IV drips lecture Flashcards

1
Q

Drug class:

  • levophed
  • neosynephrine
  • dopamine*
A

Vasopressors

*cardiac contractility

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2
Q

Drug class:

  • atracurium
  • cisatracurium
  • Vecuronium
A

Neuromuscular blockades

“paralyzers” to be on a ventilator

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3
Q

Titration Orders

MSG-IT

A
M- max rate
S- start rate
G- titration goal
I- increments of titration
T- time lapse between titration
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4
Q

when titrating a drip, what type of weight do you want?

A

Their “dry weight”

-weight at admission

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5
Q

RASS scale:

+4

A

combative, danger to staff

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6
Q

RASS:

+3

A

Very agitated. Pulls on lines

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7
Q

RASS:

+2

A

agitated. non-purposful movement

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8
Q

RASS:

+1

A

Restless and anxious

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9
Q

RASS:

0

A

Alert and calm

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10
Q

RASS:

-1

A

drowsy but maintains eyes open >10 sec

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11
Q

RASS

-2 ***

A

light sedation, eyes open to command

*desired RASS

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12
Q

RASS

-3

A

Moderate sedation, any movement except eye movement

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13
Q

RASS

-4

A

Deep sedation. no response to voice but movement to stimulation

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14
Q

RASS

-5

A

Unarousable.

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15
Q

When to assess RASS for Propofol

A
  • before initiation
  • every hour
  • after each titration
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16
Q

Train of 4:

desired goal

A

2/4 twitches

17
Q

Train of 4:

when to titrate down

A

1/4 twitches

18
Q

Train of 4:

when to titrate up

A

3/4 twitches.

not paralyzed enough

19
Q

how often do you change ECG electrrodes?

A

Q8 hr

20
Q

when to call MD with titrated drips

A

If you reach the maximum rate and the desired goal is NOT met