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Critical Care Concepts Group Activity Flashcards | StudBud
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Critical Care Concepts Group Activity
Critical Care Concepts Group Activity
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1
Universal Protocol includes (Refer to Policy # 2725):
H&P completed within last 30 days, proper skin prep, and lab work
Patient is verified with 1 identifier and procedural consent matches order
Handwashing and correct personal protective equipment (PPE)
Pre-procedure verification, site marking, and time out
2
Which shock state could result from a severe allergic reaction?
Obstructive
Neurogenic
Septic
Anaphylactic
3
Which parameter
confirms
appropriate moderate sedation?
Heart rate
Respiratory rate
Level of consciousness
Ordered blood pressure parameters
4
The general principle to follow when dosing for moderate sedation is:
Start with 50% of ordered dose to see if it will be enough.
Use only opiates for sedation because they can be reversed.
Titrate medications to effect as ordered using small dose increments.
More is better.
5
The highest risk for aspiration occurs in which phase of anesthesia?
Stage II - Once loss of consciousness occurs
Stage III - After deep sedation occurs
Stage I - Upon initiation of anesthesia
Stage IV - Overdose
6
Which of the following is true regarding minors' consent? (Refer to Policy #1225)
A minor parent may sign consent for their child.
A female minor may sign consent for treatment related to pregnancy.
A divorced minor needs parental consent for medical treatment.
A minor in the military needs parental consent for medical treatment.
7
A patient's invasive procedure is canceled. Based on Policy #1225, which of the following is correct?
Put it in the shred container
Draw a red or black line through the consent
Write "void" on the consent
Place it in the front of the chart
8
The pressure bag for an arterial line is ALWAYS maintained at:
150 mm Hg
300 mm Hg
500 mm Hg
Correponds with the patients systolic blood pressure
9
A oropharyngeal airway is measured:
From the nose to the pharynx.
From the corner of the mouth to the ear lobe.
From the corner of the mouth to mandible.
From the nose to the ear lobe.
10
The drug for reversing Malignant Hyperthermia (MH) crisis is:
Epinephrine
Dantrolene (Ryanodex®)
Lidocaine
Sodium Bicarbonate
11
Capnography data may provide early information regarding:
blood pressure
low heart rate
increasing oxygen saturation
hypoventilation
12
Which of the following is the first medication given to a patient in ventricular fibrillation?
Epinephrine
Dobutamine
Atropine
Amiodarone
13
Pt is drowsy & snoring. RR is 12. Sat is 92%. What is the 1st action?
Apply a non-rebreather mask and increase the oxygen to 4 LPM.
Apply oxygen at 6 LPM via nasal cannula.
Continue to assess as respiratory rate and O2 Sat are within limits.
Wake and ask the patient to take a deep breath to assess airway patency.
14
The "stir-up regimen" includes coughing, deep breathing, positioning & mobilization.
True
False
15
A nasopharyngeal airway is measured:
From the nose to the pharynx.
From the corner of the mouth to the ear lobe.
From the nose to the ear lobe.
From the corner of the mouth to the pharynx.
16
Indications to place an arterial line include:
All of the above are indications a patient needs an art line
Accurate blood pressure measurement readings are needed.
Patient is on vasoactive drips and needs frequent real-time BP monitoring.
Patient requires frequent blood draws for H/H.
17
A patient awakening more slowly after anesthesia could include:
Hypovolemia
Hyperthermia
Hyperglycemia
Hypothermia
18
Which shock state would benefit the MOST from dobutamine?
Neurogenic
Anaphylactic
Cardiogenic
Hypovolemic
19
What is the purpose of PEEP?
Provides respirations
Help patient take deep breaths
Provide positive pressure at end expiration opening alveoli
Clear secetions
20
Which of the following is allowed on consent? (Refer to Policy #1225)
Orlando Health approved abbreviations
Patient's preferred name
A "X" drawn in blue ink for altered consents that were signed by patient
Signature of two witnesses for telephone consents
21
Before placing any patient on a non-rebreather mask, one should:
Make sure the patient is ventilating adequately
Ensure the flow meter is set below 10 liters
Verify that the patient does not have COPD to avoid oxygen toxicity
Place the mask on the patient before turning on the oxygen
22
Your patient asks when to return to their office reception job after robotic surgery. What do you tell them?
That they might have to draw unemployment as it may be several weeks.
With robotic surgery, they can return to work in 1-2 days.
They do not need to consult with the surgeon and can decide themself.
The surgeon can discuss when, but robotic surgery incisions heal quicker.
23
Who can administer medications to induce moderate sedation for an invasive procedure? (Refer to Policy 5150/5152)
The technician assisting the licensed practitioner with the procedure
The respiratory therapist who is monitoring the patient's airway
The licensed practitioner performing the procedure
The RN with ACLS (or NRP or PALS) with demonstrated competence
24
Malignant Hyperthermia (MH) is triggered by
Sevoflurane and other anesthesia gases
Versed, fast IV push
Demerol IV
Propofol
25
A Baker Act patient
must
have a legal representative sign consent for any invasive procedure. (Refer to Policy #1225)
True
False
26
Which of the following are "shockable" rhythms?
Ventricular Fibrillation
Mobitz Type I AV block
Pulseless Ventricular Tachycardia
Suprventricular tachycardia
27
Which of the following value may indirectly indicate a patient is
overly sedated?
BP 105/58
Sp02 89%
RR 10
EtC02 58
