Rapid Response

Question 1

Reasons to call rapid response team

Answer 1

!! HR < 40 or > 140

!! RR < 8 or > 28

!! alteration in mental status

!! SBP < 90 or >180

!! SaO2 < 90% despite O2 supplementation

!! UOP < 50 cc over 4 hrs

ANY NURSE OR FAMILY CONCERN OF CHANGE IN PATIENT STATUS

Question 2

Other Criteria

Answer 2

! chest pain unrelieved by Nitroglycerin

! threatened airway

! seizure

! uncontrolled pain

Question 3

Nurse Responsibilities

Answer 3

• notice, interpret and respond to clinically significant changes in patient condition
• Coordinate care: identify problems and communicate
• Vigilance/ Patient advocate: anticipate and minimize risks
• Assessment and Reassessment: WHAT IS DIFFERENT??

Question 4

CAB

Answer 4

chest compressions before ventilation

Question 5

post-cardiac arrest care:
5th link in chain of survival

Answer 5

+ optimizing vital organ perfusion

+ titration of FiO2 to maintain O2 sat > or equal to 94% and < 100%

+ transport to a comprehensive post-arrest system of care

+ emergent coronary reperfusion of STEMI or high suspicion of AMI

+ temperature control

+ anticipation, treatment, and prevention of multiple organ dysfunction