Flashcards in PICOT Questions Deck (29):
Does circumcision increase or decrease the rate of STI's?
Do short, natural nails reduce the future risk of quality of care compared to artificial nails?
In geriatric patients, how does the use of side rails compared with no side rails affect the number of patient falls from bed?
Should you instill normal saline solution prior to endotracheal suctioning?
Can you use sea bands in place of anti-emetic drugs?
When a patient is critically ill or ventilated, which kind of treatment should be utilized?
VAP bundle criteria
Should you use alcohol-based scrubs or wash hands with soap and water?
In hospitalized patients, how does intermittent urinary catheterization as compared to indwelling catheterization affect the incidence of UTI?
UTIs were associated with dwell time and frequency, but there is no strong correlation of which type of catheter used
With obese patients, will the use of ventrogluteal site versus the dorsogluteal site prevent bad injection?
Ventrogluteal site is most recommended for clinical use because it is thicker and there is o chance of hitting the sciatic nerve
How long should an IV stay inserted?
96 hours with no signs of of phlebitis or inflammation, but 72 if aggravating IV solution
What type of control should be maintained in surgical patients?
Maintain tight glycemic control
Should you aspirate IM injections?
Yes, but only because there is no evidence supporting or denying it
Does scheduled oral hydration decrease the risk for dehydration in the elderly compared to non-scheduled?
Should a patient with a DVT be placed on bed rest?
Evidence contradicts, because placing a patient on bed rest causes PEs, but does shorten time and severity of the DVT
During circumcision of male infants, how does glucose water compare to nerve block as a method for pain relief?
Use both together
Should cancer patients be given TPN?
Does fasting prevent pulmonary aspiration during non-abdominal surgery?
Yes, in patients with GERD and gastric paresis
How does the use of mechanical prophylaxis reduce the future risk of DVT compared with chemical prophylaxis?
Chemical is better if not contraindicated
Should manual or mechanical lifts be implemented?
Does therapeutic hypothermia reduce neural damage in cardiac arrest patients upon discharge compared with normothermic treatment?
Should a patient be kept warm or cold during general anesthesia?
Should abstinence only health education be used or comprehensive?
Should normal saline or heparin flush be used on intermittent IV access devices?
Does the use of anesthetic cream prior to inserting an IV decrease pain compared to not using any?
Yes if not contraindicated
Isopropryl Inhalation vs. Antiemetics
Yes, if not contraindicated; needs more research
Electronic versus paper charting
Routine versus restrictive use of episiotomies
Restrictive use is favored
Music therapy in pain management
Supplemental, to be used with analgesics