Safe Transitions of Care — Flashcards

Flashcard 1: BUN, LFT must be checked once _____ in a patient undergoing total parenteral nutrition

Answer: weekly

Flashcard 2: Color sequence for phlebotomy order of draw: Yellow/Pink/Blue (Cultures) → Light Blue → _____ → Green → Lavender → _____

Answer: Red; Grey

Extra: The order of draw is designed to prevent cross-contamination of tube additives between samples: 1. Blood Cultures (Yellow, Pink, or Blue bottles) 2. Sodium Citrate (Light Blue) 3. Serum tubes with/without clot activator or gel (Red, Gold) 4. Heparin (Green) 5. EDTA (Lavender, Pink) 6. Sodium fluoride/Potassium oxalate (Grey)

Flashcard 3: When should the central venous catheter be changed in a patient undergoing total parenteral nutrition?

Answer: Only if infected or blocked

Flashcard 4: _____ ml of transient loss/insensible loss per day would have to be accounted for in the calculation for giving daily IV fluids to a patient.

Answer: 500-600

Flashcard 5: Electrolytes must be checked once _____ in a patient undergoing total parenteral nutrition

Answer: every 3 days

Flashcard 6: The massive insulin surge in refeeding syndrome results in _____phosphatemia, hypokalemia, and hypomagnesemia

Answer: hypo

Flashcard 7: The best position for a conscious patient to be in during the insertion of Ryle's tube is _____ with neck flexion.

Answer: sitting

Flashcard 8: Non-ICU inpatients with community-acquired pneumonia are treated with: _____ OR β-lactam + macrolide (or doxycycline)

Answer: Respiratory fluoroquinolone

Flashcard 9: Major risk factors for parotitis include dehydration, _____ (elderly postoperative patients), and anti-cholinergics

Answer: intubation

Flashcard 10: Along with transfusions, a patient with Acute Chest Syndrome (ACS) should also be given prophylactic _____ therapy and incentive spirometry

Answer: antibiotic