PEWS
RRT
CODE
Medications
Potpourri
100
This is what the acronym P-E-W-S stands for.
What is the Pediatric Early Warning Score?
100
This is what RRT stands for.
What is Rapid Response Team?
100
This is the number to call to activate CODE Blue.
What is 75555?
100
I am a first line medication given in symptomatic bradycardia and pulseless arrests (such as VF/VT, and asystole/PEA).
What is epinephrine? (0.01mg/kg)
100
An infant is choking on a dorito while you are shopping at the local mall, they are conscious, but not passing any air. Demonstrate what you would do.
*Bonus if you show correct hand placement for abdominal thrusts on your neighbor.
200
If I were to score my patient at this score or higher, I must notify the physician and call an RRT evaluation.
What is 4?
200
This is the time allowed for a physician to respond to an RRT evaluation.
What is 20 minutes?
200
This is the amount of energy given to a 10 kg child if defibrillation is required during a CODE.
What is 20 - 40 joules? (2-4j/kg)
200
This is how often epinephrine can be given in a code situation.
What is every 3-5 minutes?
200
You are at a local shopping mall and find a frantic mother with her 6 month baby limp and not breathing. You call for an AED, and when it arrives there are only adult pads, this is what you do.
What is use the adult pads by putting one on the front and one on the back, ensuring that they do not touch?
300
My patient has no work of breathing, is mottled and irritable. This is his PEWS score.
What is 5?
300
I am worried about a patient's respiratory status. Vitals are stable, but the color has gone from pale to dusky and retractions are now moderate. I have called the RT several times, but they are not answering their phone. What do you do?
What is call and RRT.
300
This person stays at the bedside thru the entire CODE Blue to rescue the patient and provide a history to the responding team.
Who is the Bedside RN?
300
My 9 year old patient s/p PVR has abruptly become very tachycardic, 200-220 bpm, is sweaty, but stable BP and perfusion. These are the best interventions.
What is Vagal maneuvers (1st)? If ineffective, call MD/RRT, and have ADENOSINE ready to give (0.1mg/kg) rapid push first dose, then (0.2mg/kg) Max doses of 6mg and 12mg.
300
Same 6 month old at shopping center: No breathing, circulation, and has just received one shock via AED, what is your immediate next step?
What is continue High Quality CPR starting with compressions?
400
My 33 day Norwood-Sano is having a rough day. Normally she bounces between a PEWS of 3 and 4. Right now she is fussy, but consolable, has moderate retractions, has a fever of 38.3 and tachycardic 20 above her baseline. This is her PEWS and my actions.
What is 5, notify the Physician?
400
This is who responds to a Cardiac RRT.
What is the CICU fellow, RT, CICU Charge RN, and House Supervisor?
400
There are three RN's on the floor and a CODE Blue is called, these are the three most important roles that these nurses should cover until help arrives.
What are AIRWAY, COMPRESSIONS, and get the CODE CART to the patient (place back board).
400
This is the medication to give if it appears that the patient's VT QRS complexes change in polarity and amplitude. (torsades de pointes).
What is Magnesium Sulfate (25-50mg/kg)?
400
You are swimming at the local pool where you notice a child (about 1 year old) being pulled from the water, looking very blue. You give the infant CPR on your own. This is the compression/ventilation ratio and the speed of compressions.
What is 30:2 and at least 100 compressions per minute.
500
This is the flowsheet that you must add the PEWS group to upon admission or transfer (if it has not been added).
What is the CICU Hourly flowsheet?
500
This is the documentation done after any RRT Evaluation.
What is RRT flowsheet including any vitals, a brief RN Progress Note, and a QSRS if the patient is transferred?
500
These are 7 of the 14 people who respond to a CODE blue activation.
What are PICU Fellow, CICU Fellow, Anesthesia, Surgery Fellow, any Supervising Residents, Critical Care Resource RN, Resource RN, PICU Charge RN, CICU Charge RN, ED Charge RN, House Supervisor, Pharmacist, Respiratory Therapist, and Security.
500
After an initial dose of Epi in a pulsesless VT arrest, shock, and 5 cycles of CPR, these are two antiarrhythmics that may be considered.
What are amiodarone and lidocaine?
500
Same 1 year old drowning at the pool: After a few cycles the dear-in-the-headlight lifeguard finally snaps out of it and offers to help with CPR. This is the new compression/ventilation ratio.
What is 15:2? If it is a small infant, you may use the thumb circling method of compressions when there are two responders.
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