Blood Products | Pharmacology | Tracheostomy Tube | PICC | Potpourri |
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consent form
The RN is responsible for witnessing the signature of the patient on which form needed for a blood transfusion?
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both ears
What does the abbreviation "AU" stand for?
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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.
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-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?
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0-10
Every patient will be screened for pain using this scale
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30 minutes
The transfusion must begin within how many minutes from time of issue?
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four times a day
What does the abbreviation "QID" for?
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tracheotomy
It is a surgical procedure in which an incision is made below the cricoid cartilage through the second and fourth tracheal rings
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-Venous Thromboembolism (VTE)
-Blood stream infections -Phlebitis -Catheter occlusions
Name two complications associated with PICC lines
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soft wrist or ankle restraints, self-releasing Posey belt
Example of a physical restraint
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4 hours
Transfusion must be completed how long within time of issue?
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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?
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-maintain a patent airway
-decrease risk of infection -promote tissue healing
This is the purpose of tracheostomy care
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Chest x-ray
Prior to administering medication thru PICC, this must be completed to verify placement
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pneumothroax
Air in the pleural space
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One RN and another associate trained in the process of checking blood
Who should complete patient verification prior to beginning blood transfusion?
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500mg : 50mg/1cc = xmg/10cc
If there are 50mg of Rocephin in 1cc, how many mg are there in 10cc?
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every shift or PRN
How often should tracheostomy care be completed?
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-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
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-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?
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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:
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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?
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hyperoxygenation
This should always be provided before, during, and after suctioning
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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
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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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