Surgical ICU Exam Questions and Answers 100% Pass

Surgical ICU Exam Questions and Answers 100% Pass What is the nurse to patient ratio in the ICU? - Correct Answer ️️ -1:2, with nursing care needed every hour on the hour Who is the primary care provider when the patient enters a closed ICU? - Correct Answer ️️ -the ICU staff What procedures can occur bedside in the ICU? - Correct Answer ️️ -most all, bronch, central lines Where can central lines be placed? - Correct Answer ️️ -subclavian, internal jugular, and femoral Of the these sites, which is more prone to infections and why? - Correct Answer ️️ -the femoral site bc the groin is dark moist and grows stuff so typically don't leave it more than 24 hours What are central lines made of and what size and type are mostly used? - Correct Answer ️️ -polyurethane, 7 french, triple lumen What does PIC stand for and what is it made of? - Correct Answer ️️ -peripheral inserted catheter, made of silicone Why is heparin preferred for anticoagulation? - Correct Answer ️️ -bc it is short acting and reversible What is the MOA of heparin?? - Correct Answer ️️ -inhibition of platelets, binds to antithrombin II which then inactivates thrombin and other proteases involved in blood clotting, most notably factor Xa. What reverses heparin? - Correct Answer ️️ -Protamine Sulfate What is the route and dose typically administered of heparin? - Correct Answer ️️ - subQ injections 5000 units every 8 hours for prophylaxis What lab would you use to guide treatment with heparin? - Correct Answer ️️ -PTT- not the PT/INR!! What is not typically given as an anticoagulant to patients that have a risk for bleeding or renal failure, even though it is easier than heparin? - Correct Answer ️️ -Lovenox Besides heparin and lovenox, what are other common anticoagulants? - Correct Answer ️️ -aspirin, plavix, and warfarin What GI risk are patients in the ICU prone to? - Correct Answer ️️ -stress ulcers, they are NPO and so the acid is more concentrated, give Pepcid or PPI by I V, risk decreases once they start eating Why can a PIC stay in longer? - Correct Answer ️️ -bc they travel longer before reaching a central vessel, thick fluids may be harder to push through for this re