Pulmonary Hypertension
What is 2 trained RNs?
This terminology references the hospitalization a patient receives their transplanted organ.
What is Index?
This test is used to assess radial perfusion prior to arterial line placement.
What is the Allen's Test?
This is the only adult inpatient unit that cares for patients using the Enclosure bed.
What is D6/5?
This is the type of trach you will commonly see on D6/5.
What is a Shiley trach?
This IV Prostacyclin has a half life of 3-5 hours.
What is Remodulin?
These orders need to be approved by the lung transplant team before a patient can have a diet.
What is swallow orders?
This test is used to assess the arterial line waveform and if it is "damped".
What is the square wave test?
The Enclosure bed is considered to be a form of this.
What is a restraint?
This is how often trach cares are ordered to be completed.
What is Q8hrs and PRN?
The two gold standard methods used for diagnosis of Pulmonary Hypertension.
What are echocardiogram and right sided catheterization?
These two patient cares help to assess a patients fluid volume management which can impact patient mortality rate.
What are accurate I's & O's and Daily standing weights?
This is the amount of time you should plan for when removing an arterial line.
What is 15 minutes?
This is a risk for patients using the Enclosure bed.
What is entrapment?
These roles conduct the initial trial for speaking valves readiness.
Who are RT and SLP?
These three back ups are required with a patient on IV Prostacyclin (i.e., Veletri).
What are a back up IV pump, a back up PIV, and a back up bag of medication?
This is IMPERATIVE to prevent in the lung transplant index patient by maintaining appropriate SpO2 levels, prioritizing airway clearance, and actively weaning O2.
What is Hyperoxia?
This complication commonly results in removal of an arterial line.
What is unable to draw or unable to flush?
What is restraint documentation?
RNs are allowed to do these items for a trach vented patient.
What are:
1. Give an O2 breath
2. Perform suctioning
3. Perform standard trach care
Cool extremities, pallor, cyanosis, diaphoresis, and cough are symptoms of ______ ______.
(hint: 2 words)
What is Insufficient drug?
This can be administered sublingually or orally. It is important to note the route as they are absorbed differently.
What is Tacrolimus?
This type of arterial waveform shows a decrease in pressure readings due to pressure being absorbed within the system (i.e., air or blood absorbing pressure).
What is an overdamped waveform?
These four things MUST be checked before leaving the patients room.
What are:
1. Bed is in lowest position
2. Transfer wheels are locked
3. Check zippers
4. Bed control remote is in pocket outside the bed
These are required at the bedside for a patient with a tracheostomy.
What are:
1. Resuscitation bag, mask, and trach adaptor
2. Extra trach tube (box)
3. Extra trach holders
4. Obturator
5. Suction