Neuro
Blood Product Administration
Sepsis
HACs
Ventilator Modes
100

This anatomical landmark is used when leveling an EVD system to the patient.

EAC (External Auditory Canal)

100

When transfusing blood products, vital signs are to be checked at three different intervals.  Name all three intervals.

prior to initiating transfusion, 15 minutes after starting transfusion, at completion of transfusion

100

Name three signs of septic shock.

delayed cap refill, altered mental status, cool extremities, weak pulses, mottling, hypotension (late finding), flushed, warm extremities, bounding pulses, flash cap refill

100

To prevent VAPs, we do mouth care at these times during a shift. 

8, 12, and 4

100

If your patient is hypercarbic, this vent setting would be increased to blow off CO2.

respiratory rate

200

This equation is used to calculate a patient's CPP (Cerebral Perfusion Pressure).

MAP-ICP=CPP

200

Blood products must be started within this time frame of arriving on the unit.

30 minutes

200

You have this much time to administer IV antibiotics from the time septic shock is recognized.

60 minutes

200

To prevent CAUTIs, we do foley care at these times during a shift.

8 and 8

200

These are the three buttons on a ventilator, nurses can touch.

silence button, FiO2, 100% boost

300

Name three nursing interventions you could do to help lower your patient's ICP.

HOB 30 degrees, pt supine with head midline, sedation, decreased stimuli, thermoregulation

300

Blood filters and tubing need to be changed every ___________ hours.

Four

300

In initial septic shock management, you could expect to give an initial fluid bolus of this volume (ml/kg).

20mL/kg

300

These monitors are utilized to assess a PIV for infiltration but do not take the place of your hourly IV checks. 

IV watch

300

Tidal volumes are determined by patient size.  Name the appropriate range per kilograms for TVs.

6-8ml/kg

400

These three symptoms are the classic sign for Cushing's Triad indicating impending herniation.

hypertension, bradycardia, irregular respirations

400

True or False: Blood products can be run with a Normal Saline KVO.

False

400

At what body temperatures would you expect to draw cultures on your patient?

38.0 for immunocompromised patients, 38.5 for non-immunocompromised patients

400

Breastmilk feed bags are changed every _____ hours.

4

400

If your patient is hypoxic, these two settings are increased to deliver more oxygen.

FiO2 and PEEP

500

This medication helps to lower the ICP by increasing the serum osmolality allowing fluid to shift from the cerebral tissue into the intravascular space.

Hypertonic Saline (3%)

500

This is the appropriate volume per kilogram for packed red blood cell administration.

15 ml/kg

500

In septic shock, this lab value is increased and used to assess tissue hypoxia as well as morbidity.

Lactate

500

Accessed ports that are hep locked need to be flushed every _____ hours.

24

500

In PCPS, you have a constant set, and this becomes your variable.  Name your constant and your variable.

PIP (Constant)= PC + PEEP

Tidal Volumes (Variable)