Medications
Sepsis
Hypertensive Disorders
Postpartum Hemorrhage
Christmas Trivia
100

Use this HTN medication with caution in patients who have a HR below 60, asthma, CHF, heart block, or maternal arrhythmia.

What is Labetalol?

100

List at least two SIRS criteria used to diagnose sepsis. Note: patient only needs to exhibit 2 SIRS criteria or more PLUS suspected/known infection to be considered septic.

What is:  

  • Elevated or decreased WBC (>15 or <4)
  • Elevated or decreased body temperature (≥100.4°F or <96.8°F) 
  • Elevated maternal heart rate (>110) 
  • Elevated respiratory rate (>24)
  • Increased fetal heart rate (>160)
100

What can be an uncommon patient symptom of pre-eclampsia later in pregnancy but can also be a normal symptom of pregnancy?

What is nausea/vomiting?

100

The amount of blood loss considered to be a postpartum hemorrhage regardless of mode of delivery.

What is equal to or greater than 1,000?

100

In this 1946 film, a man named George Bailey is shown the value of his life by an angel named Clarence.

What is It's a Wonderful Life?

200

Use this HTN medication with caution in patients who have a HR greater than 100, history of stroke, severe mitral valve disease, or coronary artery disease.

What is Hydralazine?

200

List a symptom a septic patient may have that would reflect Acute End Organ Disfunction and therefore be diagnosed with Severe Sepsis.

What is: 

  • Low SBP (< 90) or decreased MAP (< 65)
  • Altered Mental Status 
  • Increased Lactic Acid (> 2.0) 
  • Low platelets (Plt < 100K)
  • Decreased urine output (< .5mL/kg/hr)
  • Hypoxia/ SOB 
  • Increased need for Oxygen
200

The gestational age and weeks postpartum that pre-eclampsia can be diagnosed.

What is 20 weeks' gestation to 6 weeks postpartum?

200

This type of PPH can occurs within the first twenty-four hours after giving birth while this type of postpartum hemorrhage occurs in the time period between 24 hours to 12 weeks postpartum.

What is primary and secondary (late) PPH?

200

This country is credited with being the birthplace of the modern Christmas tree tradition.

What is Germany?

300

Use this HTN medication with caution in patients who have a HR greater than 100, history of MI, severe aortic stenosis, or cardiogenic shock.

What is Nifedipine?

300

Within one hour of your patient meeting sepsis criteria, you will need to enter/verify your patient’s weight in EPIC and these 5 additional tasks.

What is 

  • Establish 2 IVs 
  • Collect bloodwork: Blood Cultures x 2* (before scanning antibiotics), Initial Lactic Acid 
  • Start IV Antibiotics (IM if no IV access) 
  • Start Fluid Bolus
  • Document: Document time zero in sepsis navigator and click checklist to see pending sepsis tasks
300

Name at least three body systems that can be impacted by pre-eclampsia.

What is cardiovascular, renal, hematological, neurologic, and hepatic systems?

300

When does a patient’s PPH risk assessment tool need to be documented?

What is admission, recovery, postpartum, and as PPH risk factors change?

300

This famous 1823 poem, also known as "A Visit from St. Nicholas," was the first to describe Santa Claus's mode of transportation as a sleigh pulled by reindeer.

What is The Night Before Christmas?

400

This medication is given to a mother whose fetus has supraventricular tachycardia.

What is Flecainide?

400

What should you do if unsuccessful at obtaining blood cultures due to poor vasculature?

What is document attempts, proceed with antibiotics, call vascular access?

400

List the laboratory tests you most often expect to be ordered for a patient being ruled in/out for pre-eclampsia.

What is hemoglobin, hematocrit, platelet count (CBC), aspartate aminotransferase (AST), alanine transaminase (ALT), coagulation studies, protein/creatinine ratio, 24-hour urine

400

Recent research has shown these two medications together have the likelihood to significantly decrease the risk of PPH when given prophylactically.

What is calcium chloride and TXA?

400

The tradition of sending Christmas cards began in this country in the 1840s.

What is England?

500

This class of drugs is used to enhance fetal lung maturity but may cause transient increase in FHR baseline, decrease in variability and loss of accelerations.

What are corticosteroids?

500

These two tasks need to be completed by the two-hour mark for a patient screening positive for sepsis.

What is the fluid bolus and redraw lactic acid if greater than 2.0.

500

Aspirin can help lower the risk for pre-eclampsia for women at high risk for it. Low dose aspirin can reduce the likelihood of developing the condition by what means?

What is helping to improve placental blood flow and reduce inflammation?

500

This team is specifically developed for any surgical emergency at WPH that may require immediate assistance from ORMC. The team provides immediate activation of needed resources.

What is MUST (Maternal Urgent Surgical Team)?

500

The names of all 9 of Santa's reindeer.

Dasher, Vixen, Comet, Cupid, Donner, Blizten, Rudolph, Dancer, Prancer