Surgical ICU
Study online at https://quizlet.com/_6rm3ym
1. What is the nurse to patient ratio in 1:2, with nursing care needed every hour on the hour
the ICU?
2. Who is the primary care provider the ICU staff
when the patient enters a closed
ICU?
3. What procedures can occur bedside most all, bronch, central lines
in the ICU?
4. Where can central lines be placed? subclavian, internal jugular, and femoral
5. Of the these sites, which is more the femoral site bc the groin is dark moist and grows
prone to infections and why? stuff so typically don't leave it more than 24 hours
6. What are central lines made of and polyurethane, 7 french, triple lumen
what size and type are mostly used?
7. What does PIC stand for and what is peripheral inserted catheter, made of silicone
it made of?
8. Why is heparin preferred for antico- bc it is short acting and reversible
agulation?
9. What is the MOA of heparin?? inhibition of platelets, binds to antithrombin II which
then inactivates thrombin and other proteases involved
in blood clotting, most notably factor Xa.
10. What reverses heparin? Protamine Sulfate
11. What is the route and dose typically subQ injections 5000 units every 8 hours for prophy-
administered of heparin? laxis
12. PTT- not the PT/INR!!
1/8
, Surgical ICU
Study online at https://quizlet.com/_6rm3ym
What lab would you use to guide
treatment with heparin?
13. What is not typically given as an Lovenox
anticoagulant to patients that have
a risk for bleeding or renal failure,
even though it is easier than he-
parin?
14. Besides heparin and lovenox, what aspirin, plavix, and warfarin
are other common anticoagulants?
15. What GI risk are patients in the ICU stress ulcers, they are NPO and so the acid is more
prone to? concentrated, give Pepcid or PPI by I V, risk decreases
once they start eating
16. Why can a PIC stay in longer? bc they travel longer before reaching a central vessel,
thick fluids may be harder to push through for this
reason and they are more likely to clot
17. What does a PIC have for multiple multiple ports
meds?
18. What are some uses for PIC lines? for large volume infusions, to give caustic or irritating
meds like TPN
19. What can lead o subclavian stenosis dialysis with large caliber tube
due to occlusion from large caliber
tube?
20. What is important to control and is PAIN
heightened in the ICU?
21. Morphine, Fentanyl and Diluadid
2/8
Study online at https://quizlet.com/_6rm3ym
1. What is the nurse to patient ratio in 1:2, with nursing care needed every hour on the hour
the ICU?
2. Who is the primary care provider the ICU staff
when the patient enters a closed
ICU?
3. What procedures can occur bedside most all, bronch, central lines
in the ICU?
4. Where can central lines be placed? subclavian, internal jugular, and femoral
5. Of the these sites, which is more the femoral site bc the groin is dark moist and grows
prone to infections and why? stuff so typically don't leave it more than 24 hours
6. What are central lines made of and polyurethane, 7 french, triple lumen
what size and type are mostly used?
7. What does PIC stand for and what is peripheral inserted catheter, made of silicone
it made of?
8. Why is heparin preferred for antico- bc it is short acting and reversible
agulation?
9. What is the MOA of heparin?? inhibition of platelets, binds to antithrombin II which
then inactivates thrombin and other proteases involved
in blood clotting, most notably factor Xa.
10. What reverses heparin? Protamine Sulfate
11. What is the route and dose typically subQ injections 5000 units every 8 hours for prophy-
administered of heparin? laxis
12. PTT- not the PT/INR!!
1/8
, Surgical ICU
Study online at https://quizlet.com/_6rm3ym
What lab would you use to guide
treatment with heparin?
13. What is not typically given as an Lovenox
anticoagulant to patients that have
a risk for bleeding or renal failure,
even though it is easier than he-
parin?
14. Besides heparin and lovenox, what aspirin, plavix, and warfarin
are other common anticoagulants?
15. What GI risk are patients in the ICU stress ulcers, they are NPO and so the acid is more
prone to? concentrated, give Pepcid or PPI by I V, risk decreases
once they start eating
16. Why can a PIC stay in longer? bc they travel longer before reaching a central vessel,
thick fluids may be harder to push through for this
reason and they are more likely to clot
17. What does a PIC have for multiple multiple ports
meds?
18. What are some uses for PIC lines? for large volume infusions, to give caustic or irritating
meds like TPN
19. What can lead o subclavian stenosis dialysis with large caliber tube
due to occlusion from large caliber
tube?
20. What is important to control and is PAIN
heightened in the ICU?
21. Morphine, Fentanyl and Diluadid
2/8
