Bob has APL. He is bleeding from his gums. What might be happening with Bob?
Disseminated Intravascular Coagulation (DIC)
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10
When obtaining blood cultures, which bottle should be drawn first- aerobic or anaerobic?
Aerobic
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10
This agent is used for breast and ovarian cancers, may be infused over either 60 minutes or 3 hours, and can cause hypersensitivity reactions in the 1st 10 minutes of infusion.
Paclitaxel
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banana
Go to last place!
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star
Double points!
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gift
Win 15 points!
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lifesaver
Give 25 points!
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15
Lucy has acute myeloid leukemia. She is receiving chemotherapy and her labs are as follows: K= 6.0 mEq/L, Uric Acid= 9mg/dL, Phosphorus= 5.8mg/dL, Creatinine= 2.1mg/dL. What do you suspect is happening?
Tumor Lysis Syndrome
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10
True or False: When obtaining blood cultures from a central line, the cap should be changed prior to drawing the sample.
True
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15
Arnold is receiving daunorubicin via L. PICC line. He calls out and states that his left arm is burning. What actions should you take?
Stop the infusion, check for blood return, Assess the patient, Notify the provider, Provide interventions per orders & policy, Document!
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5
Scrubbing the hub for _________ is an effective method for reducing CLABSIs.
15 seconds
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15
Kim is receiving paclitaxel for breast cancer. She calls out and tells you that she is "feeling winded and my lips are feeling fat." What do you suspect? What are your actions?
Hypersensitivity reaction. Stop the infusion, check for blood return, Assess the patient,Notify the provider,Provide interventions per orders & policy,Document!
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boom
Lose 50 points!
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magnet
Take 20 points!
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fairy
Take points!
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25
thief
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15
Harry has glioblastoma. He is admitted for head ache. VS: 182/62, HR45, RR7. What do you suspect is occurring?
Increased Intracranial Pressure
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seesaw
Swap points!
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fairy
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shark
Other team loses 25 points!
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thief
Give points!
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15
This agent is considered a vesicant, can cause constipation, can be fatal if administered intrathecally, and bolus doses are usually limited to a maximum of 2mg.
Vincristine
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5
True or false: All central lines are flushed using a "pulse" technique to decrease fibrin build up.
True
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15
Fever or hypothermia, tachycardia and confusion are all common signs of what?