A.
Administer more fluids
✓
B.
Slow down or stop fluid administration, elevate head of bed, and notify physician
✓
C.
Administer a vasopressor
✓
D.
Administer an antibiotic
✓
B.
Intracranial hemorrhage, requiring immediate discontinuation of fibrinolytic and urgent CT scan
✓
C.
Reperfusion arrhythmia
✓
B.
Elevate head of bed 30-45 degrees, daily sedation holidays, oral care with chlorhexidine, and DVT/stress ulcer prophylaxis
✓
C.
Frequent suctioning only
✓
D.
Allowing patient to self-extubate
✓
B.
Assess for causes (e.g., agitation, coughing, EVD obstruction), ensure proper EVD drainage, and notify physician
✓
C.
Lower the head of the bed
✓
D.
Administer more fluid
✓
A.
Administer oral glucose
✓
B.
Administer IV dextrose (e.g., D50W) stat
✓
D.
Administer a diuretic
✓
B.
Ventricular fibrillation
✓
D.
Supraventricular tachycardia
✓
B.
Initiate CPR immediately and administer epinephrine as ordered
✓
C.
Synchronized cardioversion
✓
A.
Increase the blood flow rate
✓
B.
Apply direct pressure to the site, notify physician, and assess coagulation status
✓
C.
Administer more fluid
✓
D.
Stop CRRT without orders
✓
A.
Insufficient dobutamine dose
✓
B.
Dobutamine-induced tachycardia and myocardial ischemia, requiring physician notification and possible dose adjustment
✓
B.
Elevate head of bed to 30-45 degrees, check tube placement before feeding, and administer prokinetics if ordered
✓
C.
Do not check placement
✓
D.
Administer feed immediately after insertion
✓
A.
Increase sedation only
✓
B.
Preparation for proning or ECMO
✓
C.
Discontinuation of ventilator
✓
D.
Administration of diuretics
✓
B.
Hepatic encephalopathy
✓
A.
Re-zero the transducer
✓
B.
Assess the patient's clinical status, check for bleeding/disconnection, and initiate rapid fluid bolus or vasopressor as ordered
✓
C.
Administer a diuretic
✓
D.
Calibrate the monitor
✓
A.
Administer a diuretic
✓
B.
Aggressive intravenous fluid resuscitation to prevent acute kidney injury
✓
C.
Administer antibiotics
✓
D.
Administer a vasoconstrictor
✓
A.
Warm the blood in a microwave
✓
B.
Verify patient identity and blood product according to hospital policy with a second licensed professional
✓
C.
Administer without consent
✓
D.
Infuse rapidly without monitoring
✓
B.
Increased intracranial pressure (ICP) with brainstem compression
✓
A.
Increase the blood flow rate
✓
B.
Flush the access line according to protocol, and notify the nephrologist/intensivist
✓
C.
Administer a diuretic
✓
D.
Disconnect the patient from CRRT
✓
A.
Discontinuation of norepinephrine
✓
B.
Addition of a second vasopressor (e.g., vasopressin) or hydrocortisone
✓
C.
Increase the patient's fluid intake significantly
✓
D.
Administer a diuretic
✓
A.
Normal neurological function
✓
B.
Severe brainstem compression and imminent herniation
✓
