rapid response Flashcards
(23 cards)
- provide urgent service not provided at existing facility
- can be because of family request, closer to home, etc
hospital-hospital transfer
in a code stoke, what is the goal
get to CT scanner
common complications occurring during transport:
code blue, patient fall, lines pulled out
this HR will always prompt a phone call to MD
HR >140
s/s sepsis:
low BP, shock; get lactate levels
what is important to know in a code stroke?
last known well time
s/s impending code blue:
paleness/color change, ECG changes, decreased LOC or loss of consciousness, BP drop, no pulse
during and after seizures, assess for:
compromised airway
when someone is deteriorating, a sign in their UOP could be:
<50mL over 4h
rate of compressions & rescue breathing if not intubated
30:2
if patient is intubated for CPR:
continuous compressions with rescue breathing every 5 seconds
give epi every
3 minutes
other meds you can give during a code situation:
dextrose, bicarb, calcium chloride
in code blue, pulse check every
2 minutes
when giving amioderone, what is the dosing?
first dose 300mg, second dose 150mg
shockable rhythms include:
vtach, vfib
nonshockable rhythms include:
asystole, PEA, anything with a pulse
atropine dosing
0.5mg if pt <90kg, 1mg if pt >90kg –> max total up to 3mg
T/F: continue chest compressions while defibrillator is charging
T
epi dosing during code
1mg
T/F: post cardiopulmonary arrest, the pt HR/BP will be high
T: this is because of the epi administered –> do not give pt anything to lower HR/BP as this will send them into a code again
post code what medicaiton are given for patient comfort/VS control?
continnuous sedation, pain medication, target temp management = Gaymar
