ICU study guide Flashcards

1
Q

why is it important to thoroughly read each patient’s flow sheet prior to beginning any procedures or treatments?

A

incase an amount or drug was changed for the patient and weren’t told; you want to make sure everything matches if it’s different or already completed and didn’t notice

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2
Q

when should hourly procedures be started in the ICU?

A

30 minutes before

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3
Q

four basic areas that should be monitored for every patient that may not be listed on the flow sheet

A

how they feel
what they are doing
clean cage
IV catheter okay

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4
Q

when recording your observations on the flow sheet give a few examples of what should be included

A

vomiting
urine
feces
attitude
how they are doing
laying or standing

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5
Q

how often should the IV fluids be checked?

A

every hour

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6
Q

when checking IV fluids what should you check the flow sheet for?

A

rate and type of fluids

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7
Q

what should you check the fluid pump for?

A

match rate
is the pump on
match fluid type

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8
Q

what should IV lines be checked for?

A

they are clean
if they are kinked
connected
off the floor

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9
Q

what should IV catheters be checked for?

A

still in place
wrapped
any swelling

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10
Q

what needs to be marked on an IV fluid bag?

A

additives or not
date spiked
time spiked

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11
Q

TPR normals for dogs and cats

A

t: 100-102
p: 60-120, 120-180
r: 8-20

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12
Q

what is the importance of trends?

A

to see how the patient has been doing for previous checks if something were to change

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13
Q

when should gloves be worn when working with patients?

A

always; switch after every patient

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14
Q

when are latex gloves to be worn?

A

chemo patient
zoonotic patient
received nuclear scans

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15
Q

asepsis

A

clean and sterile; important to not transfer bacteria from one patient to another

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16
Q

what is labeled on a syringe when drawing drugs for administration?

A

name
route
concentration

17
Q

what are the steps (5) for disconnecting and reconnecting a patients from fluid pump?

A
  1. pause or stop pump
  2. clamp t-set attached to patient
  3. disconnect
  4. put needle to cover end of fluid line
  5. alcohol swab port and flush with saline to ensure connection
18
Q

when is nolvasan used vs bleach when cleaning cages?

A

nolvasan: if same animal is returning to cage
bleach: if different animal is using cage

19
Q

pain score symptoms 0-4

A

0: asleep
1: resting comfortably (BAR, QAR)
2: whining and anxious but settles down when comforted
3: painful and vocal upon palpation
4: extremely agitated and vocal, won’t settle down, elevated HR and RR and temp

20
Q

code status (red, yellow, green)

A

red: DNR
yellow: close chest CPR
green: open chest CPR

21
Q

what does CAB stand for?

A

circulation
airways
breathing

22
Q

what are the 3 phases of CPR?

A

BLS
ALS
recovery or prolonged

23
Q

asystole

A

flatlined

24
Q

pulseless electrical activity

A

electrical activity of the heart is too weak to make a beat so the heart stops

25
Q

V-Tach

A

(mechanical activity) ventricles beat quickly

26
Q

cardiac output

A

how much blood the heart is pumping out

27
Q

what are the 3 types of arrest?

A

cardio - blood flow stops
pulmonary - breathing stops
cardiopulmonary - combination

28
Q

what is the current number of chest compressions pre minute for CPR in animals?

A

100-120 compressions

1/3-1/2 depth of chest
30:2 ratio of compressions to breaths if alone

29
Q

what are 2 compression techniques used in animals and when should each be used?

A

thoracic pump theory: left lateral recumbency; using cavity pressure to start heart

cardiac pump theory: dorsal recumbency; right over heart

30
Q

why is it a good idea to attach an ECG to the patient during CPR?

A

if the rhythm changes to where it can be shocked

31
Q

main ways to deliver oxygen to a patient for CPR

A

ventilator
ambu bag
mouth to snout

32
Q

can a torn toe nail wait an hour

A

yes

33
Q

can a dyspneic patient have a mild sedative?

A

yes

34
Q

MOF

A

multiple organ failure

35
Q

Anaphylaxis

A

doesn’t mess with the eyes

36
Q

what is elevated with an urethral obstruction?

A

potassium (causes bradycardia)

37
Q

if a patient ingests a toxin, what is the mark when vomiting can’t be done to help anymore?

A

6 hours

38
Q

a patient with any head trauma can’t wait in lobby even if stable

A

true