Tech Final Additional Flashcards

1
Q

Normal ranges for pH

A

7.35 - 7.45

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2
Q

Normal ranges for PaHCO3

A

22 - 26

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3
Q

Normal ranges for PaCO2

A

35 - 45

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4
Q

Normal ranges for PaO2

A

80 - 100

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5
Q

What is a pneumothorax?

A

Air build-up in the pleural space/cavity

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6
Q

What causes late-decels?

A

Placental insufficiency

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7
Q

What does VEAL CHOP stand for?

A
  • Variables
  • Early deceleration
  • Acceleration
  • Late deceleration
  • Cord compression
  • Head compression
  • Oxygenation
  • Placental insufficiency
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8
Q

What vital sign do you want to take last w/ a child?

A

Temperature or BP

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9
Q

What is the normal range of PR interval?

A

0.12 - 0.20 seconds

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10
Q

What is the normal range of the QRS complex?

A

0.08 - 0.12 seconds

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11
Q

What is the normal range for the QT interval?

A

0.35 - 0.43 seconds

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12
Q

What is the reversal agent for opiates (Morphine, Fentanyl, Dilaudid)?

A

Naloxone (Narcan)

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13
Q

Rhythm checks need to be performed after how many cycles of CPR?

A

5 cycles

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14
Q

What 3 categories are measured using the Glasgow Coma Scale (GCS)?

A
  • motor response
  • verbal response
  • eye opening
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15
Q

What med is given to help w/ extravasation?

A

Regitine/Phentolamine

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16
Q

What is extravasation?

A
  • leakage of IV fluid into the skin around a blood vessel when the IV punctures the vessel
  • causes damage to surrounding tissue
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17
Q

You have how many minutes to start a blood transfusion when you receive the blood and how many hours to infuse it?

A
  • 30 minutes to start
  • 4 hours to infuse
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18
Q

Is the insertion of a chest tube sterile or clean?

A

Sterile

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19
Q

What do you want to keep at the bedside of a patient with a chest tube?

A
  • Kelly clamps
  • sterile gloves
  • gauze
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20
Q

Is ET suctioning clean or sterile?

A

Clean

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21
Q

After how many days will a patient be switched from an ET tube to a trach?

A

After 14 days

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22
Q

What is the normal range of a fetal HR?

A

110 - 160

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23
Q

If variables and acceleration occur in FHR, what can we do as nurses?

A
  • check mom and placement of Toco and ultrasound device
  • turn mom to left side/reposition
  • provide O2
  • call physician if interventions don’t help
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24
Q

At what point are we concerned with an infants HR being too fast?

A

205+

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25
Q

At what point are we worried about a newborns RR being too fast?

A

60+ breaths/min

26
Q

What is effacement?

A

Thinning/shortening of the cervix
- 0 - 100%

27
Q

What is dilation?

A

Opening of the cervix
- 0 - 10cm

28
Q

What and where is the Toco transducer and the US device for FHR?

A
  • Toco = uterine activity at fundus
  • US = FHR at bottom over baby’s back
29
Q

When would you not give a patient oxytocin/Pitocin?

A
  • immature fetal lungs
  • active genital herpes
  • cervix is not ripened
30
Q

At what grade is a fetus at the pelvis?

A

0

31
Q

What does the APGAR stand for?

A
  • Activity
  • Pulse
  • Grimace
  • Appearance
  • Respiration
32
Q

Where is the tip of the Swan Ganz catheter placed?

A

Pulmonary artery

33
Q

ACLS says what drug is 1st line Tx for symptomatic brady?

A

Atropine

34
Q

What is the drug of choice for V-tach & V-fib?

A

Amiodarone

35
Q

What is the drug of choice for asystole?

A

Epinephrine

36
Q

What is MONA? What is it used for?

A
  • Morphine
  • Oxygen
  • Nitro
  • Aspirin

Used for MI

37
Q

T/F: you need a mask and sterile gloves to deal with a central venous line device

A

True

38
Q

With a central line lab blood draw, what port do you use?

A

Distal port

39
Q

How long do you scrub around the central line when completing a central line dressing change?

A

30 seconds

40
Q

What port do you use to give meds through a central line?

A

Proximal port

41
Q

What port on a triple lumen central catheter would you give blood through?

A

The largest port

42
Q

What do you administer with a blood transfusion?

A

NS

43
Q

When using an ampule, what type of needle do you use?

A

Filtered needle

44
Q

For tracheostomy suctioning, a patient should be in what position?

A

Lateral lying

45
Q

Prior to applying tracheostomy suctioning, what should you do to the patient to help with oxygenation?

A

Hyper-oxygenate the patient with an ambo-bag

46
Q

How long can suctioning a trach occur?

A

15 seconds

47
Q

How many passes can occur at one time when suctioning a trach?

A

3 passes

48
Q

For ET suctioning, what do you do to hyper-oxygenate a patient?

A

Put ventilator on 100% for 30-60 seconds

49
Q

T/F: you apply suction when guiding tube down for suctioning

A

False

50
Q

What are the steps of changing out the inner cannula of a trach?

A
  1. Place in semi-fowler
  2. Put mask on patient
  3. Remove dressing and put O2 on
  4. Remove gloves and don sterile gloves
  5. Remove tube and clean inside tube w/ NS
  6. Place tube in NS and tap on container and place on sterile gauze pad
  7. Assess for secretion (suction if indicated)
  8. Place cannula in and apply O2
  9. Apply dressing
  10. Hold in place and put on new gloves
  11. Fasten collar
51
Q

In order to ensure Velcro is on right for a trach, how much room should be allowed for collar?

A

1 finger between skin & collar

52
Q

Electronic fetal monitoring has 2 monitors placed on mom. What are the top and bottom ones used for?

A
  • Top: contractions on fundus measurement
  • Bottom: FHR
53
Q

CPR ratio for adults of compressions to breaths is what?

A

30:2

54
Q

number of pregnancies

A

gravida

55
Q

number of deliveries

A

para

56
Q

What is the recommended suction pressure for adults?

A

100 - 150 mm Hg

57
Q

How often should we adjust an ET tube?

A

every 24 hours (to prevent skin breakdown)

58
Q

What is likely a cause of a low pressure alarm on a mechanical ventilation system?

A

a disconnected tube

59
Q

What is likely a cause of a high pressure alarm on mechanical ventilation?

A

a kinked tube or increased chest pressure

60
Q
A