Need To Know at Florida Gulf Coast University | Flashcards & Summaries

Select your language

Suggested languages for you:
Log In Start studying!

Lernmaterialien für Need to know an der Florida Gulf Coast University

Greife auf kostenlose Karteikarten, Zusammenfassungen, Übungsaufgaben und Altklausuren für deinen Need to know Kurs an der Florida Gulf Coast University zu.

TESTE DEIN WISSEN
What is the ASA Physical Status classification?
Lösung anzeigen
TESTE DEIN WISSEN
  • ASA 1: normal healthy person
  • ASA 2: CONTROLLED systemic disease-NO impact on daily living
Ex. Asthma, controlled HTN, pregnancy, 
  • ASA 3: SIGNIFICANT systemic disease that limits normal activity-LIMITS daily activity
Ex. Renal failure on dialysis, Class 2 CHF
  • ASA 4: SEVERE disease systemic end stage-CONSTANT threat to life
EX. MI, RF on ventilator
  • ASA 5: Moribound pt -who has little survival without surgery
EX. Ruptured aneurysm
  • ASA 6: Declared Brain dead-organ donor
E: Emergency-can be aimed to any surgery and indicates an Emergency
Lösung ausblenden
TESTE DEIN WISSEN
What medications SHOULD  be taken on day of surgery?
Lösung anzeigen
TESTE DEIN WISSEN
  • Beta blockers
  • statins
  • INTERMEDIATE acting insulin (sometimes)
  • metformin
  • DM1 continue basal rate of short acting insulin
  • chronic steroids (may need extra supplements d/t stress associated adrenal insufficiency.  
                Minor stress (hernia repair)-home dose + 25mg of hydrocortisone
                Moderate stress (total joint replacement)-home dose + 50-75mg hydrocortisone
                Major stress (cardiac surgery)-home dose+ 100-150mg hydrocortisone q8h for 48-72 hrs
  • Valerian-CNS depressant should be continued
Lösung ausblenden
TESTE DEIN WISSEN
What are the 5 rights of medication administration?
Lösung anzeigen
TESTE DEIN WISSEN
5 rights of medication administration: PDDRT
  • right patient
  • right drug
  • right dose
  • right route
  • right time
Lösung ausblenden
TESTE DEIN WISSEN
What to do if there is a fire?
Lösung anzeigen
TESTE DEIN WISSEN
  • Disconnect the circuit from the ETT and turn off gases
  • remve the burning ETT tube
  • extinguish the fire
  • ventilate the patient
  • inspect the airway via bronchoscopy
  • reintubate the patient
Lösung ausblenden
TESTE DEIN WISSEN
When should aspirin be stopped for surgery? LMWH? Warfarin?
Lösung anzeigen
TESTE DEIN WISSEN
  • Aspirin should be discontinued if taken only for primary prevention 5-7 days before surgery.
  • MLWH is discontinued 12-24 hours before procedures with a risk of bleeding.
  • Wafarin should be held for 5 doses to low the INR to lower within reference range
                   If INR>3 it should be held longer
                   If INR >1.8 can give vitamin on day of surgery
Lösung ausblenden
TESTE DEIN WISSEN
How to figure out Estimated blood volume (EBV)?


Lösung anzeigen
TESTE DEIN WISSEN
Estimated blood volume: 
  • Adult female 65ml/kg
  • Adult Male 75ml/kg
  • Obese Female 60ml/kg
  • Obese Male 70ml/kg

Ex: Person weighs 70kg
  • Adult female would have an estimated blood volume of 65ml/kg x 70kg=4550ml
  • Adult male would have an estimated blood volume of 75ml/kg x 70kg=5250ml
  • Obese Female would have an estimated blood volume of 60ml/kg x 70kg=4200ml
  • Obese Male would have an estimated blood volume of 70ml/kg x 70kg=4900ml

Lösung ausblenden
TESTE DEIN WISSEN
How do you figure out allowable blood loss?
Lösung anzeigen
TESTE DEIN WISSEN
Allowable blood loss is:
         EBVx (pre-op HCT-acceptable HCT)
—————————————————————————
                          Pre-op HCT

Ex. What is the allowable blood loss for a 70kg patient with prep HCT of 39 and acceptable HCT of 30?

65ml/kg x 70kg=4550ml EBV

4550ml x (39-30)
—————————-= 1050ml would be the allowable blood loss
         39
Lösung ausblenden
TESTE DEIN WISSEN
What are the CMS measures to prevent surgical site infection?
Lösung anzeigen
TESTE DEIN WISSEN
  • Prep antibiotic within 1 hour prior to incision or 2 hours for vancomycin
  • remove hair with CLIPPERS
  • BG less than 200mg/dL
  • maintain normothermia >36 degrees
Lösung ausblenden
TESTE DEIN WISSEN
How do you properly label a syringe?
Lösung anzeigen
TESTE DEIN WISSEN
Label the syringe with:
  • initials
  • date
  • time
  • medication name
  • concentration of medication

Discard syringes in 1 hour if not used 
Lösung ausblenden
TESTE DEIN WISSEN
How to calculate the hourly maintenance IVF?
Lösung anzeigen
TESTE DEIN WISSEN
Adults that are greater than 40kg:
                       kg +40ml/hour

pediatric patients use the 4-2-1 rule
  • 4ml/kg/hour for the first 10kg
  • 2ml/kg/hours for the next 10 kg
  • 1ml/kg/hour for anything over 20kg

Example 1: 60kg patient 
60kg+40ml/hr=100ml/hr

Example 2: 30kg kid
4ml/kg x 10kg=40ml
2ml/kg x 10kg=20ml
1ml/kg x 10kg=10ml
which totals 70ml/hr

Lösung ausblenden
TESTE DEIN WISSEN
How to calculate the NPO fluid deficit?
Lösung anzeigen
TESTE DEIN WISSEN
NPO fluid deficit:
          Maintenance fluid x NPO hours
Replacement:
  • 1st hour: 50%
  • 2nd hour: 25%
  • 3rd hour: 25%

Example: 70kg patient that has been NPO since midnight

maintenance=70kg +40ml/hr=110ml/hr

110ml x 8 hours=880ml

Then you would replace as follows:
  • 1st hour: 440ml
  • 2nd hour: 220ml
  • 3rd hour: 220ml
Lösung ausblenden
TESTE DEIN WISSEN
What are the fasting guidelines?
Lösung anzeigen
TESTE DEIN WISSEN
  • Up to 8 hours- full meal/food and fluids as desired
  • Up to 6 hours-light meal, INFANT formula, nonhuman milk
  • up to 4 hours-breast milk
  • up to 2 hours-clear liquids (no solids or anything with fat in it)
  • during the 2 hours-No solids or liquids

Lösung ausblenden
  • 2850 Karteikarten
  • 39 Studierende
  • 0 Lernmaterialien

Beispielhafte Karteikarten für deinen Need to know Kurs an der Florida Gulf Coast University - von Kommilitonen auf StudySmarter erstellt!

Q:
What is the ASA Physical Status classification?
A:
  • ASA 1: normal healthy person
  • ASA 2: CONTROLLED systemic disease-NO impact on daily living
Ex. Asthma, controlled HTN, pregnancy, 
  • ASA 3: SIGNIFICANT systemic disease that limits normal activity-LIMITS daily activity
Ex. Renal failure on dialysis, Class 2 CHF
  • ASA 4: SEVERE disease systemic end stage-CONSTANT threat to life
EX. MI, RF on ventilator
  • ASA 5: Moribound pt -who has little survival without surgery
EX. Ruptured aneurysm
  • ASA 6: Declared Brain dead-organ donor
E: Emergency-can be aimed to any surgery and indicates an Emergency
Q:
What medications SHOULD  be taken on day of surgery?
A:
  • Beta blockers
  • statins
  • INTERMEDIATE acting insulin (sometimes)
  • metformin
  • DM1 continue basal rate of short acting insulin
  • chronic steroids (may need extra supplements d/t stress associated adrenal insufficiency.  
                Minor stress (hernia repair)-home dose + 25mg of hydrocortisone
                Moderate stress (total joint replacement)-home dose + 50-75mg hydrocortisone
                Major stress (cardiac surgery)-home dose+ 100-150mg hydrocortisone q8h for 48-72 hrs
  • Valerian-CNS depressant should be continued
Q:
What are the 5 rights of medication administration?
A:
5 rights of medication administration: PDDRT
  • right patient
  • right drug
  • right dose
  • right route
  • right time
Q:
What to do if there is a fire?
A:
  • Disconnect the circuit from the ETT and turn off gases
  • remve the burning ETT tube
  • extinguish the fire
  • ventilate the patient
  • inspect the airway via bronchoscopy
  • reintubate the patient
Q:
When should aspirin be stopped for surgery? LMWH? Warfarin?
A:
  • Aspirin should be discontinued if taken only for primary prevention 5-7 days before surgery.
  • MLWH is discontinued 12-24 hours before procedures with a risk of bleeding.
  • Wafarin should be held for 5 doses to low the INR to lower within reference range
                   If INR>3 it should be held longer
                   If INR >1.8 can give vitamin on day of surgery
Mehr Karteikarten anzeigen
Q:
How to figure out Estimated blood volume (EBV)?


A:
Estimated blood volume: 
  • Adult female 65ml/kg
  • Adult Male 75ml/kg
  • Obese Female 60ml/kg
  • Obese Male 70ml/kg

Ex: Person weighs 70kg
  • Adult female would have an estimated blood volume of 65ml/kg x 70kg=4550ml
  • Adult male would have an estimated blood volume of 75ml/kg x 70kg=5250ml
  • Obese Female would have an estimated blood volume of 60ml/kg x 70kg=4200ml
  • Obese Male would have an estimated blood volume of 70ml/kg x 70kg=4900ml

Q:
How do you figure out allowable blood loss?
A:
Allowable blood loss is:
         EBVx (pre-op HCT-acceptable HCT)
—————————————————————————
                          Pre-op HCT

Ex. What is the allowable blood loss for a 70kg patient with prep HCT of 39 and acceptable HCT of 30?

65ml/kg x 70kg=4550ml EBV

4550ml x (39-30)
—————————-= 1050ml would be the allowable blood loss
         39
Q:
What are the CMS measures to prevent surgical site infection?
A:
  • Prep antibiotic within 1 hour prior to incision or 2 hours for vancomycin
  • remove hair with CLIPPERS
  • BG less than 200mg/dL
  • maintain normothermia >36 degrees
Q:
How do you properly label a syringe?
A:
Label the syringe with:
  • initials
  • date
  • time
  • medication name
  • concentration of medication

Discard syringes in 1 hour if not used 
Q:
How to calculate the hourly maintenance IVF?
A:
Adults that are greater than 40kg:
                       kg +40ml/hour

pediatric patients use the 4-2-1 rule
  • 4ml/kg/hour for the first 10kg
  • 2ml/kg/hours for the next 10 kg
  • 1ml/kg/hour for anything over 20kg

Example 1: 60kg patient 
60kg+40ml/hr=100ml/hr

Example 2: 30kg kid
4ml/kg x 10kg=40ml
2ml/kg x 10kg=20ml
1ml/kg x 10kg=10ml
which totals 70ml/hr

Q:
How to calculate the NPO fluid deficit?
A:
NPO fluid deficit:
          Maintenance fluid x NPO hours
Replacement:
  • 1st hour: 50%
  • 2nd hour: 25%
  • 3rd hour: 25%

Example: 70kg patient that has been NPO since midnight

maintenance=70kg +40ml/hr=110ml/hr

110ml x 8 hours=880ml

Then you would replace as follows:
  • 1st hour: 440ml
  • 2nd hour: 220ml
  • 3rd hour: 220ml
Q:
What are the fasting guidelines?
A:
  • Up to 8 hours- full meal/food and fluids as desired
  • Up to 6 hours-light meal, INFANT formula, nonhuman milk
  • up to 4 hours-breast milk
  • up to 2 hours-clear liquids (no solids or anything with fat in it)
  • during the 2 hours-No solids or liquids

Need to know

Erstelle und finde Lernmaterialien auf StudySmarter.

Greife kostenlos auf tausende geteilte Karteikarten, Zusammenfassungen, Altklausuren und mehr zu.

Jetzt loslegen

Das sind die beliebtesten Need to know Kurse im gesamten StudySmarter Universum

Mycology (MUST TO KNOW)

Silliman University

Zum Kurs
Common Ions to Know

Mission College

Zum Kurs
ions to know

California State University, Sacramento

Zum Kurs
TO

Universidade do Estado do Rio de Janeiro

Zum Kurs
elements need to know

Sullivan University

Zum Kurs

Die all-in-one Lernapp für Studierende

Greife auf Millionen geteilter Lernmaterialien der StudySmarter Community zu
Kostenlos anmelden Need to know
Erstelle Karteikarten und Zusammenfassungen mit den StudySmarter Tools
Kostenlos loslegen Need to know