Calculate this
MD's orders: Give 1000 mL of D5 1/2 NS with 20 mEq KCL over 8 hours. What rate should the pump be set at?
125 mL/hr
This cardiac serum lab test detects heart injury and is the best indicator of an MI
Troponin
Bonus Question: What does BNP measure?
Tube that goes from the nose to the stomach
Nasogastric (NG) Tube
Check tube position before each bolus feeding and every 4 hours for continuous feedings to avoid this problem
Vomiting
What two things are included in a "bowel prep" the day before a colonoscopy?
1) Low Residue or Full Liquid Diet
2) GoLYTELY or Polyethylene Glycol
Diabetic patient's BG is 256. How much regular insulin should be give per the sliding scale?:
BG <150=0 units | BG 151-200=2 units
BG 201-250=3 units | BG 251-300=4 units
BG 301-350=6 units | BG 351-400=8 units
4 units regular insulin, subQ
Patients ABG result: ph 7.35, PC02 50, HCO3 28, SpO2 90%
How would you interpret this?
Compensated Respiratory Acidosis
The most accurate way to confirm NG tube placement is...
Xray Confirmation
Outdated feeding tube formula can cause this
Diarrhea
What is your patients BMI if they weigh 127.3 kg and are 6'1"
37
Bonus:
What weight category does this put him in?
"Give antibiotic in 30 mL D5W over 15 minutes". What rate should the pump be set at?
120 mL/hr
A blockage of 1 or more pulmonary arteries by a thrombus
Pulmonary Embolism
(True or False) An NG tube is only meant for feeding
True
If this happens, decrease rate or change formula
Diarrhea
What 5 tips should the nurse give an interpreter when utilizing their services?
1) Encourage interpreter to ask for clarification when needed.
2) Speak directly to the patient (not interpreter).
3) Speak slowly (not loudly) and pause for interpretation.
4) Direct your body language towards the patient.
5) Ask patient to summarize important information to ensure that it is understood.
Give GI cocktail 250 mg PO every 4 hours for one day. Pharmacy dispenses you with 100mg/2ml. How many ml will you administer daily?
30 ml/day
A diagnosis of chronic stable angina can be confirmed when...
Chest pain goes away after a nitroglycerin tablet.
Describe 3 things about a Salem Sump tube:
- A feeding tube used for suctioning when a patient has a bowel obstruction
- Has a larger, more rigid tube.
- Has a blue vent that you NEVER access.
How much fluid intake should be given for the constipated feeding tube patient (if not contraindicated)?
30 mL/kg of body weight
Bonus:
How much total fluid intake would a patient weighing 140 lbs need per day?
The 6 early signs of sepsis include:
Shivering, fever, or very cold
Extreme pain or general discomfort
Pale or discolored skin
Sleepy, difficult to wake up, confused
"I feel like I might die"
Short of breath
1 L of NS is to infuse over 8 hours. After 4 hours, there is 600 mL remaining in IV bag. What rate is the fluid currently running at?
100 mL/hr
Bonus Question:
What should the rate be changed to now, so the remaining 600 mL of NS can be administered within the 8 hours as ordered?
Chest pain protocol typically includes...
MONA: Morphine, Oxygen, Nitrogylycerin, Aspirin
Bonus Questions: If chest pain is 1/10, should more morphine be administered?
What dose of ASA should be administered? How?
Name 2 surgically placed feeding tube:
PEG tube
Button Tube
Bonus:
What does PEG tube stand for?
List 4 Safety items that should be included in the plan of care for a patient with a feeding tube:
(1) HOB elevated to 30-45 degrees
(2) Aspiration Precautions
(3) Check placement before feedings/meds
(4) Assess regularly for complications (e.g., aspiration, diarrhea, ABD distention, hyperglycemia, fecal impaction)
A patient has received sedation for a scheduled colonoscopy and has just been wheeled into PACU, what is the #1 priority problem for this patient?
Ineffective breathing pattern
Bonus:
What might be another PRIORITY problem you would watch for on this patient?