Drug Order
Priority Action
Wrong Move and they DIE!
Wrong Move and they DIE!
Lab intervention
100

It is the second med given for Hyperkalemia Protocol. 

What is IV Insulin

100

A new nurse administers Metoprolol to a patient with:

  • HR 52
  • BP 88/60

The nurse should anticipate this medication order. 

What is atropine?

100

A patient received IV Morphine 5 minutes ago. Now:

  • RR 6
  • O2 sat 79%
  • Unresponsive

What is your ONE action?

What is Naloxone?

100

Patient receiving Penicillin develops:

  • Wheezing
  • Swelling throat
  • BP 78/40

ONE move:

What is Epinephrine?

100

Labs:

  • Sodium 118

Patient is confused and seizing. What do you do FIRST?

What is give 3% saline?

200

This is the second med given for Anaphylaxis 

What is Benadryl? 

200

A patient on Warfarin has:

  • INR 6.2
  • New complaint: headache

What do you do FIRST?

What is "Assess neuro status"?

200

A patient on Spironolactone:

  • K+ 6.8
  • Peaked T waves
  • Weakness

What is first?

What is Calcium Gluconate?

200

Patient on Heparin:

  • aPTT 120
  • Bleeding gums

ONE move:

What is stop heparin?

200

Labs:

  • Calcium 7.0

Patient has:

  • Muscle spasms
  • Tingling

What is priority?

What is give calcium IV?

300

Antibiotics are given after this is done in Sepsis Protocol. 

When blood cultures are drawn?

300

A patient receives IV Vancomycin too fast and develops:

  • Flushing
  • Hypotension
  • Itching

What is the priority intervention?

What is Stop infusion?

300

Patient on Warfarin:

  • INR 7.0
  • Sudden severe headache
  • Vomiting

ONE move:

What is a CT scan?

300

Patient on Lorazepam:

  • RR 7
  • Sedated
  • O2 85%

ONE move:

What is Oxygen? 

300

Labs:

  • Magnesium 5.5

Patient is lethargic with ↓ reflexes. What is priority?

What is give Calcium gluconate?

400

Patient is 38 weeks pregnant with BP of 165/90. This treatment is ordered first for them. 

What is IV Magnesium? 

400

Your Doctor orders a patient Potassium Chloride IV push. What is the nurses first action?

DO NOT PUSH IV POTASSIUM!!!!!!!!!!!!

Clarify order and do not push IV potassium...EVER!!!

400

Patient given Metoprolol:

  • HR 38
  • BP 82/50
  • Dizzy

ONE move:

What is Atropine?

400

Patient on Insulin:

  • Glucose 32
  • Confused
  • Diaphoretic

ONE move:

What is IV dextrose?

400

Labs:

  • Lactate 6

Patient febrile, tachycardic. What is priority?

What is give IV fluids?

500

This is given first with Hyperkalemia. 

What is Calcium Gluconate?

500

A patient just received Morphine IV and becomes:

  • Unresponsive
  • RR 6
  • O2 sat 82%

What do you do FIRST?

What is Administer Naloxone?

500

Patient on Digoxin:

  • HR 48
  • K+ 2.9
  • Nausea, vision changes

ONE move:

What is Hold Digoxin? 

500

A patient on Lisinopril reports:

  • Swelling of lips
  • Difficulty breathing

What is happening?

What is Angioedma?

500

Labs:

  • Platelets 18,000

What is priority?

What is Platelets transfusion?