CL/CVP
How often is a CL dressing changed? How often is the tubing changed if in continuous use?
Every 7 days or PRN
q96h
How often do we change closed tube feeding systems?
q24h (no more than 8 hours in open administration systems)
How quickly should we start CPR once pt is found unresponsive and pulseless?
5 seconds
An antiarrhythmic agent - This med lengthens AV node refractory time, slows rate of conduction, and decreases HR; may also cause coronary artery vasodilation; very little inotropic effect
Amiodarone
Can yellow (low/solid or medium/flashing) lights be silenced? Can Red (high) alarms be silenced?
Yes- for 5 minutes
Red cannot be silenced till corrected
How much blood should be discarded for waste from a CL?
4-6 ml
How do we administer medications through NGT/PEG-J? (Which port(s) should be used?)
Meds through G port, can give liquids through J port
How soon should we deliver shock from time of arrest?
2 minutes
Used as an antiplatelet bridging agent; due to the short half-life, significant interruptions in the IV infusion could have an effect on adequate platelet inhibition
Cangrelor
How often are transparent driveline dressings changed? Gauze dressings?
Initial, POD 2, POD 7, then weekly for transparent; q48h for gauze
How many cc should we flush a CL with?
10 cc
How long should suction be off after giving meds?
30 minutes
How soon should first dose of epi be given?
Within the first 5 minutes of arrest
Given to treat hypertension, chest pain, and hypertensive heart failure, this medication decreases preload and to a lesser extent afterload, which is responsible for decreasing left ventricular end diastolic pressure, dilates coronary arteries and improves coronary blood flow
Nitroglycerine
When should hct be changed on the monitor?
When there is a change +/-2
At what level should the transducer be to read a CVP?
Plebostatic axis
(on the 4th intercostal space along the mid axilla line)
How should we measure NGT for insertion?
Tip of nose to earlobe to xyphoid
Should the front or back pads be placed on first? When should the Zoll be turned on?
Back
After the pads are placed
Administered to treat heart failure, cardiogenic shock, and septic shock; this med stimulates beta 1 adrenergic receptors, causing increased contractility and heart rate
Dobutamine
How long do HW batteries last?
Last 4-6 hours
Take 4-5 hours to fully charge
Batteries drain separately (once one is down to 25% other battery is used. Once both at 25% they need to be changed).
What are the parameters for RN to remove a CL? (INR, APTT, Platelets)
INR < 1.3, APTT < 50, Platelets > 50
(Otherwise provider must remove)
How do we check placement of NGT?
Injecting 10-20 ml of air and auscultating LUQ, aspirating gastric content
*XRs required for all NGT
Which are shockable rhythms?
Pulseless VT/VF
Anticoagulant medication indicated for patients with confirmed or high clinical suspicion of heparin-induced thrombocytopenia (HIT)
How long to HM (2 and 3) batteries last?
Last 10-18 hours
Takes 4 hours to charge
Both batteries are drained together (change with both 25%)