06.03 Multi-System CCRN Important Points for CCRN Review
Included In This Lesson
Outline
Nursing Points
General
- Important points for testing
- Massive blood transfusion–> Large amount over 24-hour period
- High amounts of citrate which can cause hypocalcemia
- Citrate = Preservative in blood donation bag
- Binds to calcium and inactivates it
- Citrate then reduces calcium level in blood
- Removed from blood by liver quickly but not in large amounts and not in trauma patients
- TPN (Total Parenteral Nutrition)
- Creats increase in insulin
- Causes cellular shift of phosphate
- Results in hypophosphatemia
- Causes cellular shift of phosphate
- Creats increase in insulin
- Amphogel-> Medication for gastric acid and it reduces phosphate levels
- ARDS ( Acute Respiratory Distress Syndrome)
- Fluids leak into lungs–>Causes difficulty breathing
- Decrease fluids in these patients
- Acidosis–> Increases potassium
- MCL1 (Modified Chest Lead, Marriott’s Chest Lead, Modified Central Lead)
- On 12 lead EKG
- Negative electrode below left clavicle
- Positive electrode on 4th intercostal space
- MCL1 will differentiates Ectopy vs. Aberrancy
- On 12 lead EKG
- Massive blood transfusion–> Large amount over 24-hour period
CCRN Review (Critical Care Certification Review)
This course is a review for the CCRN exam. Experienced critical care nurses that meet the testing criteria can use this course to review key concepts for their CCRN exam, which is a certification for critical care nurses. Criteria to test includes having 1,750 hours in direct bedside care of acutely and/or critically ill patients during the last 2 years (prior to the exam). 875 hours need to be worked in the year prior to your application.