Critical Care and Emergency Nursing Flashcards

What is the DHA protocol for managing a patient on mechanical ventilation?

Answer: Continuous monitoring of ventilator parameters, regular ABG analysis, oral care every 4 hours, and VAP prevention bundle compliance

DHA ICU nursing requires continuous ventilator monitoring (tidal volumes, pressures, FiO2), regular ABG analysis, oral care with chlorhexidine every 4 hours, head-of-bed elevation, and full VAP prevention bundle compliance.

What is the DHA rapid response team activation criteria?

Answer: Defined triggers including acute change in heart rate, blood pressure, respiratory rate, oxygen saturation, or consciousness level

DHA rapid response team activation is triggered by specific physiological criteria including acute changes in vital signs or consciousness level, allowing any concerned staff member to activate the team.

What is the DHA nursing role in managing patients receiving continuous renal replacement therapy (CRRT)?

Answer: Monitor circuit pressures, anticoagulation, fluid balance hourly, electrolyte levels, and access site integrity

DHA ICU nurses managing CRRT must monitor circuit pressures and patency, anticoagulation therapy, strict hourly fluid balance calculations, electrolyte monitoring, and vascular access site assessment.

What is the DHA protocol for targeted temperature management after cardiac arrest?

Answer: Maintain target temperature of 32-36°C using cooling devices, continuous temperature monitoring, and sedation management

DHA post-cardiac arrest care includes targeted temperature management at 32-36°C using specialized cooling devices, continuous core temperature monitoring, appropriate sedation, and prevention of shivering.

What hemodynamic monitoring parameters must DHA ICU nurses understand?

Answer: Arterial blood pressure, central venous pressure, cardiac output, mean arterial pressure, and their clinical significance

DHA ICU nurses must understand and monitor multiple hemodynamic parameters including arterial BP, CVP, cardiac output/index, MAP, SVR, and their significance for guiding fluid and vasopressor therapy.

What is the DHA protocol for safe patient transport within the hospital?

Answer: Pre-transport assessment, appropriate monitoring equipment, emergency medications, trained escort, and communication with receiving area

DHA requires pre-transport stability assessment, portable monitoring equipment, emergency medications and airway equipment, trained clinical escort appropriate to acuity, and prior communication with the receiving department.