Medicate Me
Rhythm of the Night
Diagnosis
Essential Labs
Competencies
100

This medication is used in critical emergencies for ischemic stroke to dissolve clots

What is TPA or TNK

100

My P waves and QRS waves are "divorced", they're not talking to each other

What is a 3rd degree block

100

Classic symptoms include the three Ps: polyphagia, polydipsia, and polyuria

What is diabetes

100

Often collected in a lavender top, this blood collection includes RBC, WBC, Hgb, Hct, and Platelet

What is a hematology panel aka CBC

100

Before you administer antibiotics for a suspected infection or sepsis patient, these lab specimens must be drawn first

What are blood cultures

200

This medication is used in critical emergencies for STEMI to dissolve clots

What is TNK

200

I have regular rate and rhythm of 60-100 and my beat originates from the SA node

What is a NSR

200

Symptoms may include frequency, urgency, dysuria, hematuria, burning sensation during voiding, suprapubic tenderness, and even confusion in the elderly patients

What is a UTI

200

Often collected in a light green top, this blood collection may include results for electrolytes, anion gap, and glucose. Troponin and BNP may also be collected using this colored top.

What is a basic chemistry panel or comprehensive metabolic panel

200

This task needs to be completed prior to starting blood transfusion, 15 minutes after starting blood transfusion and hourly during blood transfusion

What are vital signs
300

This drug class is an initial therapy of choice (intravenous lorazepam, intravenous diazepam, intranasal midazolam, or rectal diazepam) for acute, ongoing seizures

What is a benzodiazepine or "benzo"

300

I cause a delay or disruption for electrical signals to travel to the ventricles, therefore, QRS waves are wide and measure 0.12s or more

What are bundle branch blocks

300

Depending on the severity or duration of this condition, various symptoms may include chest pain, shortness of breath, a slow or weak pulse, and tall, peaked T waves on cardiac monitor or EKG

What is hyperkalemia

300

The color of the tube top for collecting lactic acid

What is a GRAY top

300

The lower the number on this assessment tool, the higher the risk for developing pressure injuries

What is a Braden Scale

400

This short-acting medication is commonly used to rapidly slow the heart rate (can expect to asystole for a couple of seconds)

What is adenosine

400

My rhythm strip will reflect regular, narrow-complex tachycardia between 140-280 bpm and pharmacological intervention usually involves an initial dose of adenosine 6mg rapid IVP followed by 20mL of NS (also rapid IVP)

What is an SVT

400

Symptoms include sudden confusion, sudden trouble speaking, or trouble understanding speech, and sudden weakness to one side of the body

What is a stroke

400

Often collected in a blue top, this blood specimen includes PT, PTT, and INR

What is a coagulation panel

400

These are the components of the Glasgow Coma Scale

What are eye opening (4), verbal response (5), and motor response (6)

500

Besides diet and exercise as a first-line intervention for T2DM, this popular class of medications (i.e., Ozempic) is usually added in combination with oral glucose-lowering medication.

What is a GLP-1 analogue

500

I have regular P waves and a regular PR interval, but occasionally, I like to drop my QRS complexes

What is a 2nd degree type II block (or Mobitz II)

500

Symptoms can mimic a STEMI, but include sudden shortness of breath, chest pain (often worse with breathing), palpitations, tachycardia, and a feeling of anxiety or lightheadedness, and may be accompanied by coughing or hemoptysis

What is a pulmonary embolism

500

Essential lab for a patient with CC of chest pain

Troponin

500

Every nurse should assess for this particular risk with every patient and every shift whether in ER or inpatient setting to prevent patient injury. Prevention includes wearing non-slip socks, mobility assessment, lowering bed close to the floor, and having side rails up.

What is a fall risk assessment