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Category 1
1. It is an antihistamine thathelpscontrol allergicreaction. Preventmotionsickness.Suppresscough.
Answer:Diphenhydramine
2. It is an antiemeticthathelpscontrol nauseaandvomiting.
Answer:Dimenhydrinate andOndansetron
3. It is a thyroidhormone thathelpstreathypothyroidism.
Answer:Levothyroxine
4. It is an anti-infective thathelpspreventinfection before aftersurgery.
Answer:Ceftriaxone,Metronidazole,Piperacillin/Tazobactam,Ampicillin
Metronidazole:Intra-abdominal infection,itisalsouse as antiulcer.
5. It is an antidepressants.
Answer:
a. Citalopram (selective serotoninreuptakeinhibitor) - preventreuptake of serotonininthe CNS
b. Bupropion- decrease reuptake of dopamine,serotonin,andnorepinephrineinthe CNS.Control
depressionanddecrease cigarette cravings
c. Amitriptyline (tricyclic) - decrease the effectof serotoninandnorepinephrine inthe CNS
Category 2
1. It is a non-opioiduse totreatmildbreakthroughpain.
Answer:Acetaminophen/Tylenol
2. It is an opioiduse totreatmoderate to severe pain.
Answer:Fentanyl,Hydromorphone
3. It is a sedative use toinduce sleepiness.
Answer:Melatonin,Zopiclone
4. It is an antaciduse to preventstomachulcerwhenpatients'are inNPO.
Answer:
a. Pantoprazole (Protonpumpinhibitor) - diminishedaccumulationof acidinthe gastriclumen,with
lessenacidreflux bypreventingthe transportof hydrogenionsinthe gastriclumen.
b. Milkof magnesia– sometimesusedasantacidandlaxative.
c. Ranitidine (Histamine 2antagonist) - inhibitsthe actionof histamine atthe H2 receptorsite causing
inhibitionof gastricsecretion.Healingandpreventionof ulcer.
5. It is use as hypertensive,tolowerBPto preventstroke.
Answer:
a. Clonidine (Adrenergics) - stimulatesalpha-adrenergicreceptorsinthe CNS,whichresultsindecreased
sympatheticoutflowinhibitingcardio-accelerationandvasoconstrictioncenters.DecreasedBPandpain.
b. Ramipril (ACE inhibitor)- inhibitthe conversionof angiotensin1to 2, increase plasmareninlevelsand
decrease aldosterone levels,netresultsystemicvasodilation.
c. Metropolol (Betablocker) - blockstimulationof beta1 (myocardial) adrenergicreceptors,causing
decrease BPand heartrate.Decrease frequencyof attacksof anginapectoris.
d. Amlodipine (Calciumchannel blocker) - inhibitthe transportof calciumintomyocardial andvascular
smoothmuscle cells,inhibitexcitationcontraction.Systemicandcoronaryvasodilation.Decreased
anginaattack.
e.Hydrochlorothiazide (Diuretics) - TreatmentforedemaassociatedwithHF.Increase excretionof
sodiumandwaterby inhibitingsodiumreabsorption.Alsopromote excretionof chloride,potassium,
magnesium,andbicarbonate.
Category 3
1. It is a fat soluble vitamin use toincrease intestinal absorptionof calcium, iron,magnesium,
phosphate,andzinc.
Answer:VitaminD
2. It helpsindevelopingandmaintainingnormal redbloodcells,andproductionof neurotransmitter.
Answer:VitaminB12
3. It helpsinthe absorptionof iron.Use bybodyto form collagen,repairandmaintaincartilages,bones,
teeth,heal woundsandformscar tissues.
Answer:VitaminC
4. It is a vitaminneededbythe bodyforbloodclotting.Itisusedtoreverse the effectof bloodthinning
medicationswhentoomuchisgivensuchaswarfarin.
Answer:VitaminK
5. It is a vitaminrequiredforthe properfunctionof manyorgansinthe body.It isan antioxidant.Ithelps
to slowdownprocessesthatdamage cells.
Answer:VitaminE
Category 4
1. It is the besttool for assessingeffectivenessof epidural containinglocal anesthetic.Bothleftandright
sidesneedtobe assessedforareaof sensoryblockusinga coldsensation.
Answer:Dermatome Assessment
2. It is generallydefinedasfree from microorganisms.Involvesstrategiesusedinpatientcare toreduce
exposure tomicroorganismsandmaintainobjectsandareasas free frommicroorganismsaspossible.
Answer:Sterile Technique
3. Is a methodof allowingapersoninpaintoadministertheirownpainrelief.The infusionis
programmable bythe prescriber.
Answer:PatientControlledAnalgesia
4. It is the mostfrequentlyrecommendedmonitoringforpeople withdiabetes.People withunstable
bloodsugarlevelsorduringepisodesof infectionorotherillness.
Answer:CapillaryBloodGlucose
5. It is a multimodal perioperative care pathwaysdesignedtoachieveearlyrecoveryaftersurgical
proceduresbymaintainingpreoperativeorganfunctionandreducingthe profoundstressresponse
followingsurgery.
Answer:EnhancedRecoveryAfter Surgery (ERAS) Protocol
Category 5
1. It is a urine testthat measuresthe amountof urine leftinthe bladderafterurinationtohelpevaluate
urinationproblemsuchasincontinence andenlarge prostate.
Answer:Post-VoidResidual
2. It is a testthat usesreflectedsoundwavestosee how bloodflowsthroughabloodvessel.Ithelps
doctorsevaluate bloodflowthroughmajorarteriesandvein,suchasthose of the arms,legs,andneck.
Answer:DopplerUltrasound
3. It is a type of motorneurondisease thatcausesnerve cellsinthe brainandspinal cordto breakdown
and die.Asa resultnovoluntarymuscle nourishment.Thisdiseasebecame famouslastyeardue tothe
"Ice Bucket Challenge"advocacy.
Answer:AmyotrophicLateral Sclerosisor ALS
4. It is a safetymeasure use byhealthcare teamtoprotectthemselvesfromantineoplasticmedicationor
bodywaste frompatienttakingthe medication,staff usuallywearblue gloves,maskwithaface shield,
and a gownwhenemptyingwaste.
Answer:CytotoxicPrecaution
5. A bloodpressure thatremainsabove goal inspite of the concurrentuse of 3 to 4 antihypertensive
agentsof differentclasses.
Answer:ResistantHypertension
Category 6
1. It is an inflammationinthe gallbladdercause bybile ductstones.
Answer:Cholecystitis
2. It is a type of surgerywhere partof the colonisremoved.
Answer:Hemicolectomy
3. It is a type of surgerywhere the sigmoidcolonandrectumare removed.
Answer:AnteriorResection
4. It is a tube that isinsertedthroughthe skinintothe kidney,drainurine directlyfromthe kidneyintoa
collectingbag.
Answer:NephrostomyTube
5. It is a form of urinarydiversionwhereanurologistcreatesasmall openinginthe abdomencalled
stoma,takesa short segmentof the small intestine andconnectsone endtothe stoma,thenthe ureters
are attachedto the otherendsegmentof intestine.
Answer:Ileal-Conduit
1. Advantge of IV antiinfectivesoverPOmeds
First,studieshave demonstratedthat oral therapycanbe as effective asparenterallyadministeredanti-
infectivesinthe treatmentof infectionsrangingfrommildtomoderate tosevere.Secondly,the
potential existsfordecreasingadverse effectsassociatedwithIV therapy.Patientswhocontinue to
receive parenteraltherapyare atincreasedriskforinfusion-relatedadverseeffectssuchasline
infectionsandphlebitis.Third,oral anti-infectivesare easiertoadministerthanIV preparations,require
lesstime toprepare,andoftenimprove patientcomfort,mobility,andindependence,whichcanresult
ina shorterhospital stay.Lastly,oral anti-infectivesare oftenlessexpensive thanparenteral agents.
Althoughoral anti-infectivesare generallypreferredforthe reasonsstatedpreviously,certainpatients
are notcandidatesforIV:POconversion.Theseinclude individualswithgastrointestinal abnormalities,
whichwill alterdrugabsorption.Inaddition,specificdisease states,suchashigh-riskneutropenia,have
not beenstudiedinacontrolledclinical setting.Also,inthe case of meningitisandinfective endocarditis,
antibioticpenetrationispoor,andconcentrationstoeradicate the microorganismmaybe better
achievedwiththe IV route.
2. Why a patientreceivingmultiple antihypertensive meds
Resistanthypertensionisdefinedasbloodpressurethatremainsabove goal inspite of the concurrent
use of 3 antihypertensiveagentsof differentclasses.Ideally,one of the 3agentsshouldbe a diuretic
and all agentsshouldbe prescribed atoptimal dose amounts.Althougharbitraryinregardtothe
numberof medicationsrequired,resistanthypertensionisthusdefinedinordertoidentifypatientswho
are at highriskof havingreversible causesof hypertensionand/orpatientswho,because of persistently
highbloodpressure levels,maybenefitfromspecial diagnosticandtherapeuticconsiderations.As
defined,resistanthypertensionincludespatientswhose bloodpressureiscontrolledwithuse of more
than 3 medications.Thatis,patientswhose bloodpressureiscontrolledbutrequire 4or more
medicationstodoso shouldbe consideredresistanttotreatment.Recommendationsforthe
pharmacological treatmentof resistanthypertensionremainlargelyempiricdue tothe lackof
systematicassessmentsof 3or 4 drug combinations.Studiesof resistanthypertensionare limitedbythe
highcardiovascularriskof patientswithinthissubgroup,whichgenerallyprecludessafewithdrawal of
medications;the presence of multipledisease processes(eg,sleepapnea,diabetes,chronickidney
disease,atheroscleroticdisease) andtheirassociatedmedical therapies,whichconfoundinterpretation
of studyresults;andthe difficultyinenrollinglarge numbersof studyparticipants.Expandingour
understandingof the causesof resistanthypertensionandtherebypotentiallyallowingformore
effectivepreventionand/ortreatmentwill be essential toimprove the long-termclinical managementof
thisdisorder.
3. What is a nephrostomy?Whyyouneedanephrostomy?
You may needanephrostomytube whensomethingisblockingthe normal flow of urine.Urine from
your kidneyspassesthroughtubescalledureters.Youruretersare connectedtoyourbladder.If your
uretersgetblockedbystonesorbloodclots,urine stays inyour kidneysandwill cause problems.The
nephrostomytube isputinto drainyour urine directlyfromyourkidneys.Youmayneedthistube if you
have a condition suchas pelvictumors,damage toyoururinarysystem, orprostate cancer.
4. What is sterile technique?
Sterile technique.Sterile isgenerallydefinedasmeaningfree frommicroorganisms.3
Sterile technique
involvesstrategiesusedinpatientcare toreduce exposure tomicroorganismsandmaintainobjectsand
areas as free frommicroorganismsaspossible.Steriletechniqueinvolvesmeticuloushandwashing,use
of a sterile field,use of sterile glovesforapplicationof asterile dressing,anduse of sterileinstruments.
“Sterile tosterile”rulesinvolve the use of onlysterile instrumentsandmaterialsindressingchange
procedures;andavoidingcontactbetweensterile instrumentsormaterialsandanynon-sterile surface
or products.Sterile technique isconsideredmostappropriate inacute care hospital settings,forpatients
at highriskfor infection,andforcertainproceduressuchassharp instrumental wounddebridement.

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Jeopardy 2016 - Handout

  • 1. Category 1 1. It is an antihistamine thathelpscontrol allergicreaction. Preventmotionsickness.Suppresscough. Answer:Diphenhydramine 2. It is an antiemeticthathelpscontrol nauseaandvomiting. Answer:Dimenhydrinate andOndansetron 3. It is a thyroidhormone thathelpstreathypothyroidism. Answer:Levothyroxine 4. It is an anti-infective thathelpspreventinfection before aftersurgery. Answer:Ceftriaxone,Metronidazole,Piperacillin/Tazobactam,Ampicillin Metronidazole:Intra-abdominal infection,itisalsouse as antiulcer. 5. It is an antidepressants. Answer: a. Citalopram (selective serotoninreuptakeinhibitor) - preventreuptake of serotonininthe CNS b. Bupropion- decrease reuptake of dopamine,serotonin,andnorepinephrineinthe CNS.Control depressionanddecrease cigarette cravings c. Amitriptyline (tricyclic) - decrease the effectof serotoninandnorepinephrine inthe CNS Category 2 1. It is a non-opioiduse totreatmildbreakthroughpain. Answer:Acetaminophen/Tylenol 2. It is an opioiduse totreatmoderate to severe pain. Answer:Fentanyl,Hydromorphone 3. It is a sedative use toinduce sleepiness. Answer:Melatonin,Zopiclone 4. It is an antaciduse to preventstomachulcerwhenpatients'are inNPO. Answer: a. Pantoprazole (Protonpumpinhibitor) - diminishedaccumulationof acidinthe gastriclumen,with lessenacidreflux bypreventingthe transportof hydrogenionsinthe gastriclumen. b. Milkof magnesia– sometimesusedasantacidandlaxative. c. Ranitidine (Histamine 2antagonist) - inhibitsthe actionof histamine atthe H2 receptorsite causing inhibitionof gastricsecretion.Healingandpreventionof ulcer. 5. It is use as hypertensive,tolowerBPto preventstroke. Answer: a. Clonidine (Adrenergics) - stimulatesalpha-adrenergicreceptorsinthe CNS,whichresultsindecreased sympatheticoutflowinhibitingcardio-accelerationandvasoconstrictioncenters.DecreasedBPandpain. b. Ramipril (ACE inhibitor)- inhibitthe conversionof angiotensin1to 2, increase plasmareninlevelsand decrease aldosterone levels,netresultsystemicvasodilation. c. Metropolol (Betablocker) - blockstimulationof beta1 (myocardial) adrenergicreceptors,causing decrease BPand heartrate.Decrease frequencyof attacksof anginapectoris.
  • 2. d. Amlodipine (Calciumchannel blocker) - inhibitthe transportof calciumintomyocardial andvascular smoothmuscle cells,inhibitexcitationcontraction.Systemicandcoronaryvasodilation.Decreased anginaattack. e.Hydrochlorothiazide (Diuretics) - TreatmentforedemaassociatedwithHF.Increase excretionof sodiumandwaterby inhibitingsodiumreabsorption.Alsopromote excretionof chloride,potassium, magnesium,andbicarbonate. Category 3 1. It is a fat soluble vitamin use toincrease intestinal absorptionof calcium, iron,magnesium, phosphate,andzinc. Answer:VitaminD 2. It helpsindevelopingandmaintainingnormal redbloodcells,andproductionof neurotransmitter. Answer:VitaminB12 3. It helpsinthe absorptionof iron.Use bybodyto form collagen,repairandmaintaincartilages,bones, teeth,heal woundsandformscar tissues. Answer:VitaminC 4. It is a vitaminneededbythe bodyforbloodclotting.Itisusedtoreverse the effectof bloodthinning medicationswhentoomuchisgivensuchaswarfarin. Answer:VitaminK 5. It is a vitaminrequiredforthe properfunctionof manyorgansinthe body.It isan antioxidant.Ithelps to slowdownprocessesthatdamage cells. Answer:VitaminE Category 4 1. It is the besttool for assessingeffectivenessof epidural containinglocal anesthetic.Bothleftandright sidesneedtobe assessedforareaof sensoryblockusinga coldsensation. Answer:Dermatome Assessment 2. It is generallydefinedasfree from microorganisms.Involvesstrategiesusedinpatientcare toreduce exposure tomicroorganismsandmaintainobjectsandareasas free frommicroorganismsaspossible. Answer:Sterile Technique 3. Is a methodof allowingapersoninpaintoadministertheirownpainrelief.The infusionis programmable bythe prescriber. Answer:PatientControlledAnalgesia 4. It is the mostfrequentlyrecommendedmonitoringforpeople withdiabetes.People withunstable bloodsugarlevelsorduringepisodesof infectionorotherillness. Answer:CapillaryBloodGlucose 5. It is a multimodal perioperative care pathwaysdesignedtoachieveearlyrecoveryaftersurgical proceduresbymaintainingpreoperativeorganfunctionandreducingthe profoundstressresponse followingsurgery. Answer:EnhancedRecoveryAfter Surgery (ERAS) Protocol
  • 3. Category 5 1. It is a urine testthat measuresthe amountof urine leftinthe bladderafterurinationtohelpevaluate urinationproblemsuchasincontinence andenlarge prostate. Answer:Post-VoidResidual 2. It is a testthat usesreflectedsoundwavestosee how bloodflowsthroughabloodvessel.Ithelps doctorsevaluate bloodflowthroughmajorarteriesandvein,suchasthose of the arms,legs,andneck. Answer:DopplerUltrasound 3. It is a type of motorneurondisease thatcausesnerve cellsinthe brainandspinal cordto breakdown and die.Asa resultnovoluntarymuscle nourishment.Thisdiseasebecame famouslastyeardue tothe "Ice Bucket Challenge"advocacy. Answer:AmyotrophicLateral Sclerosisor ALS 4. It is a safetymeasure use byhealthcare teamtoprotectthemselvesfromantineoplasticmedicationor bodywaste frompatienttakingthe medication,staff usuallywearblue gloves,maskwithaface shield, and a gownwhenemptyingwaste. Answer:CytotoxicPrecaution 5. A bloodpressure thatremainsabove goal inspite of the concurrentuse of 3 to 4 antihypertensive agentsof differentclasses. Answer:ResistantHypertension Category 6 1. It is an inflammationinthe gallbladdercause bybile ductstones. Answer:Cholecystitis 2. It is a type of surgerywhere partof the colonisremoved. Answer:Hemicolectomy 3. It is a type of surgerywhere the sigmoidcolonandrectumare removed. Answer:AnteriorResection 4. It is a tube that isinsertedthroughthe skinintothe kidney,drainurine directlyfromthe kidneyintoa collectingbag. Answer:NephrostomyTube 5. It is a form of urinarydiversionwhereanurologistcreatesasmall openinginthe abdomencalled stoma,takesa short segmentof the small intestine andconnectsone endtothe stoma,thenthe ureters are attachedto the otherendsegmentof intestine. Answer:Ileal-Conduit 1. Advantge of IV antiinfectivesoverPOmeds First,studieshave demonstratedthat oral therapycanbe as effective asparenterallyadministeredanti- infectivesinthe treatmentof infectionsrangingfrommildtomoderate tosevere.Secondly,the potential existsfordecreasingadverse effectsassociatedwithIV therapy.Patientswhocontinue to receive parenteraltherapyare atincreasedriskforinfusion-relatedadverseeffectssuchasline
  • 4. infectionsandphlebitis.Third,oral anti-infectivesare easiertoadministerthanIV preparations,require lesstime toprepare,andoftenimprove patientcomfort,mobility,andindependence,whichcanresult ina shorterhospital stay.Lastly,oral anti-infectivesare oftenlessexpensive thanparenteral agents. Althoughoral anti-infectivesare generallypreferredforthe reasonsstatedpreviously,certainpatients are notcandidatesforIV:POconversion.Theseinclude individualswithgastrointestinal abnormalities, whichwill alterdrugabsorption.Inaddition,specificdisease states,suchashigh-riskneutropenia,have not beenstudiedinacontrolledclinical setting.Also,inthe case of meningitisandinfective endocarditis, antibioticpenetrationispoor,andconcentrationstoeradicate the microorganismmaybe better achievedwiththe IV route. 2. Why a patientreceivingmultiple antihypertensive meds Resistanthypertensionisdefinedasbloodpressurethatremainsabove goal inspite of the concurrent use of 3 antihypertensiveagentsof differentclasses.Ideally,one of the 3agentsshouldbe a diuretic and all agentsshouldbe prescribed atoptimal dose amounts.Althougharbitraryinregardtothe numberof medicationsrequired,resistanthypertensionisthusdefinedinordertoidentifypatientswho are at highriskof havingreversible causesof hypertensionand/orpatientswho,because of persistently highbloodpressure levels,maybenefitfromspecial diagnosticandtherapeuticconsiderations.As defined,resistanthypertensionincludespatientswhose bloodpressureiscontrolledwithuse of more than 3 medications.Thatis,patientswhose bloodpressureiscontrolledbutrequire 4or more medicationstodoso shouldbe consideredresistanttotreatment.Recommendationsforthe pharmacological treatmentof resistanthypertensionremainlargelyempiricdue tothe lackof systematicassessmentsof 3or 4 drug combinations.Studiesof resistanthypertensionare limitedbythe highcardiovascularriskof patientswithinthissubgroup,whichgenerallyprecludessafewithdrawal of medications;the presence of multipledisease processes(eg,sleepapnea,diabetes,chronickidney disease,atheroscleroticdisease) andtheirassociatedmedical therapies,whichconfoundinterpretation of studyresults;andthe difficultyinenrollinglarge numbersof studyparticipants.Expandingour understandingof the causesof resistanthypertensionandtherebypotentiallyallowingformore effectivepreventionand/ortreatmentwill be essential toimprove the long-termclinical managementof thisdisorder. 3. What is a nephrostomy?Whyyouneedanephrostomy? You may needanephrostomytube whensomethingisblockingthe normal flow of urine.Urine from your kidneyspassesthroughtubescalledureters.Youruretersare connectedtoyourbladder.If your uretersgetblockedbystonesorbloodclots,urine stays inyour kidneysandwill cause problems.The nephrostomytube isputinto drainyour urine directlyfromyourkidneys.Youmayneedthistube if you have a condition suchas pelvictumors,damage toyoururinarysystem, orprostate cancer. 4. What is sterile technique? Sterile technique.Sterile isgenerallydefinedasmeaningfree frommicroorganisms.3 Sterile technique involvesstrategiesusedinpatientcare toreduce exposure tomicroorganismsandmaintainobjectsand areas as free frommicroorganismsaspossible.Steriletechniqueinvolvesmeticuloushandwashing,use of a sterile field,use of sterile glovesforapplicationof asterile dressing,anduse of sterileinstruments. “Sterile tosterile”rulesinvolve the use of onlysterile instrumentsandmaterialsindressingchange procedures;andavoidingcontactbetweensterile instrumentsormaterialsandanynon-sterile surface or products.Sterile technique isconsideredmostappropriate inacute care hospital settings,forpatients at highriskfor infection,andforcertainproceduressuchassharp instrumental wounddebridement.