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ICU drugs (drips and IV push)
Fentanyl 
-indications 
analgesia for intubated pt 
-continuous infusion: 0/7-10mcg/kg/hr 
-intermittent: 0.35-1.5mcg/kg IV q30min-1hr 
general, regional, and procedural anesthesia /sedation adjunct 
postop pain 
Fentanyl 
-MOA 
-Half Life 
opioid agonist
- Exam (elaborations)
- • 21 pages •
Fentanyl 
-indications 
analgesia for intubated pt 
-continuous infusion: 0/7-10mcg/kg/hr 
-intermittent: 0.35-1.5mcg/kg IV q30min-1hr 
general, regional, and procedural anesthesia /sedation adjunct 
postop pain 
Fentanyl 
-MOA 
-Half Life 
opioid agonist
ICU delirium
Hyperactive 
Agitation, hyper-vigilance, irritability, lack of concentration, and perseveration 
Hypoactive 
diminished alertness, absent or slowed speech, hypokinesia and lethargy 
mix 
both hyperactive and hypoactive
- Exam (elaborations)
- • 7 pages •
Hyperactive 
Agitation, hyper-vigilance, irritability, lack of concentration, and perseveration 
Hypoactive 
diminished alertness, absent or slowed speech, hypokinesia and lethargy 
mix 
both hyperactive and hypoactive
Critical Care Environments
An environment that provides comprehensive care for a wide variety of disorders is under what level of 
critical care units? 
Level I 
An environment that provides comprehensive critical care for most disorders but the unit may not be 
able to care for specific types of patients is under what level of critical care units? 
Level II 
An environment that provides initial stabilization of critically ill patients but limited in ability to provide 
comprehensive critical care is under what level of c...
- Exam (elaborations)
- • 5 pages •
An environment that provides comprehensive care for a wide variety of disorders is under what level of 
critical care units? 
Level I 
An environment that provides comprehensive critical care for most disorders but the unit may not be 
able to care for specific types of patients is under what level of critical care units? 
Level II 
An environment that provides initial stabilization of critically ill patients but limited in ability to provide 
comprehensive critical care is under what level of c...
Critical care clinical competency
SA node rate 
60-100 
Atria rate 
60-80 
AV junction rate 
40-60 
Ventricles rate 
20-40
- Exam (elaborations)
- • 15 pages •
SA node rate 
60-100 
Atria rate 
60-80 
AV junction rate 
40-60 
Ventricles rate 
20-40
Critical Care/ICU Competency
VersaCare Bed 
- blue air mattress that provides pressure relief for pts with up to Stage III pressure sores 
--> air fills up on one side in order to turn the pt 
--> pressure relief primarily to UB (staff must reposition LB in order to provide full body relief) 
Total Sport Care Bed 
- each ICU unit owns 1-2 total sport care beds. Include pink air mattress that provides some pressure 
relief to the pt with rotation in UB 
--> provides pulmonary care to pts who require frequent chest p...
- Exam (elaborations)
- • 33 pages •
VersaCare Bed 
- blue air mattress that provides pressure relief for pts with up to Stage III pressure sores 
--> air fills up on one side in order to turn the pt 
--> pressure relief primarily to UB (staff must reposition LB in order to provide full body relief) 
Total Sport Care Bed 
- each ICU unit owns 1-2 total sport care beds. Include pink air mattress that provides some pressure 
relief to the pt with rotation in UB 
--> provides pulmonary care to pts who require frequent chest p...
Complex Practice Questions-Critical Care E.D.
An older adult patient in the ICU has diabetes. Which intervention could the nurse perform that would 
best prevent complications related to this disease? 
A) Have the patient rise from his bed and bear weight. 
B) Offer the patient sugar-free candy. 
C) Bathe the patients feet daily and apply emollient. 
D) Reposition the patient often in bed. 
C) Bathe the patients feet daily and apply emollient. 
An elderly patient in the ICU has hyperthyroidism. As the nurse is talking with her, she suddenly...
- Exam (elaborations)
- • 83 pages •
An older adult patient in the ICU has diabetes. Which intervention could the nurse perform that would 
best prevent complications related to this disease? 
A) Have the patient rise from his bed and bear weight. 
B) Offer the patient sugar-free candy. 
C) Bathe the patients feet daily and apply emollient. 
D) Reposition the patient often in bed. 
C) Bathe the patients feet daily and apply emollient. 
An elderly patient in the ICU has hyperthyroidism. As the nurse is talking with her, she suddenly...
Common ICU Drugs
Ancef 
cefazolin sodium 
1st generation cephalosporin abx 
indications: endocarditis, septicemia, bacteria associated with intravascular line 
monitor: fever, s/s, cbc, hepatic/renal function, PTT, superinfections 
Dexmedetomidine hydrochloride 
Precedex 
alpha 2 adrenergic agonist, sedative 
indication: sedation, mechanically intubated, general anesthesia, sedation awake craniotomy, AGITATED, 
impulsive 
MOA: affects alpha 2 with slow infusions, and alpha 1 and 2 with rapid. 
monitor: HR, BP
- Exam (elaborations)
- • 26 pages •
Ancef 
cefazolin sodium 
1st generation cephalosporin abx 
indications: endocarditis, septicemia, bacteria associated with intravascular line 
monitor: fever, s/s, cbc, hepatic/renal function, PTT, superinfections 
Dexmedetomidine hydrochloride 
Precedex 
alpha 2 adrenergic agonist, sedative 
indication: sedation, mechanically intubated, general anesthesia, sedation awake craniotomy, AGITATED, 
impulsive 
MOA: affects alpha 2 with slow infusions, and alpha 1 and 2 with rapid. 
monitor: HR, BP
Chapter 11
While completing preoperative patient teaching, which information should the nurse include for a 
surgery with a general anesthetic? 
a. It produces muscle relaxation and loss of consciousness. 
b. It affects a specific region of the body to block pain sensation. 
c. It uses only one type of medication to produce sedation. 
d. It provides moderate sedation that allows you to relax. 
a 
A patient verbalizes concern to the nurse regarding postoperative nausea and vomiting from the 
anesthesia. Whi...
- Exam (elaborations)
- • 3 pages •
While completing preoperative patient teaching, which information should the nurse include for a 
surgery with a general anesthetic? 
a. It produces muscle relaxation and loss of consciousness. 
b. It affects a specific region of the body to block pain sensation. 
c. It uses only one type of medication to produce sedation. 
d. It provides moderate sedation that allows you to relax. 
a 
A patient verbalizes concern to the nurse regarding postoperative nausea and vomiting from the 
anesthesia. Whi...
Chapter 5
A patient is transferred from an intensive care unit (ICU) to a general medical unit. Which nursing action 
is MOST appropriate to prevent a medication error? 
A. Contact the health care provider to rewrite all drug prescriptions. 
B. Perform a medication reconciliation for the patient during care transition. 
C. Ask the patient what medications need to be taken while in the hospital. 
D. Communicate a verbal report face to face from the transferring nurse. 
D 
When admitting an older adult pati...
- Exam (elaborations)
- • 5 pages •
A patient is transferred from an intensive care unit (ICU) to a general medical unit. Which nursing action 
is MOST appropriate to prevent a medication error? 
A. Contact the health care provider to rewrite all drug prescriptions. 
B. Perform a medication reconciliation for the patient during care transition. 
C. Ask the patient what medications need to be taken while in the hospital. 
D. Communicate a verbal report face to face from the transferring nurse. 
D 
When admitting an older adult pati...
CHAPTER 1: INTRODUCTION TO CRITICAL CARE
Critical care nurses 
___________ provide specialized care to patients experiencing a life threatening or potentially lifethreatening illness. Must have an adequate understanding of the practice of critical care nursing that is 
embodied in different standards of care competencies as well as an affiliate and continuously adheres to 
professional organizations in critical care nursing. 
complex, intensive and continuous 
A _____________ type of care is significantly required through education and...
- Exam (elaborations)
- • 34 pages •
Critical care nurses 
___________ provide specialized care to patients experiencing a life threatening or potentially lifethreatening illness. Must have an adequate understanding of the practice of critical care nursing that is 
embodied in different standards of care competencies as well as an affiliate and continuously adheres to 
professional organizations in critical care nursing. 
complex, intensive and continuous 
A _____________ type of care is significantly required through education and...