Don't Break My Heart
Line Care
LABS! LABS! LABS!
PHARM
ATI 101
100
How do you know a patient is in bradycardia and what is the treatment?
The patient heart rate will be less than 60 and we give them atropine
100
What type of infection do we worry about for central lines?
CLABSI.
100
Urine Specific Gravity
1.005-1.030
100
Enalapril, Fosinopril, Lisinopril are what types of medications and what do we do?
We are ACE inhibitors and a vasodilator.
100
What is the nurses role when it comes to ethical decision-making?
Allowing the patient to retract consent at anytime and having make sure the patient gets a better understanding of any procedure.
200
What does this ECG tell you?
We are in V-Fib and we need to defibrillate.
200
What site do we avoid for central lines?
The femoral
200
PLT
150-400
200
Why would someone need to take Losartan (Irbesartan)?
To protect against MI, stroke, and death from cardiac causes.
200
When a patient is on heparin what do you do?
Watch for toxicity if seen give protamine. Along with watching for hemorrhage secondary to heparin toxicity so we need to get a PTT.
300
What is this strip telling you?
We are in V-Tach. If patient has pulse we call a rapid then give amio then cardiovert. If the patient is pulseless we call a code then dfib, then give amio.
300
How often do we do a dressing change for a central line?
Every 7 days.
300
PT
11-12.5
300
What do we need to avoid while on any ACE Inhibitor?
Due to the risk of hyperkalemia we need to avoid salt substitutes.
300
What should the plan of care look like who has gastroenteritis?
Watch LOC, do daily weight, monitor I's and O's, and give fluids. We need to watch for skin breakdown and a decrease in BP. No acetaminophen and ibuprofen
400
Signs and symptoms of cardiac tamponade. Bonus if you know the special name.
Beck's Triad: muffled heart sounds, JVD, hypotension. Along with pulsus paradoxis.
400
How do we prevent a CLABSI?
DO good hand hygiene, make sure we have a sterile barrier during insertion, use chlorohexidine (CHG) wipes around the site and on the patient body daily, assess the site daily and do sterile dressing changes.
400
Creatinine
0.5-1.2
400
This medication should NOT be used for a hemorrhagic stroke.
Anticoagulants (Warfarin)
400
Dietary teaching about sodium restrictions.
Avoid smoked cured, salted or canned meat, fish, or poultry including bacon, cold cuts, ham, and anchovies.
500
Why do we worry about our patients with kidney disease who are receiving a angioplasty?
Because it is contraindicated due to the contrast dye not being able to flush out of the kidneys.
500
What must be done to prevent a PE during dressing changes?
The line must be clamped or cap so no air can get into the line.
500
Respiratory Acidosis
pH below 7.35
CO2 greater 45
HCO3 normal range 22-28
500
Adverse effects of Rifampin (Broad-Spectrum Antimycobacterial)
Discoloration of body fluids (expected orange color of urine, saliva, sweat, and tears), hepatotoxicity (jaundice, anorexia and fatigue), mild GI discomfort (anorexia, nausea, and abdominal discomfort), and pseudomembranous colitis (monitor and report fever, diarrhea, abdominal pain, or bloody stool.
500
Manifestations of Anemia.
Fatigue, pallor, irritability, numbness and tingling of extremities, shortness of breath/fatigue, tachycardia dizziness or syncope upon standing with exertion, smooth, sore, bright-red tongue.