Artic Sun/Blanketrol
Ventilators
Femoral Sheath Pull
Competency Mash Up
Intraabdominal Pressure Monitoring
100
The indication of the Artic Sun and Blanketrol
What is monitoring and controlling patient temperatures?
100
The amount of air the ventilator delivers to the patient with each breath is called
What is tidal volume (Vt)?
100
ICU RNs can pull both arterial and venous femoral sheaths
What is False?
We can only pull femoral venous sheaths
100
When using the Belmont Rapid Infuser the rate of fluid delivery can be impacted by
What is the gauge of the IV?
100
What can occur if the pressure in the abdominal cavity reached above 20mmHG
What is end organ damage?
200
True or False: The Artic Sun/Blanketrol are used to induce hypothermia post cardiac arrest
What is false?
Rationale; We no longer cool post arrest patients, the goal is normothermia 37.5 C
200
Setting that maintains a certain amount of pressure in the lungs at the end of expiration
What is PEEP (Positive end-expiratory pressure)?
200
If ______________ is evident prior to sheath pull the nurse will use a skin marker to outline it.
What is a hematoma?
200
When a patient has an art line how often are manual B/Ps also checked
What is every time you zero of the arterial line?
200
Location of Intraabdominal Pressure Monitoring Supplies
What is the ICU Med Room?
300
Artic Sun and Blanketrol Pad placement
Artic Sun:
What is on their back, not covering the patient's spine and across to their abdomen?
What is on their thighs around to back of leg avoiding the groin?
Blanketrol:
Maxi Therm Lite can be placed over or under the patient
300
When the ventilator has a alarm that is flashing red (critical) who do we call?
Who is RT?
300
Once the sheath is pulled, digital pressure 2cm distal to puncture site is held for
What is 10 minutes?
but if hemostasis is not achieved hold for another 5 minutes
300
The minimum that wall suction is set at when setting up a chest tube
What is 80mmHg?
300
How much 0.9%NS is instilled into the bladder when checking IAP
What is 25ml?
400
What algorithm do you follow post cardiac arrest to perform Targeted Normothermia
What is the Targeted Normothermia: Tiered Temperature and Shivering Control Algorithm? (found in Targeted Normothermia (TTM 37.5 °C ) Policy)
400
When troubleshooting ventilator alarms, we always check this first
What is the patient first, ventilator second?
400
Post sheath removal B/P, HR and assessment of color, temperature, and pulse of affected extremity are assessed how often the first hour
What is 15 min?
400
When tightening the pacer cable to the pacing wire turn the tighteners which direction, righty tighty or lefty loosey
What is to the Lefty Loosey?
400
What is the normal IAP range
What is 5 - 7 mmHg?
500
Nursing will perform Bedside Shivering Assessment Scale Q1h for how long post-ROSC when using the Artic Sun or Blanketrol.
What is 72 hours?
500
When a patient is on the vent and is coughing, biting the tube, fighting the vent, or needs suctioned this alarm will trigger
What is High-Pressure Limit Alarm
500
This is the policy that has information about Femoral Sheath pulling
What is Vascular Access: Insertion, Monitoring and Maintenance Policy?
500
Restraints
500
True or false Level the IAP transducer with the phlebostatic axis
What is False?
Level it with the iliac crest or the level of the bladder if patient cannot lie supine