CVICU Basics

Question 1

normal 24 hour output

Answer 1

1500ml

Question 2

position for suspected air embolism

Answer 2

left side trendelenberg

Question 3

HDL

Answer 3

should be over 35

Question 4

1 cup

Answer 4

240 ml

Question 5

1 oz

Answer 5

30 ml

Question 6

suctioning pressure

Answer 6

80 to 120

Question 7

bicarb

Answer 7

22 to 26

Question 8

BUN

Answer 8

10 to 20

Question 9

serum albumin

Answer 9

good indicator of nutritional status for the last two weeks. Normal range is 3.5 to 5.5

Question 10

insulin mixing

Answer 10

short acting (clear) first, then cloudy

RN - regular, then NPH

Question 11

influenza precautions

Answer 11

droplet for 7 days or for 24 hours after resolution of fever/respiratory symptoms

Question 12

mag level

Answer 12

1.3-2.3

Question 13

dig level

Answer 13

0.8-2.0

Question 14

k level

Answer 14

3.5-5

Question 15

hyperkalemia signs and symptoms

Answer 15

MURDER
Muscle weakness
Urine - oliguria
Respiratory depression
Decreased cardiac contractility
EKG changes
Reflexes (diminished)

Question 16

hypokalemia signs and symptoms

Answer 16

anorexia, n/v, muscle weakness, paresthesias, dysrhythmias, increased sensitivity to dig

Question 17

RBC count

Answer 17

5

Question 18

WBC count

Answer 18

5000-10000

Question 19

Hemoglobin

Answer 19

15 (3 times RBC value)

Question 20

Hematocrit

Answer 20

45

about 3 times hemoglobin values

Question 21

PTT

Answer 21

for heparin, 20-39

Question 22

Platelets

Answer 22

150,000-450,000

Question 23

PT

Answer 23

for warfarin, 9.5-12

Question 24

INR

Answer 24

for warfarin, normal is 1, therapeutic 2-3 for afib, DVT and PE, 2.5-3.5 for prosthetic valve

Question 25

creatinine

Answer 25

0.5 (creation took 7 days which is 0.5 of 14)

Question 26

BUN

Answer 26

10-20 (10 is 20 times greater than creatinine)

Question 27

ABG norms

Answer 27

PaO2: 75-100 pH: 7.35-7.45 PCO2: 35-45 Bicarb: 22-28

Question 28

sodium

Answer 28

135-145

Question 29

AST/ALT

Answer 29

10-40

Question 30

left sided heart failure

Answer 30

L = Lungs, pulmonary congestion, elevated wedge, cyanosis

Question 31

right sided heart failure

Answer 31

R = Rest of the body, blood backs up into organs (hepatomegaly, etc), weight gain, anorexia, GI upset, peripheral edema, distended neck veins, polycythemia, usually caused by L HF

Question 32

SS of air embolism

Answer 32

pale, dyspenic, tachy

Question 33

urine specific gravity

Answer 33

1.010-1.030

Question 34

high up chest tubes vs low chest tubes

Answer 34

high chest tubes remove air, low chest tube remove fluid

Question 35

total serum calcium

Answer 35

8.5-10.5

Question 36

ESR

Answer 36

0-20, indicates inflammatory or degenerative tissue distruction

Question 37

airborne precautions are for

Answer 37

MTV - Measles, TB, Varicella Need mask (N95)/gloves/gown and negative airflow room

Question 38

Droplet precautions are for

Answer 38

``` SSSPPPIDERMMMAn Sepsis Scarlet fever Streptococcal pharyngitis Parvovirus B19 Pneumonia Pertussis Influenza Diptheria Epiglottis Rubella Mumps Meningitis Mycoplasma/meningela pneumonia Adenovirus Gloves/gown/mask ```

Question 39

contact precautions

Answer 39

``` MRS WEE MRSA RSV Skin infections Wound infections Enteric infections (c diff) Eye infections ```

Question 40

normal A1C

Answer 40

4.5-7.6

Question 41

should you see continuous bubbling in the water seal chamber of a chest tube? how much water should be in there?

Answer 41

NO - sign of a leak/pneumothorax 2cm Bubbling should fluctuate, if bubbling stops that is a sing of lung reinflation or tube obstruction

Question 42

should you see continuous bubbling in the suction chamber of the chest tube?

Answer 42

YES - lets you know suction is working