Under Pressure
Main parameter we are monitoring for vasopressors
MAP or Mean Arterial Pressure
What is our typical RASS score goal
-1
True or False: I can titrate a medication outside the parameters of an order based on my intuition
False, but you can obtain direct orders to change it quicker.
How many medication orders will you see with a heparin drip
Drip and bolus (and possibly loading dose)
Software program used to adjust insulin drips
Endotool
This medication we use for pressure support but do not titrate
Vasopressin
Hypotensive patient prone to alcohol withdrawal seizures??
Midazolam
A medication on the MAR has a dispense location of "ICU" - Where would you expect to find the drip??
Pyxis = Unit Name
Main Rx - On hook (if not controlled)
What is the lab used to adjust Heparin Drips
Anti-Xa level, unfractionated heparin
This electrolyte can drop quickly as we correct the glucose with an insulin drip
Potassium
Drug of choice for septic patient
Norephinephrine
This medication is lipid based
Propofol
Medication that is not defined as a controlled substance by the DEA, but we put it on count and monitor it closely
Propofol
True or false: It is ok for you to give someone heparin and warfarin concurrently
Yes. Do not give people heparin and warfarin
True or False: The only time you are able to print out a SQ order form to transition patients from an insulin drip to SQ orders is after 10 hours
False, the system needs to state to you the sugars are "stable" and then you will be able to print
Name one complication for high dose pressors
Peripheral Ischemia
This sedative can be used in patients not on the ventilator
Precedex
This medication requires the tubing to be flushed with at least 25 ml prior to administering
Insulin drips
True or False: Heparin dissolve an active clot
False
At what CBG does the program tell you to confirm with a BG??
500
Newest pressor just release to the market
Giapreza (angiotensin II)
Propofol - Begin at 10 mcg/kg/min and titrate by 10 mcg/kg/min every 15 minutes to a max of 70 mcg/kg/min
Not a goal defined to titrate to. Must call provider for additional information
How many years have I worked here??
23..
Please raise your hand if you are younger than this??
UGH..
What lab value should be monitored daily to look for HIT?
Platelets
Name the three modes in Endotool
DKA
Hyperglycemia
HHS