Take My Breath Away
When a breath is patient or time-triggered, pressure is maintained at a constant level with a decelerating flow rate until the preset I-time is present with which ventilator mode?
How many mL of Fentanyl will your patient who is 36.4kg receive if the provider wants 1mcg/kg drawn up?
*Fentanyl is 100mcg/2ml*
0.728ml (36.4mcg)
What medication is used for this rhythm?
Adenosine
When I am too low, you may experience: fatigue, numbness and tingling, constipation, hypotension and arrhythmias
What is Potassium
Name the 4 different ways we can give a fluid bolus to our patients.
What is: over the pump, use pressure bag, spike & syringe (smaller kids), push-pull method
This ventilator setting is the length of time a patient inhales from the beginning of the breath to the moment they stop inhaling.
What is I-Time
How many mL of Atropine will your patient who is 13.2kg receive if the provider wants a code dose of 0.02mg/kg drawn up?
*Atropine is 0.1mg/mL*
2.64ml (0.264mg)
What is this rhythm and how do you treat it?
V Fib. You gotta D-fib!
I can lead to osteoporosis, kidney failure, and arrhythmias. I'm usually treated with IV fluids and loop diuretics. What am I?
Hypercalcemia
This is the priority intervention if your patient's chest tube disconnects from the drainage system
What is put the end of the chest tube in sterile water and notify your provider!
This ventilator mode is one in which the patient gets full tidal volume support for the set breaths, while additional breaths the patient takes are unsupported.
How many mL of Rocuronium will your patient who is 3.8kg receive if the provider wants 1.2mg/kg drawn up?
*Roc is 10mg/1mL*
What is 0.456 ml (4.56mg)
What is your first priority if your monitor starts alarming to notify you of a change in your EKG rhythm?
check the patient!!!
You check your patients lab results and see that their INR is 3.5, their fibrinogen is 140, and their PTT is 82. What should you be concerned about?
What is bleeding
Bulging fontanelles, cranial suture separation, increased head circumference, and a high pitch cry all indicate what in your infant?
what is increased intracranial pressure
This ventilator setting is used in patients who require maximum ventilatory support and who need a consistent tidal volume, while using the lowest possible pressures.
What is PRVC
Your 15kg patient is on a 400mcg/100mL infusion of Precedex running at 1.5mcg/kg/hr. How many mL/hr are they receiving?
5.63ml/hr
Your patient's monitor is showing this rhythm. They are currently unstable. What is this rhythm & how will you attempt to get them out of this rhythm?
A flutter requiring cardioversion
What medication can I use for hyperkalemia, hypermagnesemia, hypocalcemia, and tetany?
What is calcium gluconate
This is known as the resistance the left ventricle must overcome to pump and circulate blood to the rest of the body
What is Afterload
This ventilator uses high respiratory rates with a high mean airway pressure to achieve gentle ventilation while recruiting alveoli.
What is HFOV (the oscillator)
Your 11.6kg patient is on a 8mg/250mL Norepinephrine drip currently running at 0.03mcg/kg/min. How many mL/hr are they receiving?
0.65ml/hr
Your patient is complaining of the following symptoms: weakness and fatigue, feeling like their heart is skipping beats, vertigo, dizziness, and some chest pain. You see this EKG tracing on their monitor. What rhythm are they in?
2nd degree heart block AKA Wenckebach
Which lab is used to detect abnormal clotting and should be checked if there are signs of DIC or a suspicion of PE or DVT are present?
What is D-Dimer
Which medication is being described: My mechanism of action is a calcium channel blocker resulting in coronary and systemic vasodilation. I decrease your MAP, and you should watch for reflex tachycardia. My antidote is calcium!
What is Nicardipine