MTP/TTM/ Emergencies
During rewarming using TTM, this is the key timing consideration to remember when giving potassium supplements
What is stopping potassium supplementation within four hours of rewarming?
In lung‑transplant patients, maintaining an oxygen saturation of 88–92% helps prevent this harmful condition caused by excessive oxygen levels.
What is hyperoxia
When an Impella begins to suction, nurses typically respond by doing this to break it then they reassess fluid status and patient position.
What is decreasing the P‑level by one
In VA ECMO, this hemodynamic complication occurs due to increased afterload on the left ventricle, potentially leading to pulmonary edema and requiring interventions like venting or an Impella
What is LV overload?
This river, the longest in the United States, flows more than 2,300 miles from Montana to Missouri.
What is the Missouri River?
These two blood products cannot be administered through a Belmont rapid infuser due to the risk of damaging their components.
What are cryoprecipitate and platelets?
To administer several sublingual tacrolimus capsules, they must be spaced by this amount of time.
What is 15 minutes?
To perform a system check on a HeartMate 3, you press what button on the controller?
What is the holding down the battery button
On a patient receiving peripheral VA ECMO, this side of the body is used for pulse‑ox monitoring and arterial blood gas draws to detect the complication known as North–South syndrome.
What is the right side?
This national park, established in 1872, is widely considered the first national park in the world.
What is Yellowstone?
This is the spot where the open chest cart is located on B45.
What is the conference room
Following a lung transplant, this form of acute lung injury typically occurs within the first 72 hours and is graded based on hypoxemia and radiographic infiltrates
What is primary graft dysfunction (PGD)?
This medical device must remain connected to at least one battery at all times, even when it’s plugged into wall power.
What is a HeartWare?
When CVVH is connected through an ECMO circuit, this is the one thing you cannot do with the blood if the circuit goes down.
What is return blood?
This baseball team has won the most World Series titles.
Who are the New York Yankees?
During controlled TTM rewarming, this is the standard rate at which a patient’s temperature is increased.
What is 0.25-0.5 degrees Celsius per hour?
What medication is contraindicated for heart & lung transplant patients in afib
What is amiodarone
This is what an IABP helps with (specify inflation vs deflation)
What is inflation during diastole to improve coronary perfusion and deflates before systole to reduce afterload.
When ECMO flows suddenly fall and you note the system is "chugging", what are some possible causes?
What is inadequate venous return/hypovolemia, worsening vasodilation, or worsening biventricular failure (VV ECMO)?
This animated TV family from Springfield has been on the air since 1989.
Who are the Simpsons?
This is what you need to say on the phone when you call for bedside OR?
What is Call 2620000 and ask for
“LEVEL 1 CTICU BEDSIDE Code. Need
to provide bed #, attending calling it & pt weight
Citrate therapy requires trending these two calcium values—one systemic and one regarding the CVVH circuit—first every four hours during adjustment, then q12 once stable
What are the patient ionized calcium and the post‑filter calcium?
When caring for a patient with an IABP, this is the frequency for manual hand‑pumping and the equipment you need—plus where you’ll find the balloon size listed.
What is one pump per minute with the volume being based on the balloon size, syringe and stopcock, and the balloon size is on the tubing?
When air is spotted in an ECMO or RVAD circuit, nurses are expected to take this immediate action and help determine the source within the lines.
What is notify the primary team/ECMO specialist and assess the circuit/ look for places air can get in on lines?
This U.S. state is the only one with a one‑syllable name.
What is Maine?