Breathing Aint Easy
Lifesavers
The Brain Game
Leftovers
Drug Dealing
Just Flow with It
100
This O2 delivery device should always have the reservoir inflated before applying.....and when in doubt, turn the O2 flow meter all the way up!! Don't hesitate, escalate!
What is a non-rebreather mask (10-15 LPM)
100
What 3 ions form the basis of cardiac physiology?
What are Ca+, Na+, and K+
100
When assessing your patient, a change is this is an early indicator that they may be having an increase in ICP?
What is a change in level of consciousness (LOC)
100
This is a legal requirement that protects the autonomy of patients, including the right to refuse treatment.
What is informed consent?
100
This adrenergic receptor is found primarily on vascular smooth muscle and when activated, cause vasoconstriction.
Hint: it's not a medication, but some medications can activate/stimulate these receptors sites.
What is alpha-1 adrenergic receptors.
100
HR x SV is the formula for this hemodynamic measurement.
What is Cardiac Output (CO)
200
This non-invasive positive pressure delivery device is commonly used for individuals with obstructive sleep apnea?
What is a continuous positive airway pressure (CPAP) device.
200
You observe this rhythm on your monitor, what rescue electrolyte medication would you anticipate giving?
What is Magnesium (1-2G)
*If sustained and patient is pulseless, you would proceed as a cardiac arrest with immediate defibrillation
200
This brain drain is used to reduced ICP and remove excess fluid?
What is an external ventricular drain (EVD)
200
Performing this intervention before a bedside procedure, helps to reduce the risk of preventable errors?
What is a Time-out?
200
A patient experiencing complete heart block is bradycardic and symptomatic, they would benefit from this category of medication that will help increase the force of contraction/contractility.
What are positive inotropic medications (Dopamine, Epi, Dobutamine, Milrinone)
200
This hemodynamic value is an indirect measurement of FLUID volume status?
What is a Central Venous Pressure (CVP)
300
Interpret the following ABG:
pH 7.28
CO2 56
HCO3 23
PaO2 98
What is uncompensated Respiratory Acidosis w/o hypoxemia
300
To confirm that a patient is having a STEMI, you need to have ST elevation in at least how many leads?
Bonus! What is the name for similar leads looking at the same areas of the heart?
What is at least 2 leads - contiguous/neighboring leads (looking at the same area of the heart)
300
This hemodynamic finding is also one of three signs and symptoms of Cushing's Triad?
What is widening pulse pressure?
300
What is the name of this laryngoscope?
What is a MaC Blade?
300
This GOAT vasoactive medication is often the first choice for hypotension if fluid resuscitation was unsuccessful.
What is Levophed/Norepinephrine
300
This is an example of what type of abnormal arterial waveform?
What is overdamped/dampened - can give you a false LOW blood pressure.
400
A patient is wearing a NIPPV device with an IPAP of 12 and EPAP of 8, FiO2 of 50%, with a back up rate of 12. What device are they using?
What is a bilevel positive airway pressure (BiPAP) device.
400
In this AV heart block rhythm, the PR interval gradually get's longer until there is a complete drop of the QRS complex? Long, long, longer, drop......
What is Second Degree Type 1 AV/Heart Block - also called Mobitz type I or Wenckebach.
400
The Oculocephalic reflex is also commonly known as this?
What is "Doll's Eyes"?
400
Before delegating tasks to your care team, it is important to first consider their?
What is scope of practice/role and responsibilities?
400
A common adverse reaction to this vasoactive medication if reflex bradycardia due to stimulation of the baroceptor reflex.
What is Phenylephrine (Neosynephrine)
400
The resistance or pressure that the heart has to overcome in order to pump blood out of the ventricles.
What is afterload or systemic vascular resistance (SVR)
500
Interpret the following ABG:
pH 7.55
CO2 48
HCO3 32
PaO2 81
What is metabolic alkalosis with partial compensation without hypoxemia (N/V, diuretics, NG suctioning, etc.)
500
You observe this rhythm on your patient's monitor. When assessing the patient, the patient is unresponsive but you can palpate a carotid pulse. What would you anticipate being your next intervention per ALS? 
What is synchronized cardioversion @ 100 Joules!
500
When assessing the unconscious patient, you want to introduce stimuli in what order, increasing only as necessary?
What is auditory, tactile, painful – start with minimal stimulus, increasing as necessary!
500
This is a structured communication tool shown to enhance communication between members of the healthcare team.
What is SBAR?
500
This medication is a potent vasodilator used for hypertensive emergencies and is know to cause a throbbing headache.
What is Nitroglycerin (Tridil)
500
The three determinants that effect this hemodynamic value are Preload, Afterload, and Contractility
What is stroke volume (SV)
600
This term is used for when there is reduced ventilation - air us unable to reach the alveoli but perfusion is occurring - resulting in hypoxemia.
What is Shunting
(ARDS, atelectasis, pneumonia, pulmonary edema, airway obstruction, right-left shunting) *hypoxemia resistant to correction – needs positive pressure ventilation, supplemental O2 alone won’t help!
600
You observe a nurse instructing a patient to bear down like they are having a bowel movement - they are most likely experiencing this ALS heart rhythm?
What is Supraventricular tachycardia/SVT? Vagal maneuvers (bear down, blow through a syringe-Valsalva maneuver, cold stimulus)
600
When observing Lundberg waves, which one would be the most concerning? (A,B,C)
What are A waves - transient, periodic severe elevations in ICP (up to 50-100 mm) and often accompanied by clinical deterioration = BAD!
600
Which chambers of the heart are being paced?
What are the atriums (A pacing)
600
This common potassium channel blocker and ALS medication is often given as a bolus and continuous maintenance drip for tachycardia arrythmias?
What is Amiodarone (Cordarone)
600
The resistance the right ventricle must overcome to push blood through the pulmonary circulation.
What is pulmonary vascular resistance (PVR)