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CVICU Quiz Postop Order Set
:)
32
Nursing
Graduate
02/25/2016

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Cards

Term
Once extubated, what is the post op diet order?
Definition
NPO, advance as tolerated
Term
What is the order set for chest tube suction setting?
Definition
-20 ccH2O
Term
Does the postop order set allow you to insert NG/OG tube on an intubated post op patient?
Definition
Yes, if leaving patient intubated overnight, get KUB to comfirm placement
Term
WHat are immediate postop orders?
Definition
Hct, K+, BG, BUN, Cr, iMag, iCa+, ABG, SVO2
Term
4 Hour postop orders?
Definition
Hct, K+, Hbg if bleeding
Term
What labs are sent POD1?
Definition
CBC, BMP
Term
How much time after extubation do you have to get patient OOB?
Definition
4 hours
Term
WHen do antibiotics have to be d/c'd by to maintain SCIP?
Definition
48 hours after OR endtime
Term
What IV pain medication is available for you to use?
Definition
Morphine 2-4 mg IVP

Norco 5-325, 7.5 325, 10-325 PO Q 4hours
Term
When do you take off the SVG Ace wrap?
Definition
0600 POD1
Term
When do you notify MD of UO?
Definition
If less than 30 ml/hr x 2 hours
Term
What VTE prohylaxis do all postoppatients have?
Definition
SCDs (don't need if on anticoagulants; one or the other)
Term
Who does RN call to consult for Blood sugar management?
Definition
Med Provider (214) 820-3000
Term
How often do you need to check temp?
Definition
W4hours
Term
WHat electrolyte protocol do you have ordered to replace electrolytes?
Definition
K+:

Mg:

Ca:

Ph:
Term
WHat 3 criteria must be met to follow rapid extubation order set?
Definition
1. Hemo stable
2. SpO2 >94% on FiO2 <50%
3. Awake, follows commands, breathing spontaneously
Term
Once extubated, how often is IS done?
Definition
Q2 hours while awake
Term
Which doctors run NS at 20 ml/hr on their post op pts?
Definition
Gonzo, Mec, Themis, Raphael
Term
Per the rapid extubation order set, how long do you wait to send an ABG?
Definition
30 minutes after extubation
Term
How often are radial and pedal pulses checked?
Definition
Q4 hours. If IABP or ECMO, Q HR
Term
How often do you check vital signs on admissions?
Definition
On admit, then Q15 min x 4, then Q30 x 2, then Q HR
Term
Do you send both Hct and Hgb to stat lab on admission adn 4 hours postop?
Definition
Both on admit, only Hct at 4 hours unless bleeding
Term
POD2, diet should be what?
Definition
Diabetic 1800 Carb Control
Term
How many bottles of albumin can be given postop without asking doctos?
Definition
3 bottles, max 750 ml
Term
When do you get a 12 lead EKG?
Definition
STAT on admit, then daily AM
Term
How often can you give PO TYlenol and what is the temperature you can give it for?
Definition
Q6 hours for temp over 101
Term
What BP do you titrate Nipride, NTG and Cardene for?
Definition
SBP 95-110
Term
How often and at what time are patients weighed?
Definition
Daily 0500
Term
If patient is unable to take PO aspirin what is the order for?
Definition
PR aspirin 300 mg suppository
Term
We give 20 mEq KCl ivpb for potassium less than:
Definition
3.8
Term
We give CaCl 1 gram ivpb for iCa less than:
Definition
1.11
Term
We give MagSulfate 1 gram IVPB for iMag less than:
Definition
0.5
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