A.
Administer antiplatelets
✓
B.
Administer fresh frozen plasma (FFP) or Vitamin K as ordered
✓
C.
Administer a diuretic
✓
A.
Patient needs more beta-blocker
✓
B.
Beta-blocker induced bradycardia and hypotension, requiring physician notification and possible hold/reduction of dose
✓
D.
Patient needs more fluids
✓
B.
Ischemic bowel or gastrointestinal bleed
✓
A.
Increase the fluid removal rate
✓
B.
Decrease the fluid removal rate or administer fluid boluses
✓
C.
Increase the blood flow rate
✓
D.
Disconnect from CRRT
✓
A.
Increase oxygen saturation immediately
✓
B.
Assess for underlying causes (e.g., hypoxemia, hypercapnia, pain, delirium), and administer appropriate sedation/analgesia
✓
C.
Restrain the patient
✓
D.
Administer a diuretic
✓
A.
Epinephrine is not working
✓
B.
Epinephrine-induced tachycardia and arrhythmias, requiring physician notification and possible dose reduction
✓
C.
Patient needs more fluid
✓
A.
Increase environmental stimulation
✓
B.
Assess for neurological deterioration, notify physician, and prepare for interventions to lower ICP
✓
C.
Administer a sedative without assessment
✓
D.
Administer a diuretic
✓
B.
Hypokalemia, requiring immediate potassium replacement
✓
C.
Myocardial infarction
✓
A.
Patient is recovering well
✓
B.
Persistent tissue hypoperfusion or ongoing infection, requiring further assessment
✓
C.
Lactate is falsely elevated
✓
D.
Patient needs more fluid
✓
A.
To increase the readings
✓
B.
To eliminate the effect of atmospheric pressure on the measurements and ensure accuracy
✓
C.
To decrease the readings
✓
D.
To make the waveform flat
✓
A.
Administer potassium chloride
✓
B.
Administration of calcium gluconate, insulin/dextrose, or sodium polystyrene sulfonate (Kayexalate) as ordered
✓
C.
Administer a diuretic
✓
D.
Administer an antibiotic
✓
A.
Dextrose 5% in water
✓
B.
Isotonic crystalloids (e.g., Lactated Ringer's, Normal Saline)
✓
B.
Ileus or bowel obstruction/perforation
✓
B.
Place patient in Trendelenburg position, instruct to bear down (Valsalva), and apply occlusive dressing immediately after removal
✓
C.
Remove without dressing
✓
D.
Remove while patient is coughing
✓
A.
Administer more sedation
✓
B.
Optimize ventilator settings (e.g., increase PEEP, adjust I:E ratio), consider proning, or ECMO
✓
C.
Disconnect from ventilator
✓
D.
Administer a diuretic
✓
A.
Antibiotics are working
✓
B.
Inadequate antibiotic coverage or persistent source of infection, requiring further investigation
✓
C.
WBC is falsely elevated
✓
D.
Patient needs more fluid
✓
A.
Increase the CRRT blood flow
✓
B.
Assess for hypovolemia or bleeding, decrease CRRT fluid removal rate, or administer fluids/blood products as ordered
✓
C.
Stop CRRT without orders
✓
D.
Increase the CRRT fluid removal rate
✓
A.
Decreased afterload reduction
✓
B.
Suboptimal diastolic augmentation and decreased coronary artery perfusion
✓
D.
Increased heart rate
✓
