ICU NURSING EXAM 1 STUDY GUIDE
Post op cardiac care (24-48hrs) - ANS-- HOLY GHOST VISITS EVERY CORONARY
-HEMO, GLUCOSE, VENT, EKG, CHEST TUBE
HEMODYNAMIC STABILITY: hypotension, hypertension, low CO
GLUCOSE MONITORING FOR DIABETICS TO PREVENT INFECTION
WEAN OFF VENTILATOR
EKG TO MONITOR FOR ST ELEVATION AND DYSRHYTMIAS
CHEST TUBE MANAGEMENT
Nursing care of a patient with a temporary pacer (transcutaneous,epicardial or
transvenous) - ANS-BIPDD
-watch for bleeding/hematoma
-watch for signs of infection at the insertion site
-monitor distal pulse on side of device implantation
-prevent dislodgement of electrodes
-watch for pacer/ICD dysfunction
Basics of why to pace - ANS--3rd degree heart block
-(Biventricular pacemaker) heart failure
- ICD is used for chronic vfib, vtach patients that dont benefit from antidysrhythmics)
-***Tachydysrhythmias & Bradydysrhythmias
- **Support for CO after cardiac surgery**
Nursing care of a patient with an arterial line - ANS-AID ( Assessing, Immobilizing,
Dressing)
Assess: redness, drainage, bruising, blanching , palpate for firmness/swelling **assess
distal pulses***
Immobilization: place joint/limb in neutral position to prevent joint flexion or extension
Dressing: place transparent dressing to allow O2 in and moisture out while providing a
barrier for protection
ALLENS TEST
LEVEL AT PHLEBOSTATIC AXIS (4TH INTERCOSTAL SPACE)
Post op cardiac care (24-48hrs) - ANS-- HOLY GHOST VISITS EVERY CORONARY
-HEMO, GLUCOSE, VENT, EKG, CHEST TUBE
HEMODYNAMIC STABILITY: hypotension, hypertension, low CO
GLUCOSE MONITORING FOR DIABETICS TO PREVENT INFECTION
WEAN OFF VENTILATOR
EKG TO MONITOR FOR ST ELEVATION AND DYSRHYTMIAS
CHEST TUBE MANAGEMENT
Nursing care of a patient with a temporary pacer (transcutaneous,epicardial or
transvenous) - ANS-BIPDD
-watch for bleeding/hematoma
-watch for signs of infection at the insertion site
-monitor distal pulse on side of device implantation
-prevent dislodgement of electrodes
-watch for pacer/ICD dysfunction
Basics of why to pace - ANS--3rd degree heart block
-(Biventricular pacemaker) heart failure
- ICD is used for chronic vfib, vtach patients that dont benefit from antidysrhythmics)
-***Tachydysrhythmias & Bradydysrhythmias
- **Support for CO after cardiac surgery**
Nursing care of a patient with an arterial line - ANS-AID ( Assessing, Immobilizing,
Dressing)
Assess: redness, drainage, bruising, blanching , palpate for firmness/swelling **assess
distal pulses***
Immobilization: place joint/limb in neutral position to prevent joint flexion or extension
Dressing: place transparent dressing to allow O2 in and moisture out while providing a
barrier for protection
ALLENS TEST
LEVEL AT PHLEBOSTATIC AXIS (4TH INTERCOSTAL SPACE)
