THIS
IS
With
Host...
Your
100 100 100 100 100 100
200 200 200 200 200 200
300 300 300 300 300 300
400 400 400 400 400 400
500 500 500 500 500 500
Fill in the “EMIA”
Name That Imbalance
HYPO- “termic”
F – E Jive Just Sign Here
Hyper – “Bully”
Often found in Fluid Volume Deficit.
A 100
What is hypernatremia?
A 100
Classic signs of this are those of the neuromuscular system,
including tetany and hyperactive DVRs.
A 200
What is hypercalcemia?
A 200
Patient may show signs of lethargy, headaches,
personality changes, and confusion.
A 300
What is hypercalcemia?
(Tried to trick you here – these symptoms may be
exhibited, in part, with other electrolyte imbalances, but this combo points to excess
calcium.)
A 300
Patient may demonstrate anemia, bruising, or bleeding
and spasms.
A 400
What is hyperphosphatemia?
(including associated anxiety and slurred speech)
A 400
Patient presents a slow, irregular heartbeat with ECG changes of a tall peaked T- wave and a prolonged PR-
interval.
A 500
What is hyperkalemia?
(may include nausea and diarrhea).
A 500
Flattened “T” waves and “ST” segment depression, if patient is hooked to a heart
monitor.
B 100
What is hypokalemia?
B 100
Causes bone pain and the formation of kidney stones.
B 200
What is hypercalcemia?
B 200
A blood pressure cuff is applied to the arm and
inflated at least 20 mm Hg greater than the systolic blood
pressure.
B 300
What is the method for checking for Trousseau’s
sign?
(seen in patients with HYPOcalcemia)
B 300
General manifestations may include hyperactive bowel
sounds and increased bleeding and bruising.
B 400
What is HYPOcalcemia?
B 400
As blood volume decreases, heart rate increases and pulse
is weak and thready.
B 500
What is FVD?
(also note flattened veins in the neck and hands)
B 500
Total serum level falls below 8.9 mg/dL.
C 100
What is HYPOcalcemia?
(ionized Ca2+ falls below 4.5 mg/dL)
C 100
Serum levels are less than 1.4 mEq/L.
C 200
What is HYPOmagnesemia?
(Symptoms may not appear until levels fall below 1.0
mEq/L)
C 200
Serum levels are less than 2.5 mg/dL (note slurred speech)
C 300
What is HYPOphosphatemia?
(with fingertip numbness, tremors, and generalized
muscle weakness)
C 300
DAILY DOUBLE
C 400
DAILY DOUBLE
Place A Wager
Serum levels fall below 135mEq/L and affect mostly the neurological system. (a
major as-SALT on the body!)
C 400
What is HYPOnatremia?
(may include nausea, diarrhea, cramps, tremors,
and particularly headaches)
C 400
FVD leads to this tendency to become lightheaded (dizzy)
upon rising to stand up.
C 500
What is postural HYPOtension?
(related to a decrease in blood pressure)
C 500
FVE
D 100
What is Fluid Volume Excess (Overload)?
D 100
CVP
D 200
What is Central Venous Pressure?
(It reflects the amount of blood returning to the heart – a good approximation of right
atrial pressure)
D 200
Value of deepest assessed edema.
D 300
What is +4?
(That would be the “pits”!)
D 300
Tap on a patient’s cheek and a contraction of the upper lip,
nose and cheek occurs.
D 400
What is a positive Chvostek’s sign? (seen in
HYPOcalcemia, but also in HYPOmagnesemia)
D 400
Note its location, amount, bilateral status and capillary
refill.
D 500
What are the documentation values for edema?
D 500
Full and bounding pulse, increased blood pressure, brisk capillary refill, and
distended neck veins.
E 100
What is Fluid Volume Overload (Excess)?
E 100
With FVE, the percentage weight gain related to the
renal system that is considered “severe”.
E 200
What is 8%?
(causing edema – gravity dependent and first appears
distally in a patient’s extremities)
E 200
The best places for this assessment are the forehead, sternum, and the inner thigh. (Should we “canvass” all the
student nurses?)
E 300
What is skin “tenting”?
(Maybe we should take a “pole” instead!)
E 300
1.003 – 1.035.
E 400
What is the normal range for urine specific gravity?
(optimal range is 1.010 – 1.025)
(I was pissed when I missed this one!)
E 400
A “cuffed” patient demonstrates a spasm with a
flexed wrist and extended fingers.
E 500
What is a positive Trousseau’s sign?
(seen in HYPOcalcemia)
E 500
Blood serum level exceeds 145 mEq/L.
F 100
What is HYPERnatremia?
F 100
Blood values are greater than 4.5 mg/dL (anorexia and tachycardia may also be
present).
F 200
What is HYPERphosphatemia?
(“I have a “stinging” sensation it includes
paresthesias and tetany,” he said jerkily.)
F 200
Patient complains of thirst and has dry, sticky mucous
membranes, plus some muscle twitching.
F 300
What is HYPERnatremia?
(may also have flushed skin and increased body
temperature)
F 300
Total electrolyte level is greater than 10.1 mg/dL or (ionized) greater than 5.1
mg/dL.
(Really trying to “milk” this one…)
F 400
What is HYPERcalcemia?
F 400
Serum levels are greater than 2.1 mEq/L (including muscle
twitching and decreased DTRs).
F 500
What is HYPERmagnesemia?
(also note a prolonged “P-R” level and a slow heart rate)
F 500
The Final Jeopardy Category is:
Fluid Volume Deficit
Please record your wager.
Click on screen to begin
Cultural phenomenon that explains why certain patients do
NOT remedy a dehydrated condition.
Click on screen to continue
What is perceiving thirst as “hunger” and thereby seeking
food, rather than liquids in order to rehydrate themselves.
Click on screen to continue
Thank You for Playing Jeopardy!
Game Designed By C. Harr-MAIT
Top Related