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PHTH 564 - ICU > Intro to Critical Care > Flashcards

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

Where can a central venous line be inserted?

through subclavian or internal jugular vein into superior vena cava or through femora vein into common iliac vein