| Medication's Extra Monitoring | Name that Arrhythmia/Rhythm | Erin's Pet Peeves | Medication Side Effects | CICU Colloquialisms |
|---|---|---|---|---|
|
What is blood pressures 15, 30, 45, 60 & 90 minutes after initiation or increased dose
Captopril
|
What is PAC
single beat; fast; narrow
|
What is blood draw; IV placement; echo; line placement; IM injection; eye exam; dressing change, NG tube insertion; foley insertion, wound care;
NOT FOR CRYING CRANKY BABIES (see policy for dosing! not unlimited)
Indications for sweeties
|
What is apnea (which may lead to bradycardia); stim, mask cpap, escalate resp support if frequent or poorly tolerated
PGE
|
What is a connection (usual ASD/PFO) intentionally left open after surgical repair to allow blood to shunt across if needed (ie-after tof repair, if RV isn't happy, blood can shunt across ASD to left side, making patient slightly desaturated)
"pop off"
|
|
What is blood glucose monitoring • before the first dose ; 60 minutes after the first dose; 60 minutes after the second dose ;60 minutes after a dose on the second day (hold if <70)
Propranolol
|
What is PVC
single beat, fast, wide (no p wave)
|
At the patient's bedside, confirm bottle of BM patient name & MRN to ID band the patient is wearing! Any healthcare worker can complete the second check. Confirm they go back into epic & dual sign
Correct way to Double Check Breast Milk
|
What is hypotension (phosphodiesterase inhibitor: aka, keeps their feet warm); 6-8 hr half life
Milrinone
|
What is presumed headache post bidirectional glenn surgery when the blood has to passively enter the lungs, which may be congested after repair.
"Glenn Head"
|
|
What is pr interval (0.12-0.2) heart rate, and confirm dose (5-15 mcg/kg/day)
Digoxin
|
What is junctional
no p waves
|
What is the "TVD" (total volume delivered) on Medfusion Pump or Volume Total on Infinity pump (don't just add up ordered hourly rate!!!!) be sure to clear pumps at 0600
Source of cumulative feed volume
|
What is tachycardia
Albuterol
|
What is a patient who has unpredictable PVR (pulmonary vascular resistance), which may lead to desaturation or arrest; frequently post repair (stage 1's) or patients with history of pulmonary hypertension after anesthesia.
"twitchy PVR"
|
|
What is cbc prior to initiation; ptt 4 hours after initiation or a change
Heparin
|
What is SVT
fast, regular, narrow (sustained)
|
Who is anyone pre/post arch repair; pre/post BTS
Who receives 4 extremity blood pressures?
|
What is cold, bradycardic, heart block.
Dexmedetomidine
|
What is findings of PLE, plastic bronchitis, or sinus node dysfunction in a Fontan.
"Failing fontan"
|
|
What is drug level drawn 1/2 hour before dose is due (don't hold unless told specifically)
Tacrolimus
|
What is EAT
fast, irregular, narrow (usually short runs, occasionally sustained)
|
What is read the procedure/policy....
How to handle a new task
|
What is flushing, headache, infusion site pain; extremity pain, nausea, vomiting...worse with dose increases
Remodulin
|
What is PDA stent & pa bands; less risky procedure for little babies or unstable or while awaiting final procedure decision
"hybrid" repair
|
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