Type
Word Search
Description

bicarbonate
Dantrolene
dysrhythmias
emergency
hotline
hyperkalemia
ice packs
lavage
metabolic acidosis
ryanodex

Malignant hyperthermia Word Search

Type
Word Search
Description

flushed
hypercatabolic
rhabdomyolysis
succinylcholine
latic acid
hyperkalemia
cyanosis
fever
IV fluids
insulin
bicarbonate
fast heart
dantrolene
hyperventilate
rigidity

Malignant Hyperthermia 2018 Crossword

Type
Crossword
Description

The inhalation agent ________________ is safe to administer for patients with a history of malignant hyperthermia. nitrous oxide
Often a late sign of MH. temperature elevation
Do not use ____________________ ____________________ when treating arrhythmias. They can cause hyperkalemia and cardiac arrest when used in conjunction with dantrolene. beta blockers
If your patient weighs 253 lbs., how many vials of dantrolene would you use? fifteen
_________________________ is often the first sign of an acute MH episode and may be mistaken for light anesthesia. tachycardia
If your patient develops a ____________, consider MH in the differential diagnosis of any unexpected temperature rise. fever
The most sensitive indicator of a suspected case of MH is an unanticipated increase of ________________. endtidalCO2
_______________________ the patient with 100% oxygen to blow off volatile anesthetic agents and lower end-tidal CO2. Hyperventilate
What is the name of the only drug available to treat MH? dantrolene
How many bottles of dantrolene are kept in the MH box? eighteen
Where can you obtain more dantrolene if you use all the bottles in the MH box? pharmacy
When an MH crisis is suspected, anesthesia should immediately ___________________ use of all triggering agents. discontinue
Watch for ____________________________ by monitoring the patient in the ICU for at least 24 hours aftern an MH crisis. This occurs in about 25% of MH cases. recrudescence
MH is a serious genetic and potentially lethal syndrome casued by a ______________ state. hypermetabolic
Call a ______________ when a suspected MH crisis occurs to obtain the MH box and crash cart. code
MH may be precipitated by the administration of depolarizing muscle relaxants such as _____________________. succinylcholine
____________________ include applying ice to the body, lavaging open body cavities, and irrigating the bladder with cool saline. Cooling
Reconstitue dantrolene with 60 mL of room temperature ___________________. sterile water

Malignant Hyperthermia Crossword

Type
Crossword
Description

Do not use ________ _________ blockers when treating arrhythmias. They can cause hyperkalemia and cardiac arrest when used in conjuction with dantrolene. Calcium Channel
If your patient weighed 275 lbs, how many vials of Dantrium would you open? Sixteen
______________ the patient with 100% oxygen to remove volatile anesthetics and lower end-tidal CO2. Hyperventilate
MH is a serious genetic and potentially lethal syndrome caused by a __________________ state. Hypermetabolic
If your patient develops a ___________, consider MH in the differential diagnosis of any unexpected temperature rise. Fever
Often a late sign of MH Temperature Elevation
The most sensitive indicator of a suspected case of MH is an unanticipated increase of _____________. End Tidal CO2
MH may be precipitated by the adminstration of volatile inhalation anesthetic agents and depolarizing muscle relaxants, such as ________________________. Succinylcholine
__________ __________ Rigidity is the severe, sustained contracture of the jaw muscles after adminstration of succinylcholine. Masseter Muscle
___________ is the drug of choice for treatment of MH. Give 2.5 mg/kg. Dantrolene
After surgeon and anesthesia provider is notified of the situation, anesthesia should immediately _____________ use of all triggering agents. Discontinue
To ensure patient safety, an MH ______ should be readily available for use by departments where anesthesia is adminstered and it should contain essential drugs, equipment, and supplies. Cart
As soon as you recognize signs and symptoms of MH crisis, call for assistance. At least _________ nurses, an anesthesia care provider, and a surgeon should be present to treat a patient with MH. Four

Interpretation of Arterial Blood Gases Crossword

Type
Crossword
Description

What structure is blood withdrawn from for an arterial blood gas? radial artery
What do arterial blood gases help assess? respiratory and metabolic systems
What is the acid/base measurement on arterial blood gas? pH
What measurement has a normal range of 80-100mmHg? PaO2
What measurement has a normal range of 35-45mmHg on arterial blood gas? PaCO2
What measurement has a normal range of 22-26mEqL on arterial blood gas? HCO3
CO2 is a measure of the function of what system in the body? Respiratory
Bicarbonate is a measure of what function? metabolic
A high than normal PaCO2 value indicates what condition? Respiratory acidosis
A condition with a lower than normal PaCO2 value indicates? Respiratory alkalosis
A lower than normal value of bicarbonate indicates what condition? metabolic acidosis
A higher than normal value of bicarbonate indicates what condition? metabolic alkalosis

Fluid and Electrolytes Crossword

Type
Crossword
Description

Muscle Weakness, cramping, dysrhythmias, Flat/ Inverted T Waves HypoKalemia
Caused by: Renal Failure, Adrenal Insufficiency, Acidosis Hyperkalemia
Caused by: GI Loss, SIADH, Water Intoxication, NPO Status Hyponatremia
Loss of Fluids From the Cells and Tissue Fluid Volume Deficit
Seizures,Coma,Restlessness,Irritability, Muscle twitching to the point of weakness Hypernatremia
Chvostek's Sign, Trousseau's Sign, Tetany, Seizures,Fatigue Hypocalcemia
Lethargy,Decreased reflexes, confusion, Bone Pain, Fractures Hypercalcemia
Lethargy,drowsiness,Decreased Pulse/Bp,Muscle Weakness, Diminished DTR,N/V Hypermagnesium
Confusion,Tremors,Hyperactive DTR, Increased Pulse/BP, Insomnia,Muscle Cramps Hypomagnesium
CNS Depression, Muscle Weakness,Seizure, Osteomalacia Hypophosphatemia
Caused by : Renal Failure, Enemas containing Phosphorus, Chemotherapy Drugs HyperPhosphatemia
Same osmolarity as body fluid(NS 0.9 NaCl & lactated ringers) Isotonic
More Water than electrolytes(0.45% NaCl and D5W) Hypotonic
Initially expands and raises the osmolality in ECF( D5 1/2NS & D10W) Hypertonic
135-145 Sodium
3.5-5 Potassium
9.0-10.5 Calcium
Magnesium 1.3-2.1
Phosphorus 3.0-4.5

Fluid & Electrolytes Crossword

Type
Crossword
Description

____% of body is water sixty
0.45%NS is this type of fluid Hypotonic
An example of third spacing Ascites
Works with sodium to maintain osmotic pressure Chloride
Creates peaked T-wave on EKG Hyperkalemia
D51/2NS is this type of fluid hypertonic
LR is this type of fluid Isotonic
Na+, Ca++, Mg++ cations
Cl-, PO4- Anions
Low pH Acidosis
High pH Alkalosis
May occur with hyponatremia in the older adult Confusion
Can occur with tube feedings w/o adequate water supplements Hypernatremia
______ lower the Na+ level to decrease risk of cerebral edema Gradually
Creates flattened T-wave on EKG hypokalemia
____ can treat hyperkalemia (2 words) Calcium Gluconate
___ has a direct relationship with Vitamin D Calcium
Hypocalcemia can cause _____'s sign Trousseau
Torsades de Pointes can be treated with IV _____ Magnesium
3% NaCl is used to treat ____ Hyponatremia
Can be caused by trauma, tumors, strokes and cancer SIADH
pH 7.30, PCO2 49, HCO3 24= _____ acidosis Respiratory
pH 7.49, PCO2 36, HCO3 28= ______ alkalosis Metabolic
Ensure patient's _____ is normal before replacing K+ creatinine
Calcium and Phosphorus have an ___ relationship Inverse

Diuretics Crossword

Type
Crossword
Description

Chlorothiazide, hydrochlorothiazide,HCTZ, metolazone what diuretic? Thiazide
Indication is edema, HTN, HF, cirrhosis Thiazide
Bumetanide, furosemide, toremide are what diuretic? Loop
Sx leg cramps, N&V, dysrhythmia, muscle weakness Hypokalemia
Before giving diuretic check what needs to be checked? Potassium level
Monitor intake and output but report if urine output is less than? 30ml
What may decrease diuretics effectiveness? NSAIDS
SE: hypokalemia, hyponatremia, hypocalcemia, orthostatic hypotension, ototoxicity, hyperglycemia, skin disturb. Dehydration Loop
Indication is edema ass. With HF, renal or hepatic, HTN, tx of hypercalcemia Loop
Spironolactone, amiloride Potassium Sparing Diuretic
Indication HTN, Hyperaldosteronism , HF Pot.Sparing
SE: hyperkalemia, impotence, menstrual irregularities Pot.Sparing
SX weak, tired,dyspnea, dysrhythmia Hyperkalemia
Con.Ind-KDA, hyperkalemia, severe renal failure, Anuria Pot.Sparing
Carbonic Anhydrase inhibitors diuretic? Acetazolmide
SE: hypokalemia, hyperglycemia, hyponatremia Carbonic
Indication: edema, glaucoma, altitude sickness Carbonic
Encourage food high in Potassium
No urine outout is called Anuria
Don't administer_____ substitutes? Salt
Don't administer______supplements? Potassium
Pot.Sparing use cautiously with pt taking? Digoxin

Operating Room Word Scramble

Type
Word Scramble
Description

malignant hyperthermia
electrocautery
anesthesiologist
Davinci robot
emergency surgery
registered nurse
surgical technologist
Surgeon
jackson table
recovery room
suction
endotrachael tube
Franciscan Health
scalpel
urology
gynecology
vascular surgery
orthopaedics
general surgery
bookwalter retractor

Code Blue, RSI, and Crash Cart Crossword

Type
Crossword
Description

Considered central access. Preferred over endotracheal route when IV not available. intraosseous
Best route of administration. CENTRAL LINE
Drawer #1 medications FIRSTLINE
IV fluid location in crash cart DRAWER3
No longer a first line medication. VASOPRESSIN
Can cause flatline on EKG ADENOSINE
Anti-arrhythmic that can be given by IVP only when there is no pulse. AMIODARONE
First line for symptomatic bradycardia. ATROPINE
Second line for symptomatic bradycardia. DOPAMINE
Stabilizes myocardial cell membrane. (ie: Torsades) MAGNESIUM
Medications stored in the second drawer of the crash cart. SECOND LINE
Indicated for severe hyperkalemia or Ca channel blocker overdose. CALCIUM GLUCONATE
Alternative anti-arrhythmic for ventricular arrhythmia's. Is also an anesthetic. LIDOCAINE
Levophed for hypotension is a potent ______________. VASOCONSTRICTOR
Med with mult. indications inc. hyperkalemia, metab. acidosis, and overdose of acidic medications SODIUM BICARBONATE
Used for narcotic overdose. NALOXONE
For reversal of benzodiazepines; can induce Sz's FLUMAZENIL
Given as 1mg IVP every 3-5min. EPINEPHRINE
Helps with pediatric dosing. BROSELOW
NMB used first line for ET tube placement. SUCCINYLCHOLINE
Non-depolarizing NMB ROCURONIUM
Can be used for RSI sedation or seizures MIDAZOLAM
Used with dextrose for hyperkalemia REGULAR INSULIN
Two medications for RSI that are not located in the Crash Cart or the "Orange Box". FENTANYL AND KETAMINE
Anesthetic in RSI box that cannot be used in children <10yo ETOMIDATE

Fluid, Electrolytes, & Acid-Bases Crossword

Type
Crossword
Description

Substance whose molecules dissociate into ions when plavced into water Electrolyte
Positively charged ion cation
Negatively charged ion Anion
ECF volume deficit Hypovolemia
Fluid volume excess Hypervolemia
Measure of H+ ion concentration PH
Acid-Base mnemonic ROME
High pH, low PaCO2 (<32) Respiratory Alkalosis
Low pH, high PaCO2 (>48) Respiratory Acidosis
High pH, High HCO3 (>26) Metabolic Alkalosis
Low pH, low HCO3 (<22) Metabolic Acidosis
This type of solution enlarges the cell Hypotonic
This type of solution shrinks the cell Hypertonic
This type of solution has equal osmotic pressure in and out of the cell Isotonic