Lines & Tubes & Drains - OH MY
Help! my trauma patient is bleeding
Ventilator and Respiratory Fun
Out of Sight Electrolytes
Paging Pharmacy!
100
Common drain left in place after rib plating
What is a Blake drain
100
Lethal Triad
What is hypothermia, coagulopathy and acidosis
100
Two causes of high peak pressure
Kinked ETT
Secretions in ETT
Biting the ETT
Vent asynchrony
100
Expected K+ rider dose to get a patient from a K+ of 3.7 to 4.0
What is 30 mEq
100
IVPB amiodorane dose
150 mg over 10 minutes
200
8.5 Fr, 10 Fr, 12 Fr, 14 Fr are common sizes
What is a Pigtail catheter
200
200-400 mg/dL
What is a normal fibrinogen level
200
Next action?
What is right main stem intubation, retract ETT atleast 3-5 cm
200
the nurse understands that multiple causes can contribute to this finding.
Hypocalcemia
Hypokalemia
Hypomagnesaemia
Drugs
Congenital prolonged QTc
Hypothermia (profound)
200
Half life of Lasix
~2 hours
(& Lasts for 6 hours)
300
Tidaling is seen in what part of the chest tube system?
What is the water seal chamber
300
Pro-Clot agent used in MTP
What is TXA
300
A concern with COPD/asthmatic patients when intubated
What is Auto-PEEP (or breath-stacking)
300
Double Jeopardy!!!
Concern with overcorrection of hypernatremia
Osmotic demyelination syndrome
300
IV Haldol is ordered for your patient. Nurse's priority concern before administering.
check the QTc measurement
400
Right atrium or superior vena cava
What is: the normal location of a central line tip
400
Two factors that largely determine O2 availability to the cells
What is: pH and temperature
400
Your patient's AM CXR. Vent changes that you anticipate (2 important ones) 
High PEEP and low tidal volumes
400
154 mEq/L
What is the amt of sodium in 0.9% NS
400
IV Clindamycin is ordered, nurse knows to monitor for...
Diarrhea - concern for C-diff
500
Max amt of CSF to drain in one hour (BONUS question: how much CSF is made in 24 hrs?)
What is 20 ml/hr
What is 300-600ml/24 hrs
500
An indirect measure of tissue ischemia used to guide resuscitation
What is Base Deficit
500
Appropriate "lung protective" volume for a patient
4-6 ml/kg
*predicted body weight, not actual
500
Electrolyte that needs to be replaced aggressively s/p liver surgery
What is phosphorus
500
Essential lab to know prior to starting insulin drip
hint NOT GLUCOSE
Potassium