Flashcards in Intro to Critical Care Deck (94)
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1
Most commonly used outcome measure for consciousness in ICU?
RASS (Richmond Agitation Sedation Scale)
2
Most commonly used outcome measure for pain in ICU?
Behavioural Pain Scale (BPS)
3
2 most common pt populations in the ICU?
1. Resp failure requiring mechanical ventilation
2. CV instability requiring invasive hemodynamic monitoring
4
______ _____ _____ = inserted into peripheral vein; enables administration of fluids and medications; is gravity driven or on pump
peripheral intravenous line
5
_____ ___
= to give meds that will erode peripheral veins and require mixing with larger blood volumes quickly such as chemo or antibiotics
PICC line
6
What does PICC stand for?
peripherally inserted central catheter
7
Normal ICP ?
5-10 mmHg
8
Increased ICP > __ mmHg for over 5 mins = brain damage
20
9
With ___ and ____, always check physicians orders regarding target values and activity orders (ability to change pt position or do chest PT)
EVD; ICP
10
Always check the EVD stopcock has been closed before any position change (T/F)
TRUE
11
Increased BP will increase ICP (T/F)
TRUE
12
__-__ % of pts have some cognitive deficit at discharge from ICU
70-80
13
Many pt's D/C from ICU suffer from apraxia (T/F)
TRUE
14
Inspection on a ventilated pt should include position/stability of _____ and _____ setting
airway; ventilator
15
Normal end total CO2 ?
35-45mmHg
16
What is the P/F ratio?
The ratio of arterial O2 partial pressure to fractional inspired O2
17
What is the normal P/F ratio
>380
18
Purpose of arterial line?
Constantly monitors arterial BP; access for direct blood sampling for painless and frequent analysis of ABG's
19
The pt (can/cannot) mobile with an arterial line
CAN
20
For the arterial line to give accurate readings the transducer needs to be at the level of?
Superior vena cava (4th intercostal space)
21
When pt has an arterial line, what should you avoid?
Excessive wrist movement or hip flexion >90
22
MAP = ?
SBP + (2xDBP)/3
23
Normal MAP?
70-110mmHg
24
MAP > __ is necessary to perfuse coronary arteries, brain and kidneys
60
25
Normal HR for adults?
60-110
26
4 arrhythmias to watch for?
PVC's, AFib, ventricular fibrillation, ventricular tachycardia
27
Tachycardia = HR > ____
110
28
Bradycardia = HR < ___
60
29
5 signs of ventricular fibrillation?
1. unresponsive
2. ineffective pulse
3. no spontaneous respiration
4. cyanosis
5. duskiness, mottled skin
30
