Team 1
0
Team 2
0
Teams
Name
Score
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Loading
10
×
What drug keeps the ductus open?
Prostaglandin E1 (PGE)
Oops!
Check
Okay!
Check
15
×
Pre: 97% and post: 87% -- what type of shunt?
Right-to-left through the ductus. Blood bypasses the lungs --> lowers post ductal sats.
Oops!
Check
Okay!
Check
×
thief
Give points!
5
10
15
20
25
×
magnet
Take 10 points!
Okay!
×
fairy
Take points!
5
10
15
20
25
×
banana
Go to last place!
Oops!
15
×
For a pt w/ pulmonary atresia, what clinical signs appear first if the duct starts to close?
Rapid desaturation and worsening cyanosis
Oops!
Check
Okay!
Check
20
×
Why do we check both pre- and post-ductal saturations in cardiac babies?
To detect shunting across the ductus arteriosus and see if there's a difference in oxygen delivery to the upper vs lower body
Oops!
Check
Okay!
Check
10
×
Your patient becomes agitated. Their pre: 96% and post sat drops into the 80s. Why?
Right-to-left shunting through the PDA. PVR rises= pressure in the PA > the pressure in Aorta
Oops!
Check
Okay!
Check
5
×
What does the foot probe tell you?
Post-ductal oxygenation -- blood after ductal mixing to the body.
Oops!
Check
Okay!
Check
10
×
In a ductal-dependent pulmonary lesion, is pre- or post- ductal sat usually lower?
Often both are low -- equal cyanosis
Oops!
Check
Okay!
Check
15
×
Where are pre- and post- ductal probes placed?
Pre= right hand and post= either foot. Right hand = flow to brain, feet= lower body
Oops!
Check
Okay!
Check
20
×
What happens if the PDA closes in a systemic lesion?
Shock, acidosis, weak pulses, cool extremities.... bad things
Oops!
Check
Okay!
Check
×
heart
Other team wins 20 points!
Oops!
×
seesaw
Swap points!
Okay!
×
rocket
Go to first place!
Okay!
×
banana
Go to last place!
Oops!
×
seesaw
Swap points!
Oops!
×
star
Double points!
Okay!
×
rocket
Go to first place!
Okay!
×
banana
Go to last place!
Oops!
5
×
What does the right-hand probe tell you?
pre-ductal oxygenation -- blood going to the brain.
Oops!
Check
Okay!
Check
20
×
Pre 85%, Post: 92% -- what's happening here?
Reverse differential cyanosis. Oxygenated blood is reaching the lower body but not the upper body/brain
Oops!
Check
Okay!
Check
15
×
What is a ductal-dependent pulmonary lesion?
A defect where blood cannot reach the lungs without a PDA. The PDA must stay open to let blood flow from the aorta into the PA's
Oops!
Check
Okay!
Check
15
×
When do babies need the PDA to stay open? (think blood flow not specific defect)
When it provides critical pulmonary circulation or systemic circulation - depends on defect
Oops!
Check
Okay!
Check
×
Restart
Review
Join for Free
;
Your experience on this site will be improved by allowing cookies.
Allow cookies
