Critical Care Nursing Jeopardy

What is portal hypertension?

Hepatorenal syndrome, hepatic encephalopathy, and hemorrhagic shock are all possible complications of this disease process.

What is thrombus formation?

Hypercoagulability, injury to the vascular endothelium, and venous stasis place the patient at risk for this problem seen in critical care.

What is renal failure?

Hypocalcemia may develop in this chronic disease condition.

What is DKA?

Hypokalemia is a complication of treating this endocrine emergency?

What is Hemodialysis?

Hypotension and hypothermia are potential complications in this procedure performed on patients with renal failure.

What is Diabetes Insipidus?

Hypovolemic shock is a major complication of this endocrine disorder in which ADH production is shut down.

What is septic shock?

Microorganisms enter the body and stimulate the inflammatory/immune system in this form of shock.

What is Cardiac Tamponade?

Muffled heart sounds, JVD, and tachycardia describe this life-threatening condition

What is hypocalcemia?

Muscle cramps, hyperreflexia, irritability, and a prolonged QT Interval are all signs of this electrolyte abnormality as seen in acute pancreatitis

What is erythropoietin deficiency?

Deficiency of this key glycoprotein is seen is patients with chronic renal disease.

What is left sided?

Dyspnea, SOB, Orthopnea, low urine output are all signs of this side of heart failure

What is Ventricular Tachycardia?

Synchronized cardioversion at 50-100 joules is indicated for this wide-complex rhythm when the patient has a pulse and is symptomatic.

What is Rapid Sequence Intubation?

Titled with an abbreviation, administration of etomidate and succinylcholine result is sedation and paralysis.

What is ARDS?

A disease process of the lungs that does not respond to oxygen administration and is caused by an inflammatory/immune response

What is magnesium sulfate?

A medication that is used to treat TdP and Status Asthmatics. It also is indicated when it's serum value gets below 1.

What is Dopamine?

A vasopressor drug that has different effects at stratified doses of 2-5, 5-10, and 10 to 20 mcg/kg/min. Some people refer to the 2-5 range as "renal dose"

What is Cushing's Triad

A widening pulse pressure, irregular breathing, and bradycardia as seen in the patient nearing brain herniation.

What is Cullen's sign?

Acute pancreatitis can sometimes cause hemorrhage of the pancreas and manifestation of this classic sign.

What are complications of PCI?

Bleeding at the insertion site, absent pulse in the right lower extremity, re-occlusion of the culprit coronary artery.

What is Albuterol?

Bronchodilation is the desired goal in administration of this medication frequently administered to asthmatics.

What is distributive shock?

Capillary pooling of blood and low blood pressure are a hallmark of this category of shock.

What is central venous pressure?

Frequently monitored in the ICU as a surrogate to determine fluid volume status. A standard central line is needed to monitor it.

What is TPA?

Given in STEMI when PCI is not available. Bleeding is a significant complication.

What is SIADH?

Head problems and lung problems can trigger this endocrine syndrome

What is Bundles?

ICU care that prevents central line associated bloodstream infections, prevents ventilator associated pneumonia, and treats severe sepsis. Hint it starts with "B"

What is ST elevation?

If seen on the ECG it represents acute injury to the cardiac muscle.

What is shock?

Inadequate tissue perfusion.

What is afterload?

One of the 3 factors contributing to stroke volume and represented by the mean arterial pressure

What is flail chest?

Paradoxical chest movement is seen in this traumatic injury.

What is flash pulmonary edema?

Pink frothy sputum is the classic finding in this condition.

What is Diabetic Ketoacidosis?

Polyuria, signs of dehydration, altered LOC, kussmaul's breathing, tachycardia and possible hypotension are all potential signs and symptoms of this endocrine disorder?

What are esophageal Varices and/or portal hypertension?

Portal venous pressure reduction, assessment for possible alcohol withdrawal, and administration of vasopression 0.2 units/min are all nursing intervention associated with this condition?

What is neurogenic shock?

Spinal cord injury can lead to this form of vasodilatory shock.

What is rhabdomyolysis?

Severe electrical burns can cause this acute disease process, and renal failure often follows if not medically managed with aggressive volume administration.

What is the percent burned, patient's weight, and 4 cc?

The burn patient will initially receive crystalloids (lactated ringers) based on specific formula based on these 3 factors

What is infection?

The leading cause of death in burn patients.

What is Level of Consciousness?

The most sensitive indicator of an increase in intracranial pressure.

What is compensated respiratory acidosis?

The patient has COPD and has this blood gas representative of this metabolic state. Ph of 7.35, a CO2 of 58 and HCO3 of 30.

What is hypovolemic shock?

The primary goal to treat this life threatening process is to restore circulating volume

What is infection and rejection?

The two most significant complications to monitor for in the heart transplant patient.

What are pre-renal, intra-renal and post-renal?

These are the locations of acute renal failure and/or acute kidney injury.

What is pulmonary embolism?

These findings are seen with this thromboembolic condition: acute right sided heart strain, elevated A-a O2 Gradient, Tachycardia

What is compartment syndrome?

This acute disease process is common in patients with extremity fractures and monitored with frequent neurovascular checks. It is assessed for by using the 5 Ps.

What is Benzodiazepines?

This class of medications can cause respiratory depression, hypotension, and can worsen delirium and is not recommended for long-term sedation in the ICU

What is Endotracheal Suction?

This common nursing intervention should only be performed when appropriately indicated. While performing this procedure you notice the patient develop bradycardia. You stop and hyperoxygenate the patient.

What is an AED?

This device can be used by bystanders or healthcare providers with little to no training if an unresponsive patient is found.

What is heparin?

This drug inactivates thrombin and is commonly used in DVT prophylaxis

What is Hyperosmolar Nonketotic Syndrome?

This endocrine condition causes an altered level of consciousness, a decreased respiratory rate and hypotension, and unlike DKA has no associated production of ketone bodies.

What is ADH?

This endocrine hormone is responsible for increased water reabsorption at the distal convoluted tubule.

What decerebrate posturing?

This form of posturing is representative of brainstem involvement and has a poor prognostic indication.

What is Cardiogenic Shock?

This form of shock is due to the inability of heart to pump blood forward

What is respiratory failure?

This is occurring when you witness these findings in a patient: only able to speak in one or two word sentences, the patient seems drowsy, the patient cannot lie supine, breath sounds are diminished

What is the length of the aortic aneurysm?

This measurement determines the risk of Abdominal Aortic Aneurysm rupture

What is Metformin?

This medication should be held 24 hours before and 48 hours after PCI. This medication can worsen renal function if these measure are not taken.

What is the Liver?

This organ is responsible for producing blood clotting factors.

What is a Sinus Bradycardia?

This rhythm has P waves with every qrs and has a rate of less that 60. A symptomatic, patients would be initially treated with atropine 0.5 mg IV Push.

What is Atrial Fibrillation?

This rhythm is irregular, has no discernable P waves and has a variable rate Bonus: what does atrial flutter look like?

What are invasive lines?

This should be considered for removal each day.

What is a portacaval shunt?

This surgical procedure helps decrease portal venous pressure ultimately reducing the chance of bleeding from esophageal varices.

What is anaphylactic shock?

Treatment with epinephrine, Benadryl and follow up prevention and teaching will save a life in this acute disease process.

What is Supraventricular tachycardia?

You administer adenosine 6 mg with an IV flush and observe the monitor for conversion of this rhythm.

What is V-Tach?

You see this on the monitor, you call for help and start CPR. Defibrillation is indicated as soon as possible.