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Critical Care Intro
1st semester
12
Nursing
Undergraduate 3
05/20/2013

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Cards

Term
What is the general nursing care of a patient in critical care
Definition
F eeding
A nalgesia
S edation
T hrombolytic prophylaxis
H ead of bed elevated
U lcer prophylaxis
G lycaemia control
Term
What are some challenges with obese patients in critical care
Definition
Difficult intubation
May require 2 people for ventilation via mask
Trachyostomy may take longer
Difficult IV access
CPR challenges
Term
Why intubate?
Definition
Maintain airway
Ventilation and diffusion
Protect from aspiration
Route for medication administration
Term
What is the nurses role in intubation
Definition
Prep and organisation of equipment
Check equipment
Assist MO
Pt advocate
Term
What are the complications with intubation?
Definition
Trauma to lips/tongue/teeth/vocal chord
Laryngeal stenosis
Accidental extubation
Disconnection from breathing circuit
Tracheal necrosis
Mouth ulcers
Hoarsness
Term
What are the common insertion sites for arterial lines
Definition
radial
brachial
femoral
Term
Complications of arterial lines
Definition
Haemorrhage
Thrombosis
Infection
Emboli
Medication error
Ischemic distal extremities
Pressure area development
Term
Complications of arterial lines
Definition
Haemorrhage
Thrombosis
Infection
Emboli
Medication error
Ischemic distal extremities
Pressure area development
Term
Central venous monitoring is useful as it
Definition
Provides measure of pressure in R atrium
Allows accurate decision to be make about fluid replacement
Allows medication administration
Rapid infusion of fluids
Term
Where are CVC insertion sites?
Definition
Intraclavicular subclavian
Internal jugular
External jugular
Femoral
Arm veins
Term
Nurses role in CVP
Definition
Obs
Documentation
Review of sites and dressings
Administration set and bag changes
Pt education
Aeseptic technique
Term
Complications of CVP
Definition
Pneumothorax (on insertion)
Excessive bleeding
arterial puncture
catheter malpositioning
cardiac tamponarde
DVT
air embolism
catheter embolism
infarction
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