Electrolytes & Interventions
Your patient comes in and being treated for hypovolemic shock what type of fluids would you want to administer?
What is Isotonic solution (0.9% Normal Saline).
This helps replace the extracelluar fluid and is the best for treating hypovolemic shock.
For Non-Violent Restraints how long to do you have to get the order?
How long is the order good for?
What is 12 hours.
Must obtain order within 12 hours. RN should receive the order before the end of their shift.
What is 24 hours.
If patient needs to have restraint longer than 24 hours you will need to get a new order.
A patient has a central line, and you go to flush and check blood return and realize there is no blood return. What are some interventions you can do?
What do you do if all interventions have failed?
What is ask the patient to cough, move arm up and down, re-position the patient.
If these alternatives fail - cathflo can be used.
You walk into your patient's room who is requesting to be assisted to the bathroom. You know this patient is a high fall risk. You make sure the appropriate interventions are in place. What are those interventions?
You get the patient safely to the bathroom and the patient request that you leave them alone, how do you respond to the patient?
What is Non-skid socks, yellow fall risk armband, assistive device if needed, and gait bel
What is: your safety is our top priority, so we have to stay close by.
Patient is receiving IV Potassium replacement, and starts complaining of pain at the IV site, what should you do?
What is slow the rate down.
Assess the IV site, check pump to make sure potassium is running concurrently, provide ice pack to relieve some of the pain.
Consider starting another IV in a more proximal vein.
Your patient is admitted for alcohol withdrawal. He has been sleeping calmly in the room, but he is now up and acting aggressive. You enter the room and the patient starts screaming at you and throws his water cup in your direction. You try to de-escalate; however, the patient is getting more aggressive.
What do you do?
What is call security emergency or code BERT (at Hinsdale only).
Use emergency line dial "555" and call security emergency or Code Bert. Try PRN medications, if all attempts fail the patient might need violent restraints.
Your patient has an indwelling catheter and calls and tells you about pain in the bladder area, you notice the catheter has no urine coming out. What interventions can you do?
What needs to happen if all interventions fail?
What is assess/check tubing.
Check tubing (no loops), Reposition the patient, and perform closed irrigation
When no resolution, you will need to call provider and get order to perform open irrigation.
You run into a patients' room after hearing the bed alarm going off and find them on the floor, conscious and asking for help. What do you do next?
What is call for help, assess patient - does anything hurt, get patient safely back to bed, get set of vitals, notify primary/resident to assess patient post fall, fill out fall documentation and chart fall, be a part of fall debrief, and complete event origami.