Crash cart & Code Management Flashcards
What are some common warning signs of a deteriorating patient?
mental status changes, tachypnea, tachycardia, change in RR, hypotension.
Why does a deteriorating patient get hypotension?
bc body shunts to brain and heart which decreases BP
What are the team members of a code?
director usually MD, pharmacist, nurses 1,2, & stat RN, RT, Supervisor, Anesthesia, EKG, Runner, Pastoral services
How often do you rotate compressors?
every 2 mins
if cant get BP check pulses what do they mean?
if on foot BP at least 90, femoral at least 80, radial at least 70, carotid at least 60.
True or False always use nasal/oral airway when bagging.
TRUE
How much do you have to turn oxygen on if used when bagging?
15L
What is the purpose of intubating?
provides secure airway, protects against aspiration, route for tracheal suctioning.
How do you confirm the placement of intubation?
auscultate of bilateral lung sounds: if don’t hear not in right spot, ETCO2 device/monitoring system: yellow good, purple bad
What two rhythms do you defibrillate in?
pulseless VT, V. fib
What is the goal of defib and what does it do?
defib in less than 2 mins, it stops the heart so we can do CPR and hopefully the SA node restarts
how much joules are delivered in defib?
360
What is always the first medication is cardiac arrest?
epinephrine
What does epinephrine do?
cerebro-protective, increases SVR= increased cerebral/coronary perfusion
Why in ACLS practices you flush with 20 ml NS after each drug given IV?
bc of incompatibilities.
