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1. Define the ICU Specialized section of a hospital that provides care for the sickest patients
Around the clock
monitoring Specially
trained statt
Sophisticated monitoring equipment
2. Clinical pharma- Rounding
cist direct patient Code blue/code stroke
care activities
in the ICU 6. A in FASTHUGS BID
3. Clinical
pharma- cist
indirect PT
care activities
in the ICU
4. PKPD Changes
in critically ill
PTs
5. F in
FASTHUGS
BID
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, PHM 703 Exam 1 with all Correct & 100% Verified
Answers |Latest Version |Already Graded A+
M tion PKPD
e monitoring
d
Policy/protocol development
H Formulary management
X Research
P
Fluid shifts
r
renal dysfunction
e
Hepatic dysfunction
v
e Feeding
n
t Early enteral feeding is preferred over parenteral nutrition
A Consider feeding as soon as PT is stable
D
E Analgesia
s
ICU PTs have many reasons to be in pain, assess using ICU validated pain
P scales
a
t
i
e
n
t
e
d
u
c
a
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, PHM 703 Exam 1 with all Correct & 100% Verified
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Provide adequate analgesia to optimize PT comfort and minimize the acute
stress response
Consider the type of pain and
7. S in duration Sedation
FASTHUG
BID ICU patients should be sedated due to anxiety/pain
Use the RASS or SAS scales to measure, goal is RASS
0 to -2 Propofol and dexmedotomidine are the
preferred sedatives Thromboembolism prophy
8. T in
FASTHUGS ICU patients have a higher risk for VTE
BID
Most common agent is enoxaparin 40mg SQ daily
If high bleed risk, mechanical prophy with compression
socks Head of bed
9. H in Maintain the HOB at 30-45 degree elevation to prevent GI reflux and risk for
VAP
FASTHUGS
BID
Apply antiseptic mouthwash to the oral cavity TID
10. U in FASTHUGS Ulcer prophy
Critically ill PTs often develop stress related mucosal damage, leading to
bleeding
11. Major risk factors Ventilated >48 hrs
for GI bleeding in INR >1.5, platelets <50,000
the ICU
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, PHM 703 Exam 1 with all Correct & 100% Verified
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*If 1 is present prophy is required
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