Clinical Fair Flashcards
Bolus administration
IV push given by nurse
PCA Basal rate
Constant rate admin per hour
PCA hourly limit
Basal rate + hourly on demand quantity
PCEA
Patient controlled epidural analgesia
PCEA medications
Fentanyl 10mcg/mL
Caine anes
PCEA protocols
Foley LE sensation and movement Benadryl or itching med More frequent VS Narcane at bedside
PCA benefits
Titration
Pain relief
On demand
PCEA decreases
Dependence
Anxiety
Delay
Rounding rules for Maintenence, IVPB, GTT, K,
Round to Whole number
Heparin doses
25,000 units/250 mL
kG weight rounding
Get number to 1/1000
Round to 1/100
Heparin from vial/drip
Use vial for bolus
Bag for Maintenance
Only time setting pump to the 1/100
IV med pump drip that is measuring something (heparin and ptt measures)
Heparin protocol hours/PTT count/stopping
Check 6 hours after
PTT 2-3X normal (70-90)
2nd nurse verified
Start new IV if DCd
Blood therapy protocol
Premedicate/lasix therapy prn Consent 18-20 gauge IV Special tubing Hang within 30 min Blood bracelet 2nd nurse id (checking separately) Wait 15 min w/ patient once blood hits vein