LaPoint 1

Sample Jeopardy Questions

Control is Key (indications/contraindications):

1. Initial endotracheal intubation What is an indication?
2. Patient is not sedated or receiving analgesia What is a contraindication?
3. Unable to obtain a secure airway What is a contraindication?
4. Uncontrollable muscle spasms What is an indication?
5. Ventilator Synchrony What is an indication?
Monitoring:
1. 2 out of 4 twitches are seen on TOF, indicating control of this percentage of receptor
blockade What is 80%.
2. Besides the cardiac monitor, SaO2 probe, and ventilator, this must also be attached to the
patient at all times during neuromuscular blockade treatment What is end tidal
CO2?
3. This phenomena in the extremities can cause interference in the conduction of nerve
impulse through the dermal tissue What is edema?
4. The level at which the addition of extra stimulation current does not induce an increase in
the twitch response What is the supramaximal stimulus?
5. The site of the electrodes should be marked and changed this often What is every
24 hours?
Policy:
1. The minimum mechanical vent rate What is 8 breaths per minute?
2. While on neuromuscular blockade, the patient must also receive adequate doses of this
What is sedation or analgesia?
3. This is the goal of control What is 1-2 twitches out of 4, unless otherwise
specified?
4. For the maintenance of skin integrity, reposition the patient q 2 hours and obtain orders
for these What is pressure ulcer ointment?

LaPoint 2
5. TOF must be monitored and documented this often What is every 15 minutes
during dose changes, every hour until consistent, and then every 2-4
hours thereafter?
Neuromuscular Junction Whats Your Function? (increase/decrease effects of
blocks):
1. This depolarizing neuromuscular blocking drug increases potassium levels in renal failure
patients. What is succinylcholine?
2. Septic patient will potentially need this type of dosing of their neuromuscular blockades
What is increased dosing?
3. Acidotic patients potentially need this type of dosing of their neuromuscular blockades
What is decreased dosing?
4. Your patient is receiving Lidocaine for cardiac dysrhythmias concurrently with
neuromuscular blockade. You should expect to potentially do this to your blockade
dosage What is decrease it?
5. This non-depolarizing neuromuscular blocking drug is usually given in IVP instead of
drip form, may be useful for asthmatics, but can cause hypertension and has a delayed
onset of action in renal and hepatic failure What is Pavulon?
Rescue Me (complications & interventions):
1. 0 out of 4 twitches on TOF are exhibited What is 100% of receptors are
blocked the patient is paralyzed? Reduce the neuromuscular
blockade and monitor every 15 minutes.
2. My eyes are open and cannot shut What is scleral edema? Instill eye
lubricant and close eyes. May tape shut to protect as needed.
3. Suppression of cough, retention of secretions, and development of atelectasis What is
poor pulmonary hygiene? Avoid VAP with oral and pulmonary care q 2
hours, decrease blockade as able, wean ventilator to extubate as
appropriate.
4. EtCO2 = 0, respiratory rate = 0, and ventilator = high pressure alarm What is the
patient has become disconnected from the ventilator? The patient has
no ability to initiate a breath, is apneic, and requires full support.

LaPoint 3
5. HR = 140, BP = 182/100, RR = 18, AC rate = 12 What is the patient is awake
under the blockade? Assess the patient and provide
sedation/analgesia.