Flashcards in Intro to Critical Care Deck (94)
Most commonly used outcome measure for consciousness in ICU?
RASS (Richmond Agitation Sedation Scale)
Most commonly used outcome measure for pain in ICU?
Behavioural Pain Scale (BPS)
2 most common pt populations in the ICU?
1. Resp failure requiring mechanical ventilation
2. CV instability requiring invasive hemodynamic monitoring
______ _____ _____ = inserted into peripheral vein; enables administration of fluids and medications; is gravity driven or on pump
peripheral intravenous line
= to give meds that will erode peripheral veins and require mixing with larger blood volumes quickly such as chemo or antibiotics
What does PICC stand for?
peripherally inserted central catheter
Normal ICP ?
Increased ICP > __ mmHg for over 5 mins = brain damage
With ___ and ____, always check physicians orders regarding target values and activity orders (ability to change pt position or do chest PT)
Always check the EVD stopcock has been closed before any position change (T/F)
Increased BP will increase ICP (T/F)
__-__ % of pts have some cognitive deficit at discharge from ICU
Many pt's D/C from ICU suffer from apraxia (T/F)
Inspection on a ventilated pt should include position/stability of _____ and _____ setting
Normal end total CO2 ?
What is the P/F ratio?
The ratio of arterial O2 partial pressure to fractional inspired O2
What is the normal P/F ratio
Purpose of arterial line?
Constantly monitors arterial BP; access for direct blood sampling for painless and frequent analysis of ABG's
The pt (can/cannot) mobile with an arterial line
For the arterial line to give accurate readings the transducer needs to be at the level of?
Superior vena cava (4th intercostal space)
When pt has an arterial line, what should you avoid?
Excessive wrist movement or hip flexion >90
MAP = ?
SBP + (2xDBP)/3
MAP > __ is necessary to perfuse coronary arteries, brain and kidneys
Normal HR for adults?
4 arrhythmias to watch for?
PVC's, AFib, ventricular fibrillation, ventricular tachycardia
Tachycardia = HR > ____
Bradycardia = HR < ___
5 signs of ventricular fibrillation?
2. ineffective pulse
3. no spontaneous respiration
5. duskiness, mottled skin