Keep the Bugs Away
This is the #1 method of preventing hospital-acquired infections from occurring
What is handwashing
This is the earliest indicator of impending shock or declining state for a client
What is increased work of breathing/respiratory rate?
This is the first medication & dose administered during a pulseless code (cardiac arrest) response.
What is epinephrine, 1 mg, IVP
These fluids do not affect the size of the cell. The extracellular fluid concentration is equal to the intracellular fluid concentration. Name 1 type of this fluid.
What is isotonic? 0.9% NS, LR, D5W
What electrolyte imbalance is seen with digoxin/may enhance digoxin toxicity?
What is hypokalemia?
What is the most common gram-positive organism associated with VAP?
What is Methicillin-Resistant Staphylococcus Aureus (MRSA)
Identify two interventions for the client with an ET tube:
Assess respiratory status, secure ET tube, monitor and record position of the ET tube, measure ET cuff pressure every shift, suction as needed, monitor for skin breakdown
The following are classic signs for what condition? 1. Increased JVD 2. Hypotension 3. Muffled heart sounds (this is also known as Beck's Triad)
What is cardiac tamponade?
This is used to help the nurse titrate and manage the administration of vasopressor medications.
What is MAP (mean arterial pressure)?
A patient in the ICU is confused and pulling at lines. This may be caused by:
What is delirium
Identify three elements of the CLABSI maintenance bundle
What are daily discussions of line necessity, Curos cap use/scrub the hub prior to each line entry, daily CHG bath, dressing is kept CDI/occlusive and changed q7d per policy, line tubing changed q72hrs and labeled
This ventilatory maneuver in which positive pressure is applied to the airway during exhalation.
What is Positive End Expiratory Pressure (PEEP)?
The pressure the heart must overcome to eject blood during systole (contraction). It mainly refers to the resistance in the arteries (like the aorta and systemic circulation) that the left ventricle has to pump against.
What is afterload?
Name two serum labs for assessing dehydration?
What is: Hgb, Hct, creatinine, BUN, serum osmolality, sodium, potassium
A client is in in septic shock and the nurse is concerned with disseminated intravascular coagulation (DIC) occurring. Name FIVE signs/symptoms the nurse will look for.
What are bleeding, bruising, petechiae, hematuria, hypotension, tachycardia, decreased platelets, abnormal coagulation labs, organ dysfunction
Identify three elements of the CAUTI bundle
What are: avoid unnecessary catheterization; insert with sterile technique, minimize duration, maintain a closed system, secure catheter to patient, maintain unobstructed flow, daily catheter care with soap & water/CHG wipes
Your patient is on a ventilator and his tubing that returns to the ventilator becomes disconnected. This alarm is most likely to sound.
What is the low pressure alarm
Heart rate x stroke volume =
What is cardiac output?
What are crackles in the lungs, edema, difficulty breathing, tachypnea, frothy sputum, tachycardia, hypertension, bounding pulses, weight gain, JVD, decreased SpO2 saturation, fatigue, confusion
Client received hydromorphone 15 minutes ago. Their respiratory rate is now 6. What do you do?
What is administer naloxone?
Identify three elements of the VAP bundle
What are Interventions: HOB at 30 degrees, oral hygiene/cares, peptic ulcer prophylaxis, sedation holiday
Blood gas results are: pH 7.33, PACO 56, HCO3 28, PAO2 82. Analyze this. Include compensation.
What is partially compensated respiratory acidosis?
The heart’s ability to squeeze and pump blood with force
What is contractility?
Name two types of colloids that may be used in shock
What are blood products (FFP, platelets, cryo), albumin
Nutrition is one of the main cornerstones for the client who is critically ill, in shock, mechanically vented, etc. due to the release of what hormones?
What are catecholamines?
Critically ill patients burn more calories because stress hormones like catecholamines speed up metabolism to support vital functions and healing.