PICU Jeopardy

Interpretive Gas

100

This would be the correct interpretation of the following gas: 7.21/24/100/10/-10

What is metabolic acidosis? (DKA)

200

This would be the correct interpretation of the following gas: 7.56/24/550/24/0

What is respiratory alkalosis?

300

This would be the correct interpretation of the following gas: 6.94/80/72/13/-15

What is mixed metabolic and respiratory acidosis? 

400

Mechanically ventilated patient has the following gas:  7.28/68/90/30/+5. Based on that you make these changes.

What is increase TV or RR?

500

Mechanically ventilated patient with the following gas: 7.52/28/50/25/0. Based on that, you made these changes. 

What is decrease TV or RR and increase FIO2 or PEEP?

Blow Me Away

100

Age/4 + 4 (or 3.5) describes this. 

What is ETT size? 4 for uncuffed; 3.5 for cuffed

200

On mechanical ventilation, this pressure is used to deliver a breath.

What is positive pressure?

300

Mode of ventilation where you set the pressure and volume is variable. 

What is SIMV Pressure Control Mode?

400

The change in volume over the change in pressure describes this principle in lung mechanics.

What is Compliance?

500

This therapy is often used in croup and asthma to reduce flow turbulence, and coughing efficacy may also be reduced. 

What is Heliox?

Under Pressure

100

This is the natural precursor to epinephrine and norepinephrine. 

What is Dopamine?

200

You would likely start this pressor in cariogenic shock.

What is epinephrine?

300

You would likely start this pressor in Neurogenic Shock.

What is phenylephrine?

400

This is given when there is catecholamine resistant shock.

Stress dose steroids

500

In high doses, this acts on alpha receptors and in low doses, beta receptors.

What is epinephrine?

Sleeping Beauty

100

Commonly used drug for patients on NIPPV that does not cause respiratory depression.

What is Dexmedetomidine, aka Precedex?

200

This goal is set by PICU team to ensure adequate sedation.

What is State Behavioral Scale, SBS?

300

Opioid used in sedation that has a risk of rigid chest if pushed too quickly.

What is Fentanyl?

400

Drug commonly used during procedures with side effects of hallucinations, secretions, and nystagmus.

What is Ketamine?

500

Fast acting drug that provides sedation and amnestic effect, with side effects of hypotension and potentially respiratory depression.

What is Propofol?

Oh Noodle!

100

Principle that states that the volume within the cranial compartment is fixed and consist of brain, blood, and CSF.

What is the Monro-Kellie Doctrine?

200

Triad that consists of bradycardia, hypertension, and irregular respirations.

What is Cushings Triad?

300

This pressure is obtained by subtracting ICP from the MAP. (MAP - ICP)

What is Cerebral Perfusion Pressure, CPP?

400

This intervention used in patients with elevated ICP is both diagnostic and therapeutic.

What is an External Ventricular Drain, EVD?

500

Osmolar therapies used to help decrease ICP. 

What are mannitol and hypertonic saline?