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