rapid response

Question 1

• provide urgent service not provided at existing facility
• can be because of family request, closer to home, etc

Answer 1

hospital-hospital transfer

Question 2

in a code stoke, what is the goal

Answer 2

get to CT scanner

Question 2

common complications occurring during transport:

Answer 2

code blue, patient fall, lines pulled out

Question 2

this HR will always prompt a phone call to MD

Answer 2

HR >140

Question 2

s/s sepsis:

Answer 2

low BP, shock; get lactate levels

Question 2

what is important to know in a code stroke?

Answer 2

last known well time

Question 2

s/s impending code blue:

Answer 2

paleness/color change, ECG changes, decreased LOC or loss of consciousness, BP drop, no pulse

Question 2

during and after seizures, assess for:

Answer 2

compromised airway

Question 2

when someone is deteriorating, a sign in their UOP could be:

Answer 2

<50mL over 4h

Question 2

rate of compressions & rescue breathing if not intubated

Answer 2

30:2

Question 2

if patient is intubated for CPR:

Answer 2

continuous compressions with rescue breathing every 5 seconds

Question 3

give epi every

Answer 3

3 minutes

Question 3

other meds you can give during a code situation:

Answer 3

dextrose, bicarb, calcium chloride

Question 3

in code blue, pulse check every

Answer 3

2 minutes

Question 4

when giving amioderone, what is the dosing?

Answer 4

first dose 300mg, second dose 150mg

Question 5

shockable rhythms include:

Answer 5

vtach, vfib

Question 6

nonshockable rhythms include:

Answer 6

asystole, PEA, anything with a pulse

Question 7

atropine dosing

Answer 7

0.5mg if pt <90kg, 1mg if pt >90kg –> max total up to 3mg

Question 8

T/F: continue chest compressions while defibrillator is charging

Answer 8

T

Question 9

epi dosing during code

Answer 9

1mg

Question 10

T/F: post cardiopulmonary arrest, the pt HR/BP will be high

Answer 10

T: this is because of the epi administered –> do not give pt anything to lower HR/BP as this will send them into a code again

Question 11

post code what medicaiton are given for patient comfort/VS control?

Answer 11

continnuous sedation, pain medication, target temp management = Gaymar