Code & Rapid Response

Home > Preview

The flashcards below were created by user edeleon on FreezingBlue Flashcards.


  1. Fill in the values for the MEWS scores:

    1. Systolic BP
    +3:
    +2:
    +1:
    0:
    +2

    2. HR
    +2:
    +1:
    0:
    +2:

    3. RR
    +2:
    0:
    +1:
    +2:
    +3:

    4. Temp
    +2:
    0:
    +2:

    5. AVPU
    0:
    +1:
    +2:
    +3:
    • 1. Systolic BP
    • +3: <70 mmHg
    • +2: 71-80 mmHg
    • +1: 81-100 mmHg
    • 0: 101-200 mmHg
    • +2: >200mmHg

    • 2. HR
    • +2: <40
    • +1: 41-50
    • 0: 51-100
    • +1: 101-110
    • +2: 111-129
    • +3: >130

    • 3. RR
    • +2: <9
    • 0: 9-14
    • +1: 15-20
    • +2: 21-29
    • +3: >30

    • 4. Temp
    • +2:<35 (95)
    • 0: 35-38.4 (95-101.1)
    • +2: >38.5 (101.3)

    • 5. AVPU
    • 0: alert
    • +1: reacts to voice
    • +2: reacts to pain
    • +3: unresponsive
  2. You assessed your patient for a signs of an impending cardiopulmonary arrest. After deciding that the pt. does not meet the criteria for RRT, and does not have an elevated early warning score, what should you do next?
    • Contact the appropriate healthcare provider to implement orders. Also seek assistance from lead nurse if needed.
    • Also monitor closely
  3. You have activated the RRT for your patient. List the next steps you need to do from here (4)
    • Initiate CPR
    • Request the crash cart
    • Obtain the pt. medical record and MAR
    • If available, apply AED pads
    • Stay with the patient when the code team arrives to answer questions (SBAR) and assist if needed
  4. What acute significant changes will you look for to meet the criteria for a rapid response? (facility specific) (4)
    • 1. Acute sig. change in pt. baseline RR and/or O2 sat
    • 2. HR
    • 3. BP
    • 4. Neurological status
  5. List the different types of people that could be part of the Resuscitation team
    • ED MD - Lead
    • ED RN - meds / IV / monitor
    • ICU RN - "
    • RT - airway
    • Supervisor - scribe
    • Staff - compresor
  6. List the three medications and doses during an adult cardiac arrest
    • 1. Epinephrine IV/IO: 1mg q3-5m
    • 2. Vasopressin IV/IO: 40 units can replace first or second dose of epinephrine (removed from the adult cardiac arrest algorithm AHA 2015)
    • 3. Amiodarone IV/IO: First dose - 300mg bolus, second dose - 150mg

    AHA states that vasopressin in combination with epinephrine offers no advantage as a substitute for standard-dose epinephrine in cardiac arrest.
  7. List 8 common code meds
    • 1. Amiodarone
    • 2. Adenosine
    • 3. Atropine
    • 4. Dopamine
    • 5. Epinephrine
    • 6. Magnesium
    • 7. Procainamide
    • 8. Vasopressin
  8. Which of these meds has been removed from the ACLS Cardiac arrest algorithm in 2015:

    A. Epinephrine
    B. Amiodarone
    C. Vasopressin
    C. Both epinephrine and vasopressin administration during cardiac arrest have been known to improve return of spontaneous circulation (ROSC), but evidence shows that efficacy of the 2 drugs are similar and that there is no benefit of administering both drugs as compared with epinephrine alone.
    (this multiple choice question has been scrambled)
  9. For post-cardiac arrest care, which patients are recommended for coronary angiography (detect blockages in the coronary arteries that are caused by plaque buildup)?
    Recommended for all pts with ST elevation and for hemodyamically or electrically unstable patients without this ST elevation.
  10. T or F: a comatose pt. with ROSC after a cardiac arrest should be cooled to 32-34 C for 24 hours.
    False: all comatose patients with ROSC should be maintained between 32-36 C for 24 hours. 

    You also want to actively prevent fever in comatose patints after targeted temp is maintained.
  11. How will you monitor and intervene blood pressure for post cardiac arrest care?
    Avoid and immediately correct hypotension (SBP <90 and MAP <65).

Card Set Information

Author:
edeleon
ID:
336608
Filename:
Code & Rapid Response
Updated:
2017-12-06 23:55:17
Tags:
code management nursing
Folders:
ADN-C,MSE4
Description:
ADN-C MSE4 Code management
Show Answers:

Home > Flashcards > Print Preview