Oh Baby!
Sunday, Bloody, Sunday
Sat Stats
What a Day! What a Month!
Hey Sugar!
100
The absolute contraindication for performing an Epidural.
What is patient refusal?
100
Hemodynamically unstable pt with significant ongoing hemorrhage brought into trauma would benefit from resuscitation with this if available.
What is Whole Blood?
100
Most likely cause of desaturation in a patient with a history of asthma shortly after intubation.
What is Bronchospasm?
100
Today established as a National Holiday in 1991 to commemorate doctor's is significant for this event performed by this person.
What is first use of Ether for GA for surgery by Crawford Long?
100
This is typically considered the target perioperative glucose level.
What is 180?
200
The platelet number recommended as a safe threshold for performing neuraxial techniques.
What is 70,000?
200
A pt receiving pRBCs with acute onset of hemoglobinuria, hypotension, and coagulopathy would likely have this test be positive.
What is a direct antiglobulin (Coombs) test (DAT)? (Acute Hemolytic Transfusion Reaction)
200
Intubated pt from the icu with ventilator acquired pneumonia in the OR for E-lap O2 saturation abruptly drops, airway pressures increase, and no wheezing on auscultation is most likely do to this and treated with this.
What is a mucous plug and suction?
200
The start of this holiday which coincides with the tenth plague this year is celebrated on this day.
What is Passover and April 1st?
200
Medication error leading to administration of excessive insulin should be treated with this to avoid this catastrophic complication.
What is Glucose infusion and Hypoglycemic Encephalopathy?
300
These two opioid medications should be avoided in breastfeeding mothers.
What are Codeine and Tramadol?
300
Rapid reversal of coagulopathy is most effectively achieved by this blood component therapy.
What is PCC?
300
Pt in the OR for ORIF rt humerus after MCC. Pt has multiple rt rib fxs desaturates about an hour after surgery has started. The pt is on 50/50 O2/NO and has diminished breath sounds on the right. The likely cause of the desaturation is this.
What is a pneumothorax?
300
This Friday and Sunday mark these two events.
What is the Crucifixion of Jesus (Good Friday) and Resurrection of Jesus (Easter)?
300
28 yo pt with Type 1 DM fell aboard cruise ship coming to OR for ORIF of r knee. Pt complaining of abdominal pain and fruity smelling breath noted when talking to pt. Pt has Glucose of 382 and pH of 7.18. The pt likely has this glycemic derangement and during treatment is at risk for this electrolyte disturbance.
What is DKA and hypokalemia?
400
The BPP score that correlates with an abnormal study, suggesting possible fetal distress.
What is 4 or less?
400
This is a cofactor necessary in activating clotting factors II, VII, IX, and X and is considered one of the four components of the lethal diamond of trauma.
What is Calcium?
400
Pt s/p hemicolectomy with a hx of cirrhosis, CRF, and CHF is complaining of difficulty breathing in the PACU. On exam pt has O2 sat of 90% and has crackles on auscultation. The pt's dyspnea is likely due to this and the most appropriately treated at this time with this.
What is Pulmonary Edema and NIPPV?
400
This is the Festival of Breaking Fast and this year was celebrated on this day.
What is Eid al-Fitr and March 19-20?
400
88 yo Pt with hx of type 2 diabetes brought in by EMS with hip fracture s/p fall in home. Pt is lethargic and dehydrated with a glucose of 628 and pH of 7.36. This pt likely has this and would benefit from glucose management with this type of insulin and fluid.
What is Hyperosmolar Hyperglyemia and Regular insulin infusion and LR (or other isotonic solution)?
500
These three components along with Fetal Movement and Fetal Muscle Tone make up the 5 components of the BPP
What are Fetal Heart Rate, Breathing, and Amniotic Fluid?
500
TRALI is most commonly due to this blood component product.
What is FFP?
500
Pt in the ICU with an open abdomen and pelvic fracture on tube feeds desaturates after position change by the ICU nurse. The most likely cause for the pt to desaturate is this.
What is a PE?
500
"No margin, no mission" was a phrase coined by this former chairman of the CHA.
Who is Sister Irene Kraus?
500
Empagliflozin (Jardiance) and other SGLT2 Inhibitors should be withheld for this many days to decrease the risk of this complication.
What is 3-4 days and euglycemic DKA?