Post-Op Powerhouse
PCA stands for this.
What is Patient Controlled Analgesia?
This is what the SIRS acronym stands for.
What is Systemic Inflammatory Response Syndrome?
Along with urinary output, the two labs to look at with regard to kidney function are these.
What is BUN and creatinine?
During a post-operative period, this non-narcotic med is generally scheduled every 6 hours for pain management.
What is Tylenol?
This is the first action you take when you find a pulseless or apneic patient.
What is call for help and pull the code lever?
Ambulation, SCDs, TED Hose and turning q 2 hours are used for what?
What are ways to prevent a DVT?
These should be obtained, preferably from two sites before administering antibiotics.
What are blood cultures?
Used for a patient in chronic renal failure, missing even one day of this procedure can be catastrophic for a patient.
What is dialysis?
This medication is given IV and PO to combat heart failure and consequently lasts six hours. (Give both generic and trade name)
What is Lasix/Furosemide?
This emergency equipment is essential to have at the bedside in the event of a lost pulse.
What is a crash cart and/or defibrillator?
A wound that is surgically closed is healing by this method.
What is primary intention?
These are two interventions to combat worsening symptoms of sepsis.
IV antibiotics and fluid administration
A hyperkalemic patient receiving Kayexalate begins to have diarrhea and the nurse receives an order for another dose after the last potassium redraw. This is the nurse's next action.
What is continue to administer the medication as it is having its desired effect?
The holidays are upon us and for patients with atrial fibrillation, they may be signing -olololololololol when they need this class of medication that helps with rate control.
What is a beta blocker?
This acronym and what it stands for is used to help determine if a patient is experiencing a stroke.
What is BEFAST (balance, eyes, face, arms, speech, time)?
A chest tube dislodges and falls out accidentally while you are ambulating your patient. After notifying your nurse who will page the doctor, the next correct action is this.
What is placing a 3 sided vaseline gauze dressing and notifying the doctor?
Two of these five criteria must be met to activate a code sepsis. Name two.
What is temperature (hypo/hyperthermia), tachycardia, tachypnea, WBC count >12 or <4, and suspected source of infection?
This medical problem is characterized by dark, reddish urine indicating a breakdown of muscle tissue that releases myoglobin into the blood.
What is Rhabdomyolysis?
The doctor has ordered a rapid bolus of normal saline for your septic patient. This is the rate your nurse should be setting the pump.
The ratio for chest compressions to breaths given during CPR and the rate at which compressions should be administered.
What is 30:2 and 100-120?
This tool used in the post-op period is used to prevent hospital acquired pneumonia should ideally be used 4-6 times per hour while the patient is awake.
What is an incentive spirometer?
Name two ways to know your patient is in what Stanford defines as "Code Severe Sepsis."
What are elevated lactate >2, hypotension, creatinine >2, bilirubin >2, platelet count <100,000, INR >1.5, aPTT >60 seconds, UO <0.5 mL/kg/hr for 2 hours, ARF requiring mechanical ventilation?
A hormone that is made by the kidney.
What is erythropoietin and/or vitamin D?
*insert smiling pile of poo emoji here* and list at least three pharmacologic interventions to help your patient with a BM.
What are colace, senna/sennosides, psyllium, miralax, golytely, enema, mag citrate?
For Vfib and Vtach arrest, this can be done to preserve brain function after achieving ROSC.
Targeted Temperature Management