| To Be or NOT To Be Paralyzed | What to say about NMBAs | JACKPOT for Hazardous Medications | What to say about Cytotoxics |
|---|---|---|---|
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>What is facilitate intubation,
>mechanical ventilation, >surgical/diagnostic procedures, >control increasing ICP, >control increasing IAP, >treating shivering induced by therapeutic hypothermia?
Name at least three clinical indications for administration of NMBAs:
|
What is lacrimation, hypertension and tachycardia?
The best indication that more analgesia/sedation is required for a patient on a NMBA infusion is:
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What is High Alert Medications & Independent Double Check?
HAM & IDC are abbreviations for:
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What is independent double check.
When initiating infusions of "PINCH" drugs an _____ is required according to the High Alert Medication policy.
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|
What is there is no reversal
Reversal of a Depolarizing NMBA is achieved by:
|
What is ventilator synchrony is improved and alveolar barotrauma and inflammation is reduced.
Administration of NMBAs early in the course of severe ARDS has been shown to improve patient outcomes. This is likely because:
|
What is the Biomedical Waste Cardboard box container with cytotoxic label affixed?
The container used to dispose of contaminated PPE with KNOWN Hazard medication waste is this.
|
What is one time use only.
When administering an IV cytotoxic medication the IV administration set is good for _____.
|
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What is 5-7 minutes for time of onset and 45-60 minutes for duration of action?
The time of onset and duration of action for Cisatracurium is:
|
What is resistance & compliance?
NMBAs can benefit mechanically ventilated patients by reducing airway ________ & increasing lung______.
|
What is any person who is pregnant, trying to conceive, or breast-feeding?
The PPE worn for Potential Reproductive Hazardous medication administration must be worn by these staff.
|
What are Red sharps container & KNOWN Hazard sign on the door?
These two safety items must be present in a patient room when receiving a cytotoxic medication (until at least 48hrs since last dose).
|
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What is increases serum potassium levels and cardiac arrest.
Serious adverse effects associated with some depolarizing NMBAs include:
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What are aminoglycosides (Clindamycin, Tobramycin, and Gentamycin)?
The following class of medications can increase the duration of action of succinylcholine:
|
What are 2 pairs of Nitrile gloves & Isolation gown?
Name 2 REQUIRED pieces of PPE when administering an IV POTENTIAL HAZARD medication:
|
What is call hematology for an RN with Level 2 Cytotoxic Antineoplastic Administration SCC to administer the drug.
When an IV cytotoxic drug is being administered to treat a neoplasm on GSICU the primary RN should do this.
|
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What is Hoffman Elimination?
Cisatracurium is preferred for continuous infusions because of:
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What is ETCO2 monitoring for curare cleft in the capnogram?
The best method for monitoring / assessing need for the administration of additional NMBA.
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What is a KNOWN Hazardous medication administered by IV route?
Two 2 pairs of Nitrile gloves & Disposable Moisture Resistant (DMR) gown are at minimum required for this class of Hazardous Medication.
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Don appropriate PPE, back-prime the secondary set with primary solution, and flush remaining drug at the same rate it was being delivered.
An IV cytotoxic drug treating a neoplasm has finished infusing. The RN holding the level 1 SCC for cytotoxic drug administration should do this before donning PPE and discarding the set.
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