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Critical Care Trivia 2021

Horizontales
When measuring the CVP waveform: The CVP is the _____ of the a and c wave.
Per DKA Insulin Drip Protocol: Change primary IV fluid when blood sugar is less than 250 to D5 1/2 NS @ 125 ml/hr. Do not go back to NS if blood sugar is >250
The proper placement of the transducer for hemodynamic monitoring should be @ the Phlebostatic _____ = 4th intercostal space @ the mid-anterior-posterior diameter of the chest wall.
_____ titration increments is 0.3 mcg/kg/min to keep TOF (Train of Four) 1-2: 4
Rewarming should be _____ 24 hours from the time Hypothermia was started.
Criteria for sheath _____ is SBP <160 and ACT<150
Possible medication treatments for hyperkalemia are: Dextrose-Insulin-Calcium-_____-Albuteral and Bicarb
When cardioverting a patient, it is very important to make sure the _____ button is pressed on the defibrillator.
Effects of the _____ Protocol is to reduce the damage of inflammatory cascade as well as decrease cerebral oxygen requirements
Possible effects of Hypothermia Protocol are: decreased cardiac output, increased SVR, can induce _____ , diuresis which can result in fluid/electrolyte depletion.
Managing shivering during Hypothermia Protocol: Step 0 = Prevention, Step 1-3= administering medication. Step 3 = medication is _____ Blockade.
Moderate Sedation Documentation: RN will monitor continuously and record the following parameters immediately prior to administering sedation, during the procedure and throught the recovery in 5 min. intervals based on patient condition. These parameters will be monitored for _____ minutes post the last dose of medication and /or until the patient meets sedation discharge criteria.
For COVID patients on the vent: Our goal is to have peak and plateau pressures under 30. To check the plateau pressure you press the _____ pause button on the vent.
When administering RSI (Rapid Sequence Intubation) medication: It is important to know what this electrolyte is, because administration of Succynlcholine can increase the level transiently. ..therefore, you want to avoid it and use Rocuronium.
May be a valuable tool in identifying COVID-19 patients @ high risk for clinical deterioration due a bacterial super infection.
Verticales
_____ used to control shivering during Hypothermia Protocol are: Tylenol, Buspar, Demerol, Precedex and lastely Vecuronium.
Hypothermia Protocol: Monitor blood glucose every 4 hours and if blood sugar is >200 for 2 values, call MD to _____ insulin drip.
If tube feeding _____ is >300, hold feeding and reassess every 2 hours.
The goal temperature for Hypothermia Protocol during the _____ phase is 91.4 F
For COVID patients: The P/F ratio is 1.___ to stop proning.
If your COVID patient meets the criteria for SAT/SBT and has been proned within the last few days, you should clarify with the MD if he/she wants to continue with SAT/SBT per protocol or with special instructions.
Bolusing per DKA and Sepsis Protocols. DKA = 0.05 ml/kg and Sepsis= _____ ml/kg
Possible medications used for rapid atrial _____ are: Amiodarone, Diltiazem, Digoxin, Metoprolol
DKA Insulin Drip: When your anion gap is closed, less than 17, notify MD to see if he wants to order to _____ off of drip.
Monitor/Document every _____ during Hypothermia Protocol: BSAS (Bedside Shivering Assessment Scale), CPOT (Critical Care Pain Observation Tool), RASS (Richmond Agitation Sedation Scale) and TOF (Train of Four), if on paralytic