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When you start a shift, what should you do with a pts PICC?
Check how much of the PICC is sticking out so if it changes you can tell the Dr.
If you are not sure if a person can stand, how do you assess it?
Do resistance test on their legs, it can tell you if they may be able to stand or if they have a stonger vs. weaker side.
Where do you look when flusing an IV?
Look at the pts face to look for pain.
What does TLC stand for?
Triple Lumen Cath
If you are giving a drug and then have an IV, what needs to happen?
Check Lexi-comp to see if they are compatable.
What is the preferred way to administer vanc and other caustic meds?
Through a PICC because it offers the fastest dilution.
What is the difference between a PICC and PIC?
- PICC: peripherally inserted central cath, it goes past shoulder into the superior vena cava
- PIC: peripherally inserted cath; it goes up to the shoulder
What gauge needle for IM?
20 or 22 x 1-1.5 inch needle, depending on size of person
What are the angiocath sizes and colors, and what is each used for?
- Gray 16: rapid infusion and large amounts of fluids
- Green 18: blood transfusion
- Pink 20: workhorse; fluids, antibiotic, morphine etc...
- Blue 22: Frail, little people or messed up veins, like an addict's veins
How much does one liter of fluid weigh?
What gauge for a SubQ? What color is it?
25 x 1/2, orange
Describe the three sizes of heparin vials?
- Glass vial: big dose/small vial
- Yellow vial: med dose/med vial used to flush PICC
- Blue vial: small dose/big vial used to flush central line
What are the red outlets in a pts room for?
Life support equiptment, they are hooked up to generators
What size of syringe is used when administering something in a PICC?
When do you not need to flush a bolus?
When the pt is also on an IV of at least 85ml/hr
What does UDS stand for?
Uring Drug Screen
What is Sciatica:
Pain/weakness/numbness in legs due to pressure or injury of sciatic nerve that runs down lower back through butt and down leg.
What does ESBL stand for?
Extended Spectrum Beta-Lactamase producing bacteria
What are four things to do while on hourly rounds?
- The 4 P's:
- Personal Belongings
Do RNs do hourly rounds on even or odd hours?
What is the relationship between pancreatitis and breathing?
The pancrease is near the diaphragm so when it is inflammed it can hurt to breathe deeply. This can lead to low O2, atelectasis, low-grade fever, crackles... Promote incentive spirometer and deep breathing.
What are CD precautions? What gloves do you use?
The pt is taking meds that can cause their secretions/waste to be toxic. Use 2 pairs white gloves or 1 pair blue gloves.
How do you prep heparin shots?
Push out air BEFORE you put the needle on, if not the heparin can get on their skin and burn them.
What are normal lab values for Na and K+?
- Na+ = 134+136
- K+ = 3.5-5.1
What are the normal lab values for Cl- and CO2?
What are the normal lab values for BUN and Cr?
What are normal Hemoglobin lab values?
- Female: 12 -16
- Male: 13-18
What are the normal lab values for hematocrit?
What does a cabbage mean?
Coronary Artery Bypass Graff
What color is a high fall risk sign? Moderate?
- High: Orange
- Moderate: Yellow
When is a good time to get people out of bed and into a chair?
When administering meds.