| Cytotoxics | NeuroMuscular Blocking Agents | Regional Nerve Block | Intraspinal | Advanced Hemodynamics / Femoral Sheath |
|---|---|---|---|---|
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What is stop the infusion, remove the catheter, elevate the affected extremity, apply a cold pack, notify the physician and complete a RLS?
You're giving Gancyclovir IV, an irritant type of cytotoxic medication. The IV goes interstitial. These are the required actions.
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What is for intubation, to control ventilator synchronization, and increased ICP?
List 3 indications for the use of NMBAs.
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What is around a nerve or nerve plexus?
A Regional Nerve Block (RNB) is a technique of injecting local anesthetic here.
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What is tinnitus, a metallic taste, oral numbness, confusion and weakness.
Local Anaesthetic toxicity (LAT) is noted by these initial symptoms.
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What is it can help troubleshoot discrepancies or issues with arterial line?
You see your co-worker doing Arterial Line zeroing and a Fast Flush Square Wave Test. This is done for this reason.
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What is for any vesicant cytotoxic and what is found in 3C4 medication room?
This is the time when an extravasation kit is to be readily available and where it is located.
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What is every 2 hours?
The frequency for providing mouth and eye care.
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What is decreased sensation, normal to decreased motor strength?
For a patient with an upper or lower extremity RNB when assessing a patient's sensation and motor strength you would expect these findings.
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What is What is L-O-P-Q-R-S-T-U.
L - location O - onset P - provoke and palliate (what makes the pain worse or better?) Q - quality (what does the pain feel like?) R - radiate (does the pain travel anywhere?) S - severity (0-10 scale) T -timing (does it happen/worsen at specific times?) U - how is the pain affecting U (functional goals- mobilizing, sleeping, etc.)
Pain assessment of a patient receiving Intraspinal analgesia should include the following.
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What is Hypovolemia, Hemorrhage, Third spacing, or Venous dilation (sepsis, drugs, neurogenic causes) ?
The causes for decreased CVP readings are due to these.
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What is, usually most cytotoxics are 48 hour. The drug manual &/or pharmacy need to be checked? Cyclophosphamide is 72 hours after last dose.
the length of time required to wear PPEs for bodily fluids such as excreta for a patient receiving cytotoxic medications.
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What is the effects of the NMBA are subsiding and this indicates some attempt at inspiratory effort and fresh gas is being pulled past the ETCO2 device?
A patient receiving a Nimbex (Cisatracurium) infusion is attached to an ETC02 monitor, you see a cleft in the waveform. This occurrence due to this.
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What is using ice and moving from the distal part of the blocked area up proximally and documenting these results as the lower sensory level. For the upper sensory level start proximal to the blocked area and move out distally?
Assessing motor and sensory function is done in this fashion.
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What is the affected dermatomes?
Documentation of the levels of sensory block for a patient receiving an Intraspinal analgesia is in relation to this.
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What is maintains in supine position, HOB < 15 degrees?
An Arterial femoral sheath has been inserted; the patient’s position is this.
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What is Basic Cytotoxic Medication Administration and Advanced Level 1 non-antineoplastic Intravenous medication administration?
The level of cytotoxic education and certification RNs hold in the Burn Unit
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What is daily?
The review for continued use of NMBA occurs at this time.
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What is tinnitus, a metallic taste, oral numbness, confusion and weakness?
Local Anaesthetic toxicity (LAT) is noted by these inital symptoms.
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What is an order from the APS physician-Anesthetist and a RN having completed this SCC?
You see on the PCO that your patient’s epidural catheter is to be discontinued. Who should have written that order and who can remove the catheter?
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What is to allow for bleeding to expel clots (<1 sec)?
The femoral sheath has been removed as ordered. The first step immediately following removal of the sheath is this.
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What is the red sharps bin for IV tubing and the yellow biohazard box for contaminated linens and excrement?
Disposal of IV tubing following cytotoxic medication administration is put into here, conversely the disposal of contaminated linen and excrement is placed here.
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What is atropine administered first and then an anticholinesterase agent, neostigmine second?
These medications are to be readily available as reversal agents for non-depolarized agents
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Who is the anesthetist from APS?
Your patient is describing their pain level remaining at 6/10. You have administered the prn medications and there is not a change. You decide to contact this physician.
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What is check the catheter is in situ and contact APS to change the dressing?
On inspection of the dressing you find it loose and moderately saturated. Your actions will include this.
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What is for a minimum of 10 minutes?
The required length of time to maintain pressure for a femoral site
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