Exam (elaborations)

Surgical ICU Questions and Correct Answers

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Course
Surgical ICU

Institution
Surgical ICU

Which sedative allows for a more normal sleep wake cycle? ~ Precedex Whcih sedative has less effect on BP- less hypotension? ~ Precedex What is a sedative that i good for psychosis? ~ Haldol What should we be cautious of when using haldol? ~ careful in elderly and EKG concern for QT prolonga...

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Uploaded on August 11, 2024
Number of pages 12
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

surgical icu questions and correct answers

Institution Surgical ICU
Course Surgical ICU

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Surgical ICU Questions and Correct
Answers

What is the nurse to patient ratio in the ICU?

✓✓~ 1:2, with nursing care needed every hour on the hour

Who is the primary care provider when the patient enters a closed ICU?

✓✓~ the ICU staff

What procedures can occur bedside in the ICU?

✓✓~ most all, bronch, central lines

Where can central lines be placed?

✓✓~ subclavian, internal jugular, and femoral

Of the these sites, which is more prone to infections and why?

✓✓~ the femoral site bc the groin is dark moist and grows stuff so typically don't leave it more
than 24 hours

What are central lines made of and what size and type are mostly used?

✓✓~ polyurethane, 7 french, triple lumen

, What does PIC stand for and what is it made of?

✓✓~ peripheral inserted catheter, made of silicone

Why is heparin preferred for anticoagulation?

✓✓~ bc it is short acting and reversible

What is the MOA of heparin??

✓✓~ inhibition of platelets, binds to antithrombin II which then inactivates thrombin and other
proteases involved in blood clotting, most notably factor Xa.

What reverses heparin?

✓✓~ Protamine Sulfate

What is the route and dose typically administered of heparin?

✓✓~ subQ injections 5000 units every 8 hours for prophylaxis

What lab would you use to guide treatment with heparin?

✓✓~ PTT- not the PT/INR!!

What is not typically given as an anticoagulant to patients that have a risk for

bleeding or renal failure, even though it is easier than heparin?

✓✓~ Lovenox

Besides heparin and lovenox, what are other common anticoagulants?

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