St Charles ED

Question 1

What is normal anion gap?

What would a high result indicate?

Answer 1

Normal: 3-10

High indicates metabolic acidosis

Anion gap formula:
(Sodium + Potassium) - (chloride + bicarb)

Question 2

Contraindications for placing an Art line?

Answer 2

1. Positive Allen’s test

2. Shunt in same arm

Question 3

What color blood band for Redmond?

Answer 3

Orange

Question 4

Blood draw order

Answer 4

Bring your gal pal

Blue
Yellow
Green (x2)
Purple

Gray if needed (lactic acid)

Question 5

Labs:
What and how long

Blue
Green
Purple

Answer 5

Blue: clotting workup. 45minutes

Green: CMP, troponin- 45 minutes

Purple: CBC - fast!

Question 6

When is it important to have an 18g AC or higher?

Answer 6

Chest CT with contrast

May use a good 20g mid forearm or higher.

Abdominal CT is not as fast of a contrast push.

Question 7

Where are dopplers?

Answer 7

Bottom drawer by Pyxis 2

Question 8

What is the monitoring process post administration of TNK?

Answer 8

Q15 minute neuro checks for 1 hr

Question 9

What is logisticaire?

Answer 9

Pacific Source coverage for transport if patients have PacificSource insurance. There must be a sub-id number.
Takes about 20 minutes!

Question 10

How long do MRI results take?

Answer 10

About 40 minutes