Sepsis
Pediatrics
Cardiac
Neuro
Trauma
Geriatrics
OB
Behavioral Health
100
When should blood cultures be drawn
What is prior to antibiotic administration
100
What age constitutes an immediate bed?
When is <90 days
100
Cardiac Alert to EKG time
When is 10 minutes
100
Stroke Alert to CT time
When is 10 minutes
100
How many trauma categories does MSJ have?
What is:
Tier 1
Tier 2
Tiers 3
CT alert
100
At what age is a patient considered geriatirc?
When is >65 years old
100
At what gestational age is a fetus considered viable?
When is 20 weeks
100
How long is a 5150 application good for?
When is 72 hours
200
Name 2 SIRS criteria
What is:
HR >90
Resp >20
Temp <36.0 or >38.3
WBC <4 or >12
Bands 10%
200
At what HR in a pediatric patient = the initiation of CPR
What is 60bpm
200
Name the rhythm
What is SVT
200
Name 2 classic symptoms of a large vein occlusion stroke.
What is
Sudden weakness or numbness
Difficulty speaking or understanding
Vision changes
Balance Problems
Severe Headache
200
What is the time frame for team arrival on a tier 1 activation?
When is 5 minutes
200
Name 3 of the most common geriatric diseases
What is:
- Arthritis.
- Cancer.
- Chronic Kidney Disease.
- Chronic Obstructive Pulmonary Disease.
- Dementia, Alzheimer's, and Parkinson's.
- Diabetes.
- Osteoporosis.
- Stroke.
200
What is the blood pressure criteria for pre eclampsia?
What is 160/110
200
Name 3 components of the safe room checklist
What is:
remove wires, remove trash cans, pull bed away from the wall, secure windows, no access to sharps
300
When do pressors need to be started on a septic patient?
When is 2 consecutive blood pressures with a systolic<90 after a fluid bolus
300
a 29 pound child comes in for fever. How much Tyelnol will he receive.
What is
29lbs/2.2=13.18kg
13.2kg x 15mg=198mg
160mg/5ml=6.2ml
300
What is the Heparin bolus dosage for Cardiac Alert patients?
What is 4,000u
300
Difficulty with speech, language, or understanding language is called what?
What is aphasia
300
23 year old male status post hanging. HR 102 BP 118/64 Resp being bagged PO2 97%
What Tier?
What is no activation
300
What is the leading cause of death in geriatric patients?
What is heart failure
300
Cardiac output increases by what percentage during pregnancy?
What is 30-50 percent
300
How often must sitters chart on patients being observed?
When is 15 minutes
400
What is the frequency lactic acid levels in Sepsis?
When is 6 hours
400
What is the dosage of an epinephrine drip for a pediatric patient?
What is 0.01mg/kg/min
400
What does the phrase widowmaker refer to?
What is the complete blockage of the Left Anterior Descending Artery
400
The area of brain tissue surrounding the ischemic core (damaged tissue) that is still salvageable but at risk of becoming irreversibly damaged
What is the pneumbra
400
68 year old male in an MVC at 25mph with complaint of back pain.
What Tier?
What is a tier 2
400
What are the four Ds in Geriatric Mental Health?
What is dementia, depression, delirium and delusion
400
What is EBL required in an OB patient to be considered a hemorrhage?
What is 1000ml
400
What has to be charted once a shift on behavioral health patients?
What is:
frequent screener
safe room checklist
500
What are 3 signs of septic shock?
What is:
Low blood pressure not responsive to fluids
Difficulty breathing
ALOC
Weakness
Tachycardia
Decreased Urine Output
500
A previously healthy 3-month-old child with respiratory syncytial virus (RSV) bronchiolitis and shock is likely to have which of the following?
What is Hypovolemic Shock
500
What are the 2 reperfusion treatments for a STEMI
What is PCI and Fibrinolytics
500
What is the frequency of vital signs for TNK administration.
When is:
Q 15min x 2hours
Q30min x 6hours
Qhour x 16hours
500
Name the steps in the Primary Trauma Assessment?
What is:
Airway
Breathing
Circulation
Disability
Exposure
500
What is the first sense to deteriorate in a geriatric patient?
What is the sense of smell
500
What does HELLP syndrome stand for?
What is:
Hemolysis, Elevated Liver enzymes, and Low Platelets.
500
A patient in bed 16 is on a 5150 for SI. He scored high on the Columbia scale and has a 1:1 sitter. The pt has been restrained and medicated for agitation awaiting medical clearance. After 30 minutes the patient is calm and the restraints are removed. approximately 1 hour later he jumps out of bed, pushes the sitter to the floor, flips the gurney and runs out of the ambulance doors. What do you do?
1. The pt is dangerous, allow him to run off
2. Call a code green and inform the provider and NSM
3. Security was unable to find the patient, so call Sc County Sheriff and make a police report.