPH to ensure another dose can safely be given.
3 symptoms of a UTI which can also be caused by catheter insertion/removal.
What are frequency, urgency and burning?
Elevated in the postpartum period this factor increases stroke risk by promoting hypercoagulability.
What is fibrinogen?
1g/dL or 3% increase (hint-think blood transfusion)
What is the amount of increase in hemoglobin and hematocrit the is expected after transfusing 1 unit of PRBC?