Extended APSAN CAPA cards Flashcards
Define veracity
telling the truth
Define confidentiality
controlling the disclosure of information
Define advocacy
Supporting what is best for a person
Define fidelity
the keeping of commitments
Define utilitarianism
the ethical theory of doing the greatest good for the greatest amount of people
Define deontology
the ethical practice of making decisions based on moral obligations
Define principalism
the ethical practice of making decisions based on principals
Define beneficence
the act of doing good or benefiting a person
Define non-maleficence
the act of doing no harm
Define autonomy
the freedom of self determination
What are the 4 elements of negligence and malpractice
1 Have a duty to act
2 Failing to act according to standard of care
3 That failure must cause harm
4 That harm must damage the patient
Define assault
Causing apprehension or unwarranted touching (ex threatening)
Define battery
Unauthorized touching, no consent
Define defamation
Harming a person reputation
What is the difference between slander and libel
libel is written, while ‘S’lander is ‘S’poken
Define false imprisonment
unjustified detention
What is the difference between CQI and TQM
CQI continuous quality improvement is the improvement of outcomes through rapid process improvement. TQM total quality management is a leadership style focused on meeting customer expectations
In ACLS bradycardia is a heartrate less than
50
In ACLS the treatments for bradycardia are…
atropine, trans-cutaneous pacing, and dopamine
The ACLS dose for atropine
1mg bolus Q3-5min MAX 3mg
The ACLS dose for dopamine
5-20mcg/kg/min and taper per response
In ACLS tachycardia is a heartrate greater than
120
In ACLS the treatments for tachycardia are…
synchronized cardio version and adenosine
What is the difference between a narrow and wide complex tachycardia
Narrow complexes have a QRS shorter than 120ms (3 small squares) and wide complexes have a QRS complex greater than 120ms
How long is 120ms on ECG tracing paper
Each tiny box is 40ms THUS 3 small boxes
In ACLS what are the synchronized cardioversion dosing guidelines for narrow regular and narrow irregular complexes
Narrow regular 50-100J
Narrow irregular 120-200J biphasic 200J monophasic
In ACLS what are the synchronized cardioversion dosing guidelines for wide regular and wide irregular complexes
Wide regular 100J
Wide irregular none, perform defibrilation
In ACLS what are the 8 initial treatment for a possible stroke
assess ABC
administer oxygen
stroke assessment
determine time of onset (last normal)
check blood glucose
obtain 12 lead ECG
notify stroke team
prepare for CT scan
How does a CT scan determine if a patient is a candidate for fibrinolytic therapy
A clean CT, ruling out hemorrhagic stroke, makes a patient a candidate for fibrinolytic therapy
In ACLS, a patients CT shows they are a candidate for fibrinolytic therapy. What does the nurse do next?
Review fibrinolytic exclusion checklist
Repeat the neuro exam
A patient with an ischemic stroke is no longer a candidate for fibrinolytic therapy. A nurse anticipates administering what medication
aspirin
Describe a prehospital neuro screen
[ BE FAST ]
balance loss
eyesight loss
facial droop
arm weakness
speech difficulty
TIME TO CALL 911
The ACLS depth for CPR compressions
2 inches / 5cm
The ACLS rate for CPR compressions
100+
The ACLS compression to ventilation ratio
30:2
The correct dose for defibrillation is
120-200 J biphasic
300J monophasic
The ACLS medications for VFib and VTach are
epinephrine
amiodarone OR lidocaine
The ACLS dose of epinephrine
1mg Q 3-5Min
The ACLS dose of amiodarone
First dose 300mg
Second dose 150mg
The ACLS dose of lidocaine
First dose 1-1.5 mg/kg
Second dose 0.5-0.75 mg/kg
The reversible causes in ACLS
the Hs and Ts
[H blood related]
hypovolemic VOLUME
hypoxemia OXYGEN
hydrogen ion ACIDOSIS
hyper/hypokalemia POTASSIUM
hypoglycemia BLOOD SUGAR
hypothermia COLD
[T heart related - think of getting shot in chest]
TOXINS lead bullet
CARDIAC TAMPONADE heart trauma
TENTIOS PNEUMOTHORAX lung trauma
PULMONARY THROMBOSIS clot
CARDIAC THROMBOSIS clot
