Mod 1 Assessment of Critically Ill Flashcards
How does ICU differ from wards?
Enhanced monitoring, purpose of monitoring is simple and clear.
Values and interpretations (fluid resuscitation, med admin, or changes in vent settings) are measured in real time.
What are components of a Systematic approach?
- Patient info/background
- body system assessment
- interpreting/integrating
planning/reporting/communication
documentation - communicating w/patient (if able)
systematic approach quick and dirty
- check patient
- check monitor
- Assess patient
- perform any routine tasks
- formulate a plan
- document
What are 3 levels of Goals of Care Designation
(code status)?
R: Resuscitative:
M: Medical
C: Comfort
Patient information/background for the critically ill:
what do you look for in the report/chart?
Patient history/history of clinical events
Current status
current orders
patient plan
PPE/Isolation/precaution levels
Goals of care designation
What do you check on a basic neurological assessment?
Pupils
Reflex/posturing
GCS
LOC
Sedation assessment (RASS)
Delirium screening (CAM + ICU)
What do you check on a basic cardiovascular assessment?
- Cap refill
- JVD
- Edema
- Peripheral temp
- color
- skin Turgor
What are 2 types of anti-thrombotics?
Anticoagulants and Anti-platelet drugs
They reduce fibrin formation = prevent clots
What is the function of H2 blockers (histamine receptor antagonists)
Treat and prevent ulcers (GERD)
Non patient assessment
Isolation status
Equipment
HE change
Suction equipment
calibration of monitors
Emergency equipment at bedside
BVM with mask
10cc syringe
OPA
Suction set at -120
PPE for Airborne caution
N95 mask
PPE for Airborne and contact
N95 and gown
PPE for contact and droplet
Gown, gloves, mask, goggles
PPE for droplet precautions
Face mask
