Extended APSAN CAPA cards

Question 1

Define veracity

Answer 1

telling the truth

Question 2

Define confidentiality

Answer 2

controlling the disclosure of information

Question 3

Define advocacy

Answer 3

Supporting what is best for a person

Question 4

Define fidelity

Answer 4

the keeping of commitments

Question 5

Define utilitarianism

Answer 5

the ethical theory of doing the greatest good for the greatest amount of people

Question 6

Define deontology

Answer 6

the ethical practice of making decisions based on moral obligations

Question 7

Define principalism

Answer 7

the ethical practice of making decisions based on principals

Question 8

Define beneficence

Answer 8

the act of doing good or benefiting a person

Question 9

Define non-maleficence

Answer 9

the act of doing no harm

Question 10

Define autonomy

Answer 10

the freedom of self determination

Question 11

What are the 4 elements of negligence and malpractice

Answer 11

1 Have a duty to act
2 Failing to act according to standard of care
3 That failure must cause harm
4 That harm must damage the patient

Question 12

Define assault

Answer 12

Causing apprehension or unwarranted touching (ex threatening)

Question 13

Define battery

Answer 13

Unauthorized touching, no consent

Question 14

Define defamation

Answer 14

Harming a person reputation

Question 15

What is the difference between slander and libel

Answer 15

libel is written, while ‘S’lander is ‘S’poken

Question 16

Define false imprisonment

Answer 16

unjustified detention

Question 17

What is the difference between CQI and TQM

Answer 17

CQI continuous quality improvement is the improvement of outcomes through rapid process improvement. TQM total quality management is a leadership style focused on meeting customer expectations

Question 18

In ACLS bradycardia is a heartrate less than

Answer 18

50

Question 19

In ACLS the treatments for bradycardia are…

Answer 19

atropine, trans-cutaneous pacing, and dopamine

Question 20

The ACLS dose for atropine

Answer 20

1mg bolus Q3-5min MAX 3mg

Question 21

The ACLS dose for dopamine

Answer 21

5-20mcg/kg/min and taper per response

Question 22

In ACLS tachycardia is a heartrate greater than

Answer 22

120

Question 23

In ACLS the treatments for tachycardia are…

Answer 23

synchronized cardio version and adenosine

Question 24

What is the difference between a narrow and wide complex tachycardia

Answer 24

Narrow complexes have a QRS shorter than 120ms (3 small squares) and wide complexes have a QRS complex greater than 120ms

Question 25

How long is 120ms on ECG tracing paper

Answer 25

Each tiny box is 40ms THUS 3 small boxes

Question 26

In ACLS what are the synchronized cardioversion dosing guidelines for narrow regular and narrow irregular complexes

Answer 26

Narrow regular 50-100J Narrow irregular 120-200J biphasic 200J monophasic

Question 27

In ACLS what are the synchronized cardioversion dosing guidelines for wide regular and wide irregular complexes

Answer 27

Wide regular 100J Wide irregular none, perform defibrilation

Question 28

In ACLS what are the 8 initial treatment for a possible stroke

Answer 28

assess ABC administer oxygen stroke assessment determine time of onset (last normal) check blood glucose obtain 12 lead ECG notify stroke team prepare for CT scan

Question 29

How does a CT scan determine if a patient is a candidate for fibrinolytic therapy

Answer 29

A clean CT, ruling out hemorrhagic stroke, makes a patient a candidate for fibrinolytic therapy

Question 30

In ACLS, a patients CT shows they are a candidate for fibrinolytic therapy. What does the nurse do next?

Answer 30

Review fibrinolytic exclusion checklist Repeat the neuro exam

Question 31

A patient with an ischemic stroke is no longer a candidate for fibrinolytic therapy. A nurse anticipates administering what medication

Answer 31

aspirin

Question 32

Describe a prehospital neuro screen

Answer 32

[ BE FAST ] balance loss eyesight loss facial droop arm weakness speech difficulty TIME TO CALL 911

Question 33

The ACLS depth for CPR compressions

Answer 33

2 inches / 5cm

Question 34

The ACLS rate for CPR compressions

Answer 34

100+

Question 35

The ACLS compression to ventilation ratio

Answer 35

30:2

Question 36

The correct dose for defibrillation is

Answer 36

120-200 J biphasic 300J monophasic

Question 37

The ACLS medications for VFib and VTach are

Answer 37

epinephrine amiodarone OR lidocaine

Question 38

The ACLS dose of epinephrine

Answer 38

1mg Q 3-5Min

Question 39

The ACLS dose of amiodarone

Answer 39

First dose 300mg Second dose 150mg

Question 40

The ACLS dose of lidocaine

Answer 40

First dose 1-1.5 mg/kg Second dose 0.5-0.75 mg/kg

Question 41

The reversible causes in ACLS

Answer 41

the Hs and Ts [H blood related] hypovolemic VOLUME hypoxemia OXYGEN hydrogen ion ACIDOSIS hyper/hypokalemia POTASSIUM hypoglycemia BLOOD SUGAR hypothermia COLD [T heart related - think of getting shot in chest] TOXINS lead bullet CARDIAC TAMPONADE heart trauma TENTIOS PNEUMOTHORAX lung trauma PULMONARY THROMBOSIS clot CARDIAC THROMBOSIS clot