A little touching never hurt anyone
What does TLC stand for
What is touch look and compare
Interpret the strip of Image # 1
SVT
Name 3 room safety checks for a patient with a tracheostomy
same size trach and downsize trach, obturator, airway card, ambu bag, facemask
Why do nurses not strip chest tubes?
generates significant negative pressure in the chest cavity (pleural space) which can cause harm
When an IV infiltrates, where do you look up information to see if it is a vesicant
What is the extravasation management chart in Lexicomp
Interpret the rhythm of image #2
Vtach
You notice some skin breakdown under your patient's trach ties. List your next steps
notify provider
contact CNS team
Take a photo
Document assessment
Describe the formula for IV infiltration measurement
What is swelling in cm divided by length of arm in cm (armpit to fingertip) times 100 percent
Look at image #3. Name the rhythm and determine your top 2 priorities
V fib
CPR
Defibrillation
What is the name of the tool used to help guide a new trach back in AND where should it be located in the room
obturator
at the patient's bedside
What is the difference between phlebitis, infiltration and extravasation
what is
phlebitis= injury to the vein caused by mechanical or chemical irritants
infiltration= inadvertent administration of a non-vesicant solution or medication into surrounding tissue
extravasation= inadvertent administration of a vesicant solution or medication into surrounding tissue
Name the initial J/kg for both cardioversion and defibrillation
0.05-0.1j/Kg
2j/kg
You suspect your patient's trach is dislodged and you are unable to place it back in. The patient is sating 50% and no providers or RTs are at bedside. What are your priority actions?
staff assist
cover stoma
bag face
Describe the reassessment documentation requirements for a moderate IV infiltration
What is every 30 minutes for 2 hours then every 8 hours for 24 hours or until resolved.
You have a 12-year-old patient in SVT that is alert and awake. Name 3 interventions from least to most invasive to break this rhythm
bear down/vagal/ice
adenosine
cardioversion
What does the acronym DOPE stand for?
Dislodgement
Obstruction
Pneumothorax
Equipment
State the code dose of epi and determine how many mLs to give a 15kg patient if epi is 1mg/10ml
1.5 mL