Pre-procedure & Lab Values Flashcards
What must a time out include?
Correct patient identity, correct side and site, agreement on the procedure to be done
What are the minimum number of patient identifiers that should be checked before you proceed the case?
2
What are two qualifying identifiers?
Full name and Date of Birth
How long is an H&P valid for?
30 days
What is MAR?
Medical Administration Record, it keeps a legal recording and log of medication given and prescribed to a patient
When was the patients bill of rights enacted?
1998
When was HIPPA enacted?
1996
Patients with pulmonary edema need to be sitting how?
In an up right Fowlers position
What should patients with contrast allergies have done prior to procedure?
Be premeditated with steroids and antihistamines
What should be done prior to a EP study with a patient in AF or AFL and why?
A TEE to look for clots, if a clot is found then the procedure shouldn’t be done also anticoagulant the patient 4 weeks prior to procedure.
Normal sodium levels
135-145
Normal potassium levels
3.5-5.5
Normal Chloride levels
95-105
Normal Temperature
97.8-99.1
What should ACT be during LAA closure?
200-300 seconds
Normal calcium levels
8.5-10
Red Blood Cells (RBC) levels
4,500-10,000 cells
Red Blood Cells levels
4.5-5 mil
Glucose levels
65-110
Cholesterol levels
130-200
GFR normal levels
> 90
GFR <15
Kidney Failure
Normal INR
.9-1.2
Normal ACT
80-160 seconds
Normal pH
7.35-7.45
Normal Partial Pressure of Carbon Dioxide (PCO2)
35-45 mmHg
Normal Bicarbonate (HCO3)
22-26 mEq/L
Normal Partial Pressure of Oxygen (PaCO2)
80-100 mmHg
Normal Arterial Blood Saturation (SaO2)
95-100%
Normal Respiratory Rate
12-18 breaths per minute
What should ACT be before removing the sheath?
<160-180 seconds
What are post care instructions after arterial or venous access?
Keep head down, press the site when you cough, maintain leg in a straight position, remain in bed in supine position
What change from baseline should be communicated?
20%
What is the clotting test used to measure the effects of warfarin?
PT
What is normal PT levels
10-12 seconds
What percent from baseline do you need to report changes?
greater than 20%
How do you calculate IV infusion flow rate?
mL/hrs or dose in mL
How do you calculate total volume?
Flow rate x infusion rate
How do you calculate infusion time?
Total volume/ flow rate
