CCT Protocols Flashcards

1
Q

What are the Indications for ABGs?

A
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2
Q

What are the Contraindications for ABGs?

A
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3
Q

What are the 5 P’s for doing ABG’s?

A

Pulse, Pain, Pallor, Paresthesia, Paralysis

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4
Q

When performing an ABG test, what comes before puncturing the skin?

A

Allen’s Test

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5
Q

What are the Indications for chest tube management?

A
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6
Q

What is the Contraindication for chest tube management?

A
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7
Q

How do you troubleshoot a chest tube?

A
  • for drainage system failure, place the chest to into a bottle of sterile water
  • If the tube becomes dislodged. Cover the site with an occlusive dressing (tape three sides only)
  • if patient begins to deteriorate, prepare for finger or needle thoracostomy
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8
Q

What’s the indication for external ventricular drain?

A

Monitoring ICP

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9
Q

What are some EVD considerations?

A

-Record ICP/CCP q 10 minutes
-Re-Zero after the patient has been moved
-maintain the level of the head 30°
-DO NOT Manipulate the stopcock that empties burette without Med Control or ICP>20
-Dampened Waveform = kink or clot
-treat fevers > 100.4° Fahrenheit

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10
Q

EVD Systolic BP or MAP goal is?

A
  • Systolic of 140-150

- MAP of 60-80

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11
Q

 Describe a compliant ICP waveform?

A
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12
Q

Describe an increasing ICP waveform?

A
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13
Q

What is the indication for intra-aortic balloon pump?

A
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14
Q

How often do you monitor IABP waveforms?

A

Every 10 minutes

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15
Q

What do you do when you see blood in IABP tubing?

A

Clamp the tube, turn off the pump console, contact medical control

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16
Q

What do you do when you have IABP failure?

A

-Check & tighten connections on pneumatic tubing.
-check power source
– If unable to fix, manually inflate and deflate balloon q 5 minutes (at half volume)
- contact medical control

17
Q

What do you do to the IABP during cardiac arrest?

A

Place by IABP in arterial pressure trigger to assist compressions. Defibrillation will not affect IABP.