Term
| SIde effects of IV morphine |
|
Definition
| Decreased BP, Decreased RR (within 7 minutes), vasodilation, Constipation |
|
|
Term
|
Definition
| Hypokalemia, digoxin toxicity, dehydration, ringing in ears, ototoxicity (happens on greater than 10mg) |
|
|
Term
|
Definition
IV NSAID; pain control, good for pericardial friction rub
S/S: GI bleed, increased creatinine with potential AKI |
|
|
Term
|
Definition
Facial droop, unilateral weakness, speech difficulty, change in level of consciousness, pupil change;
call RRT for stroke |
|
|
Term
|
Definition
Causes: Kidney injury, retaining K+
Cardiac dysrhythmias, peaked T waves, widened QRS wave
TX: Insulin with D50, Ca+, bicarb, dialysis, diuretics, albuterol |
|
|
Term
|
Definition
Dysrhytmias, U wave
TX: monitor Cardiac, replace Potassium max 20mEq/HR in central, 10 PIV. |
|
|
Term
|
Definition
Corag, Metaprolol
may cause bronchospasm
Hold if HR less than 60, if being paced dont give BB (except CHF pts) |
|
|
Term
| Phone numbers from outside unit |
|
Definition
|
|
Term
| phone number from inside unit |
|
Definition
|
|
Term
| Concerns with diabetic in surgery, normal blood sugar range |
|
Definition
poor wound healing
100-140 |
|
|
Term
| Low CVP means what, how to tx? |
|
Definition
| Low volume, replace fluid with NS, LR, or Albumin |
|
|
Term
| High CVP means what, how to tx? |
|
Definition
| fluid overload, diuretics, and inotropes |
|
|
Term
| High PAPs indicate ______ |
|
Definition
|
|
Term
| If waveforms are dampened, troubleshoot how? |
|
Definition
Check flush bag for adequate fluid and pressure @ 300
Art line tubing and saline bag good for 96 hours |
|
|
Term
|
Definition
AWakening: sedation vacation. Not if FiO2 over 60%, withdrawing, paralytic
Breathing: CPAP trial
COordination: multidisciplinary coordination
Delirium: CAM assessment
Early Mobility |
|
|
Term
| Blood sugars need to be less than ___ during critical time frame of 18-24 hours post cardiac surgery |
|
Definition
|
|
Term
| When central line dressings/caps changed? |
|
Definition
Q7 days with biopatch, or else 48 hours.
Caps Q96 hours, or before whenever culturing, also change with tubing change |
|
|
Term
| How many layers of linen between patient and bed |
|
Definition
|
|
Term
|
Definition
| Q shit, use chlorhexidine wipe |
|
|
Term
|
Definition
Oral Care Q 4 hours
CHlorhexidine Q shift, Deep suctioning Q4 hours or as needed
Increased HOB
VTE
Protonix, stool softeners |
|
|
Term
| Patient trached/vented can get out of bed? |
|
Definition
| Yes, if hemodynamically stable and have good muscle coordination |
|
|
Term
|
Definition
| POD #1 or 2, have until 24 hours per SCIP mesaures |
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