Medication
Endocrine
Cardiac
What am I?
Random!
100
Name the SIX rights of medication administration.
RIGHT...
Patient, medication, dose, route, time, documentation.
100
Name all six locations of the HypoKits in ED!
RAN
Fast track
Resus
Acute
Short Stay
Wardlipari
100
How do you perform a R) sided ECG?
Move leads V4, V5 and V6 to the R) side.
Ensure to label them RV4, RV5, RV6.
100
I am an acute cardiovascular emergency where a coronary artery is occluded, causing myocardial ischaemia and cell death. What am I?
Myocardial infarction
100
You receive a new patient with presenting complaint of chest pain. You perform a 12-lead ECG. Who do you show it to?
ED Registrar
ED Consultant
ED Cardiac Nurse Consultant
150
What should the nurse check prior to administering a patients regular dose of PO metoprolol?
Blood pressure and heart rate!
150
Where is the insulin infusion kit in the ED?
In the cupboard above the blood gas machine in resus!
150
What type of ACS does not require blood tests to diagnose?
ST-elevation myocardial infarction (STEMI)
150
I am a severe, life-threatening systemic hypersensitivity reaction that causes massive histamine release, leading to airway obstruction and vascular collapse. What am I?
Anaphylaxis
150
What number do you dial for a Code Black in the ED?
33#
200
Complete this medication calculation:
Order: Gentamicin IV 4mg/kg once daily.
Patient weight: 75kg.
Available stock concentration: 80mg/2mL.
1. Whats the required dose?
2. What volume is to be administered?
1. 4mg x 75kg = 300mg
2. (300mg/80mg)x2mL = 7.5mL
200
What are the three diagnostic criteria for DKA?
- BGL >11mmol/L
- Ketones >0.6mmol/L
- Venous pH <7.3
200
How many leads must have ST elevation to meet code STEMI criteria?
At least two contiguous leads.
200
I cause acute respiratory distress due to air trapping in the pleural space, which collapses the lung. What am I?
Spontaneous pneumothorax
200
FREE SPACE
The team that chose this space receives 150 points.
The other team receives 50 points.
250
Explain the mechanism of action of glyceral trinitrate.
Relaxes vascular smooth muscle and leads to dilation of blood vessels.
250
What class of medication can cause euglycemic DKA?
...flozin
250
Which x3 ECG leads show us the inferior wall of the left ventricle?
Leads II, III and aVF
250
I occur when a tear in the inner layer of a major blood vessel allows blood to surge between the layers, creating a false lumen and compromising systemic perfusion. What am I?
Acute Aortic Dissection
250
What colour blood tube is required for the following tests?
Complete blood examination
Troponin T
International Normalized Ratio
Complete blood examination - PURPLE
Troponin T - GREEN
International Normalized Ratio - BLUE
350
Your patient is noted to have respiratory depression, sedation score 3 (difficult to rouse), with 1mm pupils. They were administered 4.5g IV PipTaz, 1g oral paracetamol and 10mg oxycodone ~1-hour ago.
What do you think is going on with your patient? What medication is indicated?
Acute opioid toxicity - naloxone is indicated!
350
Describe the pathophysiology of DKA.
- Lack of insulin: the body cannot use glucose for energy.
- The liver breaks down fat instead for energy. This process releases acids called ketones.
- Excess ketones causes the blood to become dangerously acidic which can cause organ damage, coma and death.
350
Systematically interpret this ECG.
Low voltage rhythm strip. Appears NSR.
ST depression in lead III. Other lateral leads nil acute changes.
ST elevation V2, V3, V4, V5, I, aVL.
= Anterolateral STEMI
350
I am a critical state of circulatory failure caused by a severe loss of intravascular volume, leading to inadequate tissue perfusion. What am I?
Hypovolaemic shock
350
What oral medication requires a two-nurse check prior to administration?
*does not include DDAs.
Warfarin!