Critical Care and CODES
Your immediate action if patient's ECG changes to asystole?
Start CPR and initiate CODE Blue
Name some nursing priorities during the "response phase" in a community setting?
Establish Command Post and Communication
Preform Triage
ID safe shelter areas
What color would you assign while triaging a pt with a puncture wound to the lung
Red
Cervical Level injury with dyspnea. What is your priority?
Start Mechanical ventilation.
DDD with chronic low back pain. Name the most important activity to help reduce pressure on the disc.
Regular Low-impact exercise
Pt complains of fatigue / weakness. What is most appropriate NURSING intervention to tell the patient
Take frequent rest breaks.
Pt with spinal stenosis has sudden loss of bowel and bladder function. Name the syndrome that most likely responsible
Cauda Equina Syndrome
Which system is responsible for is responsible for voluntary motor movement?
Somatic Nervous System
Suspected postpartum hemorrhage, who do you coordinate with for immediate pharm intervention?
Pharmacist
During natural disaster response phase, what is the nurse's primary role
Providing triage and immediate nursing care to patients
What color would you assign a pt with multiple fractures?
Yellow
How many vertebrae make up the vertebral column
33
Pt reports pain and difficulty sleeping. Name a priority Nursing intervention
Proper sleep ergonomics and supportive mattress
Sudden onset of blurred vision and leg numbness. What med classification would you anticipate giving?
Corticosteroids
Pt reports worsening leg weakness and numbness. What do you assess first?
Pain Level
Mobility
Gait
Neurological status
Neuro status
Admin antihypertensive meds
What dose, route, and frequency is epinephrine given during a CODE Blue
1mg IV every 3-5 minutes
#1 action during the "preparedness phase" at the community level is?
Conduct Risk Assessments to ID hazards
During the Recovery Phase, name a vital nursing responsibility.
Evaluate nursing response and revising plans
Your patient is in Neurogenic Shock. The recommended MAP to prevent ischemia to the spinal cord is
85-90 mmHg
Foot drop is associated with DDD
True
Which intervention helps prevent exacerbations?
High Protein Diet
Increase Vit-D
Smoking Cessation
Smoking Cessation
Explain Spinal Stenosis like I'm 5 years old.
the spaces in the spine narrow and cause increased pressure on the nerve roots originating from the spinal cord and on the cord itself
Spinal cord injury and cannot perceive sensations below injury. What nervous system is primarily affected
Central Nervous System
You see a pt collapse in the hallway. What is your initial action
Assess for responsiveness and check for pulse
What is a main strategy a nurse can prioritize to ensure disaster response efficiency
Conduct regular disaster drills and debriefs.
Color assigned pt unresponsive and no pulse during a disaster
Black
An immediate nursing intervention for a pt experiencing Autonomic Dysreflexia is:
Autonomic dysreflexia (AD) is treated by immediately having the client sit upright with their legs dangling
Main test to diagnose DDD
MRI or CT
Describe the pathophysiology of Multiple Sclerosis
Inflammation and Demyelination of nerves disrupt electrical nerve impulses.
2 main therapies to manage Lumbar Spinal Stenosis
management is started with NSAIDs and physical therapy
Pt undergoing a stress test experiences tachycardia. What part of the nervous system is responsible for this response?
Sympathetic Nervous System
Pt's BP and O2 sat drop rapidly, what's your #1 action after verifying this info
Activate Rapid Response team
Name the 3 tiers of Triage
Emergent
Urgent
Delayed
Green
The scale used when conducting an "impaired consciousness" neuro assessment on a trauma patient
Glascow Coma Scale
Name 3 surgical interventions used to correct DDD symptoms
Discectomy
Artificial Disc Replacement
Spinal Fusion
Most common IV medication for PPMS (Primary Progressive Multiple Sclerosis)
Ocrevus infusion every 6 months
When utilizing a walker, you should instruct the patient to maintain a straight posture. True or False
This part of the brain plays a key part in balance and coordination
Cerebellum