Critical Care Exam 1 Latest Questions Rated 100% With Correct S0lutions

Critical Care Exam 1 Latest l Assessments - ANS DO YOUR OWN Every 4 hours in CC units w/ full neuro ALOC q1h Pain q2h w/ VS * VS q1h if on vasoactive, antidysrhythmic or inotrope medications Tele @ all times * Document rhythm @ time of assessment * Print & analyze strip qshift Manual BP qshift, if Art line present RASS/CAM ICU assess qshift * RASS more frequent if patient sedated NG/OG check q4h w/ residuals Rapid Response - ANS Sudden deterioration in status RR 30, 9 SpO2 85% on O2 HR 120, 30 w/out known reason Systolic BP 90mmHg or 200mmHg Urine output 60mL/2hr Agitation, delirium Change in LOC/Stroke Any time staff, patient, family is worried Mottling/cyanosis Call @ first sign of decline - DON'T WAIT * Patient begins to deteriorate 6.5 hours before a critical event * 70% of those are preventable Code Blue - ANS Not responsive Not breathing No pulse