Critical Care and Emergency Nursing Flashcards

What is the DHA nursing role in the management of sepsis?

Answer: Early recognition using screening tools, obtaining blood cultures, ensuring IV antibiotics within 1 hour, fluid resuscitation, and lactate monitoring

DHA nurses play a critical role in sepsis management: screening for sepsis using validated tools, obtaining blood cultures before antibiotics, ensuring antibiotic administration within 1 hour, initiating fluid resuscitation, and monitoring lactate levels.

What is the DHA protocol for managing acute respiratory distress syndrome (ARDS)?

Answer: Lung-protective ventilation strategy, prone positioning, strict fluid management, and continuous monitoring of oxygenation and compliance

DHA ARDS management includes lung-protective ventilation (low tidal volumes 6ml/kg), prone positioning for 16+ hours, conservative fluid management, continuous SpO2/ABG monitoring, and sedation management.

What is the DHA requirement for pain management in critically ill patients?

Answer: Regular pain assessment using appropriate tools, multimodal analgesia, sedation-analgesia protocols, and daily sedation interruption trials

DHA requires systematic pain assessment using appropriate tools (CPOT, BPS for ventilated patients), multimodal analgesia approaches, protocol-guided sedation, and daily sedation vacation trials for ventilated patients.

What is the DHA blood gas interpretation competency required for ICU nurses?

Answer: Interpret pH, PaCO2, PaO2, HCO3, base excess, and identify respiratory/metabolic acidosis/alkalosis

DHA requires ICU nurses to competently interpret arterial blood gas results including pH, PaCO2, PaO2, HCO3, and base excess to identify acid-base disturbances and oxygenation status for timely intervention.

What is the DHA protocol for delirium assessment and management in ICU?

Answer: Screen using validated tools (CAM-ICU), implement prevention bundles (ABCDEF), minimize sedation, and promote sleep-wake cycles

DHA requires regular delirium screening using validated tools like CAM-ICU, implementation of the ABCDEF bundle (assessment, breathing trials, coordination, delirium monitoring, early mobility, family engagement), and non-pharmacological prevention.

What is the DHA nursing responsibility for organ donation management?

Answer: Identify potential donors, notify the organ donation coordinator, maintain physiological stability of the donor, and support the family

DHA nurses play key roles in organ donation: identifying potential donors through clinical triggers, notifying coordinators, maintaining donor physiological stability (hemodynamics, oxygenation, temperature), and providing family support.