Treatments
Patients receive a CHG treatment when they have.....
What is a central line?
examples of central lines
The least invasive device for circulatory support
What is an IABP or intra-aortic balloon pump
Function of a Belmont Rapid Infuser
What facilitates massive blood transfusions in emergency situations?
The function of CBI
to prevent urinary tract obstruction after prostate o bladder surgery. It can also treat an irritated, inflamed, or infected bladder lining
what does IAP stand for
What is Intra-abdominal pressure
Hourly rounding is documented on the hour
example: 0800, 1000, 1200
true or false
The RH Cardiogenic Shock Team is notified in Telmediq during......
What is a cardiogenic shock alert
blood infuses at this rate using a Belmont Rapid Infuser
What is 100 ml per minute
CBI uses a sterile irrigation solution that must be at what temperature
What is room temperature to prevent bladder spasms
what position should the patient be in for IAP setup
What is supine and bed flat to zero transducer
The key to reducing morbidity and mortality for cardiogenic shock
Early identification & Early Intervention
Temporary circulatory support device that increases cardiac out by 3.5-5.5 L of flow.
what is an Impella
Massive transfusion is defined as the total replacement of blood volume within what timeframe
What is within 24 hours, replacement of 50% within 3 hours, or more than 4 units of RBCs within 4 hours with active major bleeding
What is inserted in surgery or the bedside to initiate CBI
What is a triple-lumen indwelling urinary catheter
what causes tense abdomen, wheezing, increased abdominal girth, difficulty breathing, and decreased urine output
Intra-abdominal hypertension
what are the five stages of shock
at risk, beginning, classic, deteriorating, and extremis
A counter-pulsation therapy that increases coronary artery perfusion and decreases cardiac workload
What is an Intra-aortic balloon Pump (IABP)
Two or more indicators that activate MTP
What is SBP</= to 90 mmHg
Heart rate >/= to 120 bpm
Penetrating mechanism
The function of each lumen in the bladder during CBI
irrigation flows through one lumen
and out another lumen
The third lumen inflates the balloon to hold the catheter in place
Abdominal compatment syndrome is characterized by IAP > 20 mm Hg and can cause.....
what is damage to multiple organs, including lungs, kidneys, and heart
What inotropes are considered first line of defense for cardiogenic shock
epinephrine, dobutamine, milrinone
Risk associated with temporary circulatory support
What is stroke, bleeding, and infection
For a massive blood transfusion protocol, how many units of RBCs, plasma and platelets are in the cooler
6 units of RBCs, 6 units of plasma and 1 unit of platelets
Irrigating solution through the bladder creates a mild tamponade effect to prevent.....
what is venous hemorrhage
what IAP reading defines a grade III intra-abdominal hypertension
What is IAP of 21-25 mm Hg