| Hmm that ain't good | OMG Kenny is dead! | Achy breaky heart | Step away from the machine you have no idea what your looking at | Tubes and pumps! We can put them everywhere! |
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What is a change in respiratory rate
What is the most accurate predictor that a status change is occurring?
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About $1200
How much does a basic cremation cost at the South Carolina Cremation Society?
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Cardiac
Metabolic
If your patient experiences a V tach or V fib the most likely source?
If your patient experiences PEA the most likely source? |
What is
1. CPAP or Pressure Support 2. Pressure Regulated Volume Control (PRVC) 3. Pressure Control (PC) 4. Airway Pressure Release Ventilation (APRV/Bivent)
What are the four ventilator modes that Prisma Richland Hospital uses?
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Observe the water chamber for bubbles. The more bubbles moving up the number meter the more severe the air leak.
How do you determine if a chest tube has an air leak?
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What is Atrial Fibrillation
What cardiac rhythm is most commonly seen due to a status change and indicates cause for concern?
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A decision about an autopsy and what funeral home needs to be provided. Funeral home information can be provided in house or they can call security with the information later.
What are the two pieces of information that family needs to provide when their love one dies?
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5 year survival rate is 50-60%.
10 year survival rate is 30%
What is the 5 year and 10 year survival rates for congestive heart failure?
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What is 1 of PEEP per every 10 liters of flow
60L of flow equates to 6 of PEEP.
High Flow Therapy (AirVo, Venotherm, optiflow, etc) provide PEEP. How much PEEP is provide per liters of flow?
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6 months or less
When a Pleurex Catheter is placed for palliative measures what is the life expectancy of the patient?
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What is mottling
A clinical sign of septic shock. Initially seen over the knees and identified as a negative outcome in critically ill patients.
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Total of 8 visitors with rotating 4 family members between the room and the lobby.
What is the Prisma visitation policy for a patient that has enrolled in hospice?
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What is <35% EF
What is a LifeVest
At what ejection fraction does a congestive heart failure patient need to be considered for an AICD?
What device is used temporarily while a CHF patient is waiting on AICD placement? |
What is the additional surface area on the back of the lungs and reduction in intrathoracic pressures from the chest and abdomen. Helps with recruitment as well
What is the purpose of proning in COVID patients?
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1. Balloon pump
2. Impella 2.5 and 5.0 3. ECMO 4. LVAD
What are the different types of cardiac support devices?
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What is a 33% mortality rate
A LA >2 is a red flag and cause needs to investigated
A peak lactic acid (LA) greater than 4.0 within 24hr ICU admission is key predictor of 90 day mortality. What is the 90 day mortality percentage?
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Nothing is removed. It all needs to stay intact and the AOD needs to be notified that an autopsy has been requested.
During postmortem care what is removed if the patient is an autopsy case.
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Out of hospital survival rate is <23% with 10% surviving to hospital discharge
In house survival rate is 24.2% for 2020 (numbers affected by COVID)
What is the survival rate for out of hospital cardiac arrest?
What is the survival rate for in house cardiac arrest? |
1. Negative Inspiratory Force (NIH) >-20
2. Satisfactory CXR 3. Rapid Shallow Breathing Index (RSBI) <90 4. Can patient protect their ariway 5. Acceptable ABG 6. Stable hemodynamics 7. Positive cuff leak 8. Has indication for ventilation resolved
Name 5 of the 8 parameters for extubation
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1. Veno-Venous (VV) ECMO-bypasses the lungs
2. Veno-arterial (VA) ECMO-bypasses both the lungs and heart
What are the two types of extracorporeal membrane oxygenation (ECMO) and what purpose do they serve?
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1. Malnourished patients were more likely to have a longer LOS and more likely to be readmitted within 30 days.
2. Malnourished patients had significantly longer hospital stays (17.2 ± 6.8 days) than well-nourished patients (8.3 ± 4.9 days)
What effect does malnutrition have on a patient's length of stay?
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Approximately 30%
What percent of patients diagnosed with a cancer will have metastases to the the brain after their diagnosis.
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Pulseless Electrical Activity (PEA)/ bradycardia
Median time til cardiac arrest is 6min Pre intubation hypotension and oxygenation <92% increase risk of cardiac arrest. Of the deaths, 38.6% occurred within 24 h of intubation. An additional 22.7, 29.5 and 9.1% of deaths occurred at 72 h, 7 days and 30 days, respectively, after intubation.
Peri-intubation cardiac arrest presents most commonly in what lethal arrhythmia?
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Allow up to 12 hours
When initiating APRV mode how long does it take to achieve optimal lung recruitment and expansion
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EVD placement was associated with lower likelihood of 90-day mortality 53% vs 59%
What is the 90 day mortality rate with EVD placement?
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