Prophecy General ICU A V3
A code is initiated and the second one nurse is located now not following ACLS protocol. What
is the BEST actionsto take? - ANS-Stop the nurse at once and institute ACLS protocol
A torpid however oriented patient is being admitted for sepsis and their member of the family is
within the waiting place. Their belonging include a hoop, mobile telephone, and wallet. The
affected person asks if they could maintain the hoop on and make contact with at bedside. What
is your BEST reaction? - ANS-It is satisfactory in case your circle of relatives takes your
belongings.
After turning a patient with CVP monitoring what need to you do to ensure accuracy of the CVP
studying? - ANS-Zero the line at phlebostatic axis
An intubated affected person with a GCS of 3 is admitted to the ICU from the ER after being
located down for an unknown quantity of time at home. The CT test reveals profuse cerebral
edema. When is the BEST time to inform organ donation services? - ANS-Within 24 hours of
admission to the ICU
Besides the white blood cells, what laboratroy price is used in the analysis of sepsis? -
ANS-Lactic acid
During cardiogenic shock what brief intervention is probably ordered to enhance perfusion until
definitive treatment is provided? - ANS-Inotropic infusion
During the primary hour of tPA infusion, how frequently must you reveal blood pressure? -
ANS-Every 15 mins
For a affected person with septic surprise, What might you monitor to objectively decide the
effectiveness and need to titrate a dobutamine infusion. - ANS-ScVo2
How is dopamine normally administered within the icu whilst given intravenously -
ANS-Titratable continous infusion
In a affected person with septic surprise, after fluid administration which of the subsequent
findings is MOST suggestive of the need to begin a vasopressor? - ANS-Mean arterial pressure
40-50 mmHg
One of your patients coded but is now stabilized and you're catching up on charting. The
step-down unit calls to get report to your different affected person who is to be transfered. The
, nurses near you do now not seem busy. How need to you prioritize your time? - ANS-Give
report and ask the nurses to put together the patient for switch.
The provider has ordered 2 units of FFP to be transfused. Your affected person's non secular
ideals prevent them from accepting blood products. What is your BEST response? - ANS-Inform
the issuer and discuss extra options.
What acid/base imbalance is MOST likely to be discovered in a affected person with COPD -
ANS-Respiratroy acidosis
What assessment device is needed for a affected person who has simple retrosternal
hemorrhage? - ANS-Follow up imaging test
What cardiac condition shows cardiomegaly on chest x-ray - ANS-Systolic heart failure
What circumstance does the Confusion Assessment Method for ICU (CAM-ICU) stumble on? -
ANS-Delirium
What ECG locating is indicative of hyperkalema? - ANS-peaked T wave
What facts do you want from the issuer to setup a cerebral intraventricular drainage gadget? -
ANS-Maximum ICP
What statistics is MOST important in order to confirm in smart IV pump settings? - ANS-Weight
What is a trouble of long time TPN? - ANS-Liver damage
What is a sizeable hardship of imaging studies completed with iv assessment - ANS-Acute
kidney injury
What is an effective way to evaluate for cyanosis in someone of color - ANS-Check inner eyelids
What is the BEST manner to determine a STEMI? - ANS-12 Lead ECG
What is the normal cardiovasculat response to early sepsis? - ANS-Increased cardiac output
What IV sedative could MOST in all likelihood be ordered for a non-intubated patient? -
ANS-Dexmedetkomidine (precedex)
What laboratory value should you display carefully in case your patient is vomiting coffee floor
emesis? - ANS-Hemoglobin
What MUST you confirm earlier than casting off a cervical backbone collar? - ANS-Presence of
lively order to cast off
A code is initiated and the second one nurse is located now not following ACLS protocol. What
is the BEST actionsto take? - ANS-Stop the nurse at once and institute ACLS protocol
A torpid however oriented patient is being admitted for sepsis and their member of the family is
within the waiting place. Their belonging include a hoop, mobile telephone, and wallet. The
affected person asks if they could maintain the hoop on and make contact with at bedside. What
is your BEST reaction? - ANS-It is satisfactory in case your circle of relatives takes your
belongings.
After turning a patient with CVP monitoring what need to you do to ensure accuracy of the CVP
studying? - ANS-Zero the line at phlebostatic axis
An intubated affected person with a GCS of 3 is admitted to the ICU from the ER after being
located down for an unknown quantity of time at home. The CT test reveals profuse cerebral
edema. When is the BEST time to inform organ donation services? - ANS-Within 24 hours of
admission to the ICU
Besides the white blood cells, what laboratroy price is used in the analysis of sepsis? -
ANS-Lactic acid
During cardiogenic shock what brief intervention is probably ordered to enhance perfusion until
definitive treatment is provided? - ANS-Inotropic infusion
During the primary hour of tPA infusion, how frequently must you reveal blood pressure? -
ANS-Every 15 mins
For a affected person with septic surprise, What might you monitor to objectively decide the
effectiveness and need to titrate a dobutamine infusion. - ANS-ScVo2
How is dopamine normally administered within the icu whilst given intravenously -
ANS-Titratable continous infusion
In a affected person with septic surprise, after fluid administration which of the subsequent
findings is MOST suggestive of the need to begin a vasopressor? - ANS-Mean arterial pressure
40-50 mmHg
One of your patients coded but is now stabilized and you're catching up on charting. The
step-down unit calls to get report to your different affected person who is to be transfered. The
, nurses near you do now not seem busy. How need to you prioritize your time? - ANS-Give
report and ask the nurses to put together the patient for switch.
The provider has ordered 2 units of FFP to be transfused. Your affected person's non secular
ideals prevent them from accepting blood products. What is your BEST response? - ANS-Inform
the issuer and discuss extra options.
What acid/base imbalance is MOST likely to be discovered in a affected person with COPD -
ANS-Respiratroy acidosis
What assessment device is needed for a affected person who has simple retrosternal
hemorrhage? - ANS-Follow up imaging test
What cardiac condition shows cardiomegaly on chest x-ray - ANS-Systolic heart failure
What circumstance does the Confusion Assessment Method for ICU (CAM-ICU) stumble on? -
ANS-Delirium
What ECG locating is indicative of hyperkalema? - ANS-peaked T wave
What facts do you want from the issuer to setup a cerebral intraventricular drainage gadget? -
ANS-Maximum ICP
What statistics is MOST important in order to confirm in smart IV pump settings? - ANS-Weight
What is a trouble of long time TPN? - ANS-Liver damage
What is a sizeable hardship of imaging studies completed with iv assessment - ANS-Acute
kidney injury
What is an effective way to evaluate for cyanosis in someone of color - ANS-Check inner eyelids
What is the BEST manner to determine a STEMI? - ANS-12 Lead ECG
What is the normal cardiovasculat response to early sepsis? - ANS-Increased cardiac output
What IV sedative could MOST in all likelihood be ordered for a non-intubated patient? -
ANS-Dexmedetkomidine (precedex)
What laboratory value should you display carefully in case your patient is vomiting coffee floor
emesis? - ANS-Hemoglobin
What MUST you confirm earlier than casting off a cervical backbone collar? - ANS-Presence of
lively order to cast off
