Blood Products Pharmacology Tracheostomy Tube PICC Potpourri
100
consent form
The RN is responsible for witnessing the signature of the patient on which form needed for a blood transfusion?
100
both ears
What does the abbreviation "AU" stand for?
100
False. Tracheostomy tubes come in a variety of types and sizes. Some are cuffed/non-cuffed, may have removable inner cannula, and may be fenestrated.
True or False: All tracheostomy tubes are the same type and size.
100
-24 hours after the PICC is placed
-Every 24hrs if gauze is placed under occlusive dressing
-Every 7 days or when the dressing becomes soiled
How often should the PICC dressing be changed?
100
0-10
Every patient will be screened for pain using this scale
200
30 minutes
The transfusion must begin within how many minutes from time of issue?
200
four times a day
What does the abbreviation "QID" for?
200
tracheotomy
It is a surgical procedure in which an incision is made below the cricoid cartilage through the second and fourth tracheal rings
200
-Venous Thromboembolism (VTE)
-Blood stream infections
-Phlebitis
-Catheter occlusions
Name two complications associated with PICC lines
200
soft wrist or ankle restraints, self-releasing Posey belt
Example of a physical restraint
300
4 hours
Transfusion must be completed how long within time of issue?
300
2cc : 40mg/4cc = 10mg/1cc
A patient is to receive 20mg of Lasix IVP. The vial contains 40mg in 4cc. How much will you draw up?
300
-maintain a patent airway
-decrease risk of infection
-promote tissue healing
This is the purpose of tracheostomy care
300
Chest x-ray
Prior to administering medication thru PICC, this must be completed to verify placement
300
pneumothroax
Air in the pleural space
400
One RN and another associate trained in the process of checking blood
Who should complete patient verification prior to beginning blood transfusion?
400
500mg : 50mg/1cc = xmg/10cc
If there are 50mg of Rocephin in 1cc, how many mg are there in 10cc?
400
every shift or PRN
How often should tracheostomy care be completed?
400
-Physician order
-Diagnosis (ICH, CVA, trauma, pneumonia)
-D/C with continued IV therapy (TPN, antibiotics)
-Multiple incompatible IV medications
-Patient history (difficult IV start)
Name two criteria for placing PICC
400
-Apply vaseline gauze and a dressing
-Stay with patient
-Monitor for signs of respiratory distress
-Have another nurse call physician
-Prepare for chest tube reinsertion
Your patient became confused and pulled their chest tube out. What do you do?
500
Stop the transfusion, notify physician and blood bank immediately
While administering blood products to your patient, they complain of back pain, chills, and itching. You should:
500
5.2 or 5 gtt/min = 1000cc/2880 min x 15gtt factor/1
The physician orders 1000cc of D5 1/2 NS over 48 hours. How many gtts per minute if the gtt factor is 15?
500
hyperoxygenation
This should always be provided before, during, and after suctioning
500
20cc (after blood draws, infusion of blood products, TPN, Heparin)
This is the amount to flush the PICC line with after administration of PRBC's
500
relaxation, imagery, diversion, repositioning, heat, cold, massage
You develop a pain management treatment plan with your patient. They ask about other methods besides pain medication. You respond:






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