Just Flow with It
Breathing Aint Easy
Lifesavers
The Brain Game
Leftovers
Drug Dealing
100
The formula for this hemodynamic value is HR x SV?
What is Cardiac Output
100
When applied, this O2 delivery device should have the reservoir inflated before applying.....when in doubt, turn the O2 flow meter all the way up!!
What is a non-rebreather mask (10-15 LPM)
100
What 3 ions form the basis of cardiac physiology?
What are Ca+, Na+, and K+
100
When assessing your patient, a change is this is an early indicator that they may be having an increase in ICP?
What is a change in level of consciousness (LOC)
100
This is a legal requirement that protects the autonomy of patients, including the right to refuse treatment.
What is informed consent?
100
Which adrenergic receptor is found primarily on vascular smooth muscle and when activated, cause vasoconstriction?
What is alpha-1 adrenergic receptors.
200
This is an example of what type of abnormal arterial waveform?
What is overdamped - will give you a false LOW blood pressure.
200
This non-invasive positive pressure delivery device is commonly used for individuals with obstructive sleep apnea?
What is a continuous positive airway pressure (CPAP) device.
200
You observe this rhythm on your monitor, what rescue medication to you anticipate giving?
What is Magnesium (1-2G)
200
This brain drain is used to reduced ICP and remove excess fluid?
What is an external ventricular drain (EVD)
200
Performing this intervention before a bedside procedure, helps to reduce the risk of preventable errors?
What is a Time-out?
200
A patient experiencing complete heart block who is bradycardic and symptomatic would benefit from this category of medication that will help increase their HR and force of contraction.
What are inotropic medications (Dopamine, Epi, Dobutamine, Milrinone)
300
This hemodynamic measurement is an indirect measurement of fluid volume status?
What is central venous pressure (CVP)
300
Interpret the following ABG:
pH 7.28
CO2 56
HCO3 23
PaO2 98
What is uncompensated Respiratory Acidosis w/o hypoxemia
300
To confirm that a patient is having a STEMI, you need to have ST elevation in at least how many leads?
Bonus! What is the name for similar leads looking at the same areas of the heart?
What is at least 2 leads - contiguous/neighboring leads (looking at the same area of the heart)
300
This hemodynamic finding is also one of three signs and symptoms of Cushing's Triad?
What is widening pulse pressure?
300
What is the name of this laryngoscope?
What is a MaC Blade?
300
This adrenergic receptor is found primarily in the heart and when activated, causes an increase in heartrate and force of contraction
What are beta-1 adrenergic receptors
400
The resistance or pressure that the heart has to overcome in order to pump blood out of the ventricles.
What is afterload or systemic vascular resistance (SVR)
400
A patient is wearing a NIPPV device with an IPAP of 12 and EPAP of 8, FiO2 of 50%, with a back up rate of 12. What device are they using?
What is a bilevel positive airway pressure (BiPAP) device.
400
In this AV heart block rhythm, the PR interval gradually get's longer until there is a complete drop of the QRS complex? Long, long, longer, drop......
What is Second Degree Type 1 AV/Heart Block - also called Mobitz type I or Wenckebach.
400
The Oculocephalic reflex is also commonly known as this?
What is "Doll's Eyes"?
400
Before delegating tasks to your care team, it is important to first consider their?
What is scope of practice/role and responsibilities?
400
A common adverse reaction to this vasoactive medication if reflex bradycardia due to stimulation of the baroceptor reflex.
What is Phenylephrine (Neosynephrine)
500
When leveling an arterial line, it is important to level it with this anatomical reference point?
What is phlebostatic axis - 4th intercoastal space, midaxillary
500
Interpret the following ABG:
pH 7.55
CO2 48
HCO3 32
PaO2 81
What is metabolic alkalosis with partial compensation without hypoxemia (N/V, diuretics, NG suctioning, etc.)
500
You observe this rhythm on your patient's monitor. When assessing the patient, the patient is unresponsive but you can palpate a carotid pulse. What would you anticipate being your next intervention per ALS? 
What is synchronized cardioversion @ 100 Joules!
500
When assessing the unconscious patient, you want to introduce stimuli in what order, increasing only as necessary?
What is auditory, tactile, painful – start with minimal stimulus, increasing as necessary!
500
This is a structured communication tool shown to enhance communication between members of the healthcare team.
What is SBAR?
500
Before starting this medication, it is important to make sure that the patient has not taken any phosphodiesterase inhibitors a.k.a erectile dysfunction medications within the past 24-48 hours.
What is Nitroglycerin (Trindil)
600
This condition occurs when there is an abnormal decrease in SBP and stroke volume greater than 10 mmHg during inhalation?
What is Pulsus Paradoxus
600
You are emergently intubating your patient - MD gives a verbal order for Etomidate 30 mg and Succinylcholine 200 mg. Which lab value do you want to know before giving Succinylcholine?
What is their recent serum potassium level - succinylcholine causes hyperkalemia.
600
You observe a nurse instructing a patient to bear down like they are having a bowel movement - they are most likely experiencing this ALS heart rhythm disorder?
What is Supraventricular tachycardia/SVT? Vagal maneuvers (bear down, blow through a syringe-Valsalva maneuver, cold stimulus)
600
When observing Lundberg waves, which one would be the most concerning? (A,B,C)
What are A waves - transient, periodic severe elevations in ICP (up to 50-100 mm) and often accompanied by clinical deterioration = BAD!
600
When administering medications through a central venous catheter, it is important to perform this action during the initial and final flush?
What is the push/pause or pulsatile technique? This creates turbulence and keeps the lumen clear and patent.
600
This common potassium channel blocker medication is often given as a bolus and continuous maintenance drip for tachycardia arrythmias?
What is Amiodarone (Cordarone)