HTN
My achy breaky heart
Heart failure
The beans (kidneys)
LIGHTNING ROUND
100

These are the primary risk factors for hypertension

What are: excessive Sodium Intake, Sedentary Lifestyle, BMI >25, Smoking, Heavy Alcohol Use, Stress, African American

100

This type of chest pain occurs when the heart requires more oxygen than usual and lasts less than 15 minutes. EKG is normal at rest, may have ST depression, T wave changes during episodes

What is stable angina?

100

HFpEF stands for?

What is heart failure with preserved ejection fraction (or diastolic heart failure)

100

This diagnostic test of the kidneys measures size, cysts, masses, lower-tract obstruction, urinary retention and is a Minimal risk

What is ultrasound?

100

A 70 year old patient is  being treated for UTI develops new confusion, temperature 39.1°C (102.4°F), MAP 58, and the monitor shows sinus tach 126.  Which action should the nurse take first?

See if the patient has tylenol ordered and give if available

Grab a UA quick and call the charge nurse

Give the oral Keflex stat

Call a rapid response system and remain with the patient


What is call a RRT? 

Call a rapid response system and remain with the patient

200

These are the secondary causes of hypertension

What are Pregnancy, Medications, Brain tumors, Encephalitis

Kidney Disease, Cushing’s Disease, Primary Aldosteronism, Pheochromocytoma

200

These are cardiac enzymes on labs checked on a patient with chest pain

What are: Troponin, Creatine kinase-MB (CK-MB), Myoglobin

200

These are they symtoms of which sided HF?

JVD, Fatigue, weakness, Shortness of breath, Chest discomfort, Palpitations, Weight gain, Edema, Ascites, abdominal distention, Enlarged liver and, spleen

What is Right sided HF?


200

This is the type of injury in AKI that is from inadequate blood flow reaching the kidney such as three days of vomiting with BP 86/50

What is pre-renal?

200

Your 32 year old patient has a KUB x-ray ordered to look for Calculi, deposits, obstruction, and structure.  What nursing priority should you assess for?

What is pregnancy?

300

These are the manifestations of HTN

What is NONE USUALLY!

o Headaches, Facial flushing, Dizziness, Fainting, Visual disturbances, retinal changes, Pedal edema

300

The acronym MONA stands for 

What is Morphine, Oxygen, Nitro, Aspirin

300

This lab is indicative of volume overload when >400pg/mL 

What is BNP?

300

This electrolyte imbalance manifests as peaked T waves or dysrhythmias, muscle weakness, and may require dialysis

What is hyperkalemia?

300

This class of medications cause vasoconstriction in patients with migraines such as Zolmitriptan, Sumatriptan, Eletriptan


What are triptans?
400

This class of medications causes vasodilation, decreases myocardial contractility such as amlodipine

What are calcium channel blockers

400

This is the gold standard diagnostic test for a patient with a STEMI

What is heart catheterization?

400

GDMT stands for

Guideline Directed Medical Therapy (beta blocker, statins, ASA, ACE/ARB)

400

One kilogram of weight change is approximately

__________ of fluid

what is one liter?

400

This condition is characterized by repeated seizure activity without full recovery within a 30-min timeframe or a single prolonged seizure lasting more than 5 min.  It requires immediate treatment to prevent permanent loss of brain function & death

What is status epilepticus?

500

This HTN medication is a Direct-Acting Vasodilator.  Causes Direct arteriolar vasodilation- typical IV dose is 5-20mg

What is Hydralazine

500

This medication would be given at a critical access hospital with no catheterization lab for a patient with a STEMI.

What is fibrinolytics or TNK/TPA?

500

This is the typical age limit for heart transplant patients

What is 70 years or greater?

500

Hypotension, tachycardia, and tachypnea 

suggest ___ sepsis


What is URO?

500

Multiple Sclerosis is z chronic, progressive, irreversible, autoimmune neurologic disorder of the _____ sheath of neurons in an immune-mediated attack or from infection

What is myelin?