Critical Care Jeopardy 3 Jeopardy Template

Burn baby, buuurrrn	Ache-y, Brake-y Heart	Urine Good Hands	I put the T in Traumatic (Trauma)	Head-aches
100 What is at the center of the injury with regions of tissue viability toward the periphery In burns, where does tissue necrosis occur?	100 What is the SA node. Fires at about 60-100 impulses/min What is the primary pacemaker of the heart?	100 Umbrella term that describes kidney damage or a decrease in the GFR lasting for 3 or more months Define CKD	100 1. Education 2. Legislation 3. Automatic Protection What are the three components of injury prevention?	100 Include contusions, and several types of hematomas What type of injuries are defined as focal injuries
200 What is the zone of coagulation *Due to the characteristic coagulation necrosis of cells that occurs What is the central zone of the wound called	200 What is automaticity, excitability, conductivity, and contractility Cardiac tissue possesses 4 properties, name them	200 What is ESKD (final stage of CKD) Untreated CKD can result in	200 1. Blunt 2. Penetrating 3. Thermal 4. Blast What are the four categories of trauma?	200 Frontal Lobe The patient was involved in a MVC where they sustained a head injury. The patient presents to the ED with bizarre irrational behavior; where in the brain might the patient have sustained the head injury to cause these symptoms?
300 What is the zone of coagulation, zone of stasis, zone of hyperemia Name the three zones of a burn	300 What is a T wave Repolarization of the ventricles will cause a	300 Cardiovascular disease, diabetes, HTN, obesity; glomerulonephritis; pyelonephritis; polycystic, hereditary, or congenital disorders; and renal cancers What are some risk factors for ESKD	300 Resuscitation = continuous Emergent= Q15 min Urgent= Q30 min Less Urgent= Q1hr Nonurgent= Q120min During each level of triage, how often/long must surveillance be provided?	300 Decrease in LOC Worsening Headache Dizziness Seizures Abnormal pupil response Vomiting Irritability Slurred Speech Numbness or weakness in arms or legs When a patient has sustained a head injury, what S&S are we looking for that could mean a worsening condition and need for intervention?
400 What is Local mediators, changes in blood flow, tissue edema, and infection What can cause the progression in severity of the burn injury?	400 What is early ventricular repolarization The ST segment represents	400 What is 125 What is the normal GFR	400 If there is uncontrolled external hemorrhaging, it must be controlled FIRST. If not, then ABC's A patient arrives to the ED with profuse uncontrolled external hemorrhaging, what is the first step in care?	400 Loss of Consciousness associated with stupor and confusion How are contusions charaterized (S&S)
500 What is 20% It is important to recognize injuries that affect more than ___ TBSA as severe injuries, as they produce local and systemic effects	500 Count the number of QRS complexes that occur within 6 seconds and multiply this number by 10. How do you calculate the rate on a 6 second ECG strip?	500 Stage 1: GFR>90 Kidney damage with norm or increased GFR Stage 2: Mild decrease in GFR (60-90) Stage 3: Moderate decrease in GFR (30-59) Stage 4: Severe decrease in GFR (15-29) Stage 5: ESKD (GFR<15) Define the GFR for each stage of CKD	500 A= Airway/Alertness with SIMULTANEOUS Cspine prec. Establish a patent airway B=Breathing/Ventilation; Are there breath sounds? Are they equal? Increased WOB? Tracheal deviation? Intubation req? C= Circulation/Control of Hemorrhage; check color, temp, moisture of skin. Evaluation CO, place 2 patent large gauge IV lines. Assess for shock, control blood loss, fluid replacement D= Disability; assess GCS E= Exposure/Environment control; Undress pt, keep them warm F= Full set of VS/Family Presence; Obtain all VS, family bedside if allowed G= Get resus adjuncts; labs, NGtube, O2, assess pain H= OSCE Define the ABCD's of care briefly (name, what should be done in this stage)	500 Effects of injury, especially hemorrhage and edema, peak after about 18 to 36 hours. These effects can in turn result in increased ICP and possible herniation syndromes When should the nurse expect the effects of a contusion to occur in the patient?

Critical Care Jeopardy 2

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