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...
✓✓~ 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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