Maternal Hypertension
An out-of-this-world Emergency Department adventure
In order to escape to Earth and get your patient the best care, you must travel to each planet and refuel using your maternal HTN knowledge .
mission
PLanet # 1
In order to get the fuel you need on this planet, you must be able to answer the following questions!
1/4
PP patient who delivered normally 5 days ago
NKA, previous SAB 3 years ago, hx of lupus, denies surgical hx, QBL at birth 218 mL, healthy baby boy, no other medical hx
You take the patient's vitals and her BP is 173/91. What should you do?
Ignore it; the diastolic is in normal range
Ensure cuff fit and position, then validate within 15 minutes
Turn her to her left side and repeat it in 30 minutes
2/4
While you are waiting to validate your patient's BP, you should ask her about headache, N/V, right upper quadrant or epigastric pain and what else?
If she wants to go home
The last time she pooped
If she has any changes to her vision or visual disturbances
3/4
The patient tells you she does have a headache, but no other symptoms. Why is this relevant?
Headache could be a symptom of preeclampsia
Headache could be worsening anxiety
Her headache is not concerning
4/4
You retake the patient's blood pressure and it is 164/104. Which of the following is one of your priority actions?
Offer to difuse lavender essential oil
Call the provider & implement severe BP protocol
Ignore it. This is normal for the postpartum period.
oH NO!
Your lack of preeclampsia knoweldge meant you couldn't refuel and your space ship (and your patient) crashed. Try again!
Success! You refueled and you can continue your journey to earth!
Continue to the next planet to get more fuel!
MISSION
Planet #2
In order to get the fuel you need on this planet, you must be able to answer the following questions!
1/3
You call the provider and give an SBAR report. What should be included in your recommendation?
A severe HTN treatment algorithm and prep for transfer to L&D
Request that the provider transfer her to LD now!
A psych consult. Your patient may have anxiety.
2/3
You've asked the provider for a severe hypertension algorithm. Your patient does have an IV & HR is 75bpm. Which would best course of treatment?
Give her 400 mg labetolol po
Implement the labetalol or hydralazine treatment cascade
Giver the patient oral nifedipine
3/3
The provider orders po nifedipine cascade. How could you know the right dose?
Ask the patient, of course!
By referencing the Severe Maternal HTN policy with the algorithm!
You can ALWAYS rely on the provider to know.
OH NO!
Your lack of preeclampsia knoweldge meant you couldn't refuel and your space ship (and your patient) crashed. Try again!
SUcCESSYou refueled and you can continue your journey to earth!
Continue to the next planet to collect your fuel!
MISSION
planet # 3
In order to get to your fuel, you have to answer the following questions correctly to avoid the asteroid belt orbiting this planet!
100mg
80mg
20mg
40mg
10mg
1/3
As an astute nurse, you use the OB severe hypertension algorithm/cascade to confirm the correct dose of labetalol (which the provider chose). What is the correct initial dose of IVP labetalol?
60 minutes
20 minutes
10 minutes
Lbaetalol cannot be repeated!
3 minutes
2/3
You give 20 mg IVP labetalol! Way to go! When should her blood pressure be repeated to determine if she requires an additional dose?
Calcium gluconate
Ativan
Magnesium sulfate
Depakote/ Divaloproex
3/3
While you are waiting to repeat her BP, you determine your patient may need to be transferred L&D for seizure prevention prophylaxis. What medication is considered first-line for this?
oH NO!
Your lack of preeclampsia knoweledge caused your ship (and your patient) to go astray and crash into a meteor. Try again!
Your pre-e knoweledge helped you avoid the meteors
SUCCESS
Collect Badges from each planet and conquer the galaxy.
planet 4
Prevent the gases in the planets atmosphere from clouding your clinical decision making related to preeclampsia.
1/4
If you believe preeclampsia only occurs in pregnanct patients choose earth. If you believe preeclampsia can occur up to 6 weeks postpartum, choose the galaxy picture
2/4
True= saturn False= astronautT/F: preeclampsia is a multisystem disease process, and can affect all organ systems
3/4
True= astronaut False= rover T/F preeclampsia is always cured with delivery of the baby
4/4
True= satellite False= astronauts T/F First pregnancy, first degree relative with hx of pre-e and twin gestation are all risk factors for preeclampsia
You couldn't see clearly because of your lack of preeclampsia knoweledge!! TRY AGAIN!
oH NO!
Your preeclampsia knoweledge allowed you to see clearly!
Success
Remember the numbering!1742
Time to enter the correct coordinates to travel back to Earth!
Enter the code forbadges earned.
Code
Hey!
ARE YOU GOING TO LEAVE THIS MISSION UNFINISHED?
home
back
Preeclampsia Mom Baby Escape room
Emily Phelps
Created on January 10, 2023
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Transcript
Maternal Hypertension
An out-of-this-world Emergency Department adventure
In order to escape to Earth and get your patient the best care, you must travel to each planet and refuel using your maternal HTN knowledge .
mission
PLanet # 1
In order to get the fuel you need on this planet, you must be able to answer the following questions!
1/4
PP patient who delivered normally 5 days ago
NKA, previous SAB 3 years ago, hx of lupus, denies surgical hx, QBL at birth 218 mL, healthy baby boy, no other medical hx
You take the patient's vitals and her BP is 173/91. What should you do?
Ignore it; the diastolic is in normal range
Ensure cuff fit and position, then validate within 15 minutes
Turn her to her left side and repeat it in 30 minutes
2/4
While you are waiting to validate your patient's BP, you should ask her about headache, N/V, right upper quadrant or epigastric pain and what else?
If she wants to go home
The last time she pooped
If she has any changes to her vision or visual disturbances
3/4
The patient tells you she does have a headache, but no other symptoms. Why is this relevant?
Headache could be a symptom of preeclampsia
Headache could be worsening anxiety
Her headache is not concerning
4/4
You retake the patient's blood pressure and it is 164/104. Which of the following is one of your priority actions?
Offer to difuse lavender essential oil
Call the provider & implement severe BP protocol
Ignore it. This is normal for the postpartum period.
oH NO!
Your lack of preeclampsia knoweldge meant you couldn't refuel and your space ship (and your patient) crashed. Try again!
Success! You refueled and you can continue your journey to earth!
Continue to the next planet to get more fuel!
MISSION
Planet #2
In order to get the fuel you need on this planet, you must be able to answer the following questions!
1/3
You call the provider and give an SBAR report. What should be included in your recommendation?
A severe HTN treatment algorithm and prep for transfer to L&D
Request that the provider transfer her to LD now!
A psych consult. Your patient may have anxiety.
2/3
You've asked the provider for a severe hypertension algorithm. Your patient does have an IV & HR is 75bpm. Which would best course of treatment?
Give her 400 mg labetolol po
Implement the labetalol or hydralazine treatment cascade
Giver the patient oral nifedipine
3/3
The provider orders po nifedipine cascade. How could you know the right dose?
Ask the patient, of course!
By referencing the Severe Maternal HTN policy with the algorithm!
You can ALWAYS rely on the provider to know.
OH NO!
Your lack of preeclampsia knoweldge meant you couldn't refuel and your space ship (and your patient) crashed. Try again!
SUcCESSYou refueled and you can continue your journey to earth!
Continue to the next planet to collect your fuel!
MISSION
planet # 3
In order to get to your fuel, you have to answer the following questions correctly to avoid the asteroid belt orbiting this planet!
100mg
80mg
20mg
40mg
10mg
1/3
As an astute nurse, you use the OB severe hypertension algorithm/cascade to confirm the correct dose of labetalol (which the provider chose). What is the correct initial dose of IVP labetalol?
60 minutes
20 minutes
10 minutes
Lbaetalol cannot be repeated!
3 minutes
2/3
You give 20 mg IVP labetalol! Way to go! When should her blood pressure be repeated to determine if she requires an additional dose?
Calcium gluconate
Ativan
Magnesium sulfate
Depakote/ Divaloproex
3/3
While you are waiting to repeat her BP, you determine your patient may need to be transferred L&D for seizure prevention prophylaxis. What medication is considered first-line for this?
oH NO!
Your lack of preeclampsia knoweledge caused your ship (and your patient) to go astray and crash into a meteor. Try again!
Your pre-e knoweledge helped you avoid the meteors
SUCCESS
Collect Badges from each planet and conquer the galaxy.
planet 4
Prevent the gases in the planets atmosphere from clouding your clinical decision making related to preeclampsia.
1/4
If you believe preeclampsia only occurs in pregnanct patients choose earth. If you believe preeclampsia can occur up to 6 weeks postpartum, choose the galaxy picture
2/4
True= saturn False= astronautT/F: preeclampsia is a multisystem disease process, and can affect all organ systems
3/4
True= astronaut False= rover T/F preeclampsia is always cured with delivery of the baby
4/4
True= satellite False= astronauts T/F First pregnancy, first degree relative with hx of pre-e and twin gestation are all risk factors for preeclampsia
You couldn't see clearly because of your lack of preeclampsia knoweledge!! TRY AGAIN!
oH NO!
Your preeclampsia knoweledge allowed you to see clearly!
Success
Remember the numbering!1742
Time to enter the correct coordinates to travel back to Earth!
Enter the code forbadges earned.
Code
Hey!
ARE YOU GOING TO LEAVE THIS MISSION UNFINISHED?
home
back