418 exam 1 important numbers

Minimum ICU assessment/vital sign frequency

every 2 hours

Rapid Response RR triggers

RR < 8 or > 28/min

Rapid Response O₂ saturation trigger

SpO₂

Rapid Response BP triggers

SBP < 90 or DBP > 110 mmHg

Rapid Response HR triggers

HR

VAP prevention HOB

30-45°

ICU patients experiencing moderate-severe pain

~70%

ICU delirium incidence

~87%

Research-to-practice gap

7-10 years

Acute vs. chronic pain cutoff

3 months

Critical Care Pain Observation Tool (CPOT) range

0-8

SAS range

1-7

motor activity assessment scale (MAAS) range
assess agitation and sedation

0-6

Ketorolac/Toradol maximum duration

5 days

Maximum acetaminophen dose

4000 mg/day

Propofol tubing change

q12 hr

time to Pre-medicate before painful procedure

~30 min before

Aldrete score for discharge/transfer

>9

Delirium in mechanically ventilated patients

Up to 87%

Normal Cardiac Output (CO)

4-8 L/min

Normal Cardiac Index (CI)

2.2-4.0 L/min/m²

Normal MAP

70-105 mmHg

MAP formula

(SBP + 2DBP)/3

Pressure bag pressure

300 mmHg

Arterial line flush rate

~3 mL/hr

Normal square-wave oscillations

1-2

Phlebostatic axis

4th ICS, midaxillary line (right atrium)

Re-zero transducer

q4h + after position changes

Normal Allen test

Color returns within 7-10 sec

Neurovascular checks with arterial line

Hourly

Normal CVP/RAP

2-8 mmHg

Normal PAWP/PCWP

6-12 mmHg

Normal SVR

800-1200 dynes/sec/cm-5

Normal PVR

Normal SvO₂

60-80%

Fluid-responsive SVV

>13%

Normal tidal volume

~500 mL

Tidal volume by weight

6-10 mL/kg

Room air FiO₂

21%

Normal PaO₂

80-100 mmHg

Normal PaCO₂

35-45 mmHg

Ventilatory failure

pH

Severe hypoxia

PaO₂

Concerning FiO₂ requirement

>50%

RR suggesting respiratory failure

>35 or

ETT cuff pressure

20-25 cm H₂O

Long-term ventilation → consider trach

Usually >14 days

Physiologic/default PEEP

5 cm H₂O

High PEEP

>5-10 cm H₂O

Oxygen toxicity risk

FiO₂ >60% for >24 hr

HOB for ventilated patient

>30°

Oral care

q2-4 hr

Weaning SpO₂

>90%

Weaning FiO₂

Weaning PEEP

RSBI

negative inspiratory force (NIF)

> −20

12-lead EKG after arrival

Within 10 min

Troponin begins rising

4-6 hr

Troponin peaks

10-24 hr

Troponin stays elevated

10-14 days

STEMI qualification

ST elevation in >2 contiguous leads

Door to balloon time for PCI

< 90 min

Door to needle time for fibrinolytics

Reperfusion window

Up to 12 hr from symptom onset

Nitro minimum SBP

>90 mmHg

Beta blocker hold HR

< 50 bpm

Beta blocker hold SBP

ACEI/ARB after MI

Within 24 hr if EF < 40%

LDL goal with ASCVD

< 70 mg/dL

risk for dysrhythmias after MI

~80%

Exercise goal

150 min/week

HbA1c goal

Aspirin for ACS

162-325 mg, CHEW

Successful PCI stenosis

< 50% remaining stenosis

Manual pressure after sheath removal

Manual pressure after sheath removal

Post-PCI lifting restriction

5 lbs

Post-PCI strenuous activity restriction

~1 week

Left main stenosis suggesting CABG

>50%

Proximal LAD/circumflex lesion stenosis threshold for intervention

>70%

CABG hospital stay

5-7 days

CABG total recovery

6-8 weeks

CABG chest-tube drainage suggesting bleeding

>150 mL/hr

Post-CABG atrial fibrillation

20-40%

Target extubation after CABG

4-6 hr

OOB after CABG

POD 1

Ambulation after CABG

3-4×/day

Report urine output

< 30 mL/hr

No driving after CABG

~6 weeks

Lead V1

4th ICS, right sternal border

Lead V2 placement

4th ICS, left sternal border

Lead V3

Between V2 and V4

Lead V4 placement

5th ICS, midclavicular

Lead V5 placement

Level with V4, anterior axillary

Lead V6

Level with V4, midaxillary

Septal Leads

V1, V2

LAD

Anterior Leads

V3, V4

LAD

Lateral Leads

I, aVL, V5, V6

Circumflex

Inferior Leads

II, III, aVF

RCA