Cardiac ESCAPE ROOM

Cardiac Escape Room

Can you finish your shift?

start

Introduction

Welcome to nights on 42800! Thanks for picking up today!

You are a nurse who kindly picked up an additional shift in the cardiac ICU to better assist your colleagues and patients. Let's get the shift started!

Get Report

Tests

Complete each test to beat the game: there is no other way to escape!

Test 1

Test 2

Test 3

Final Test

Test 4

Test 5

Test 1

1/3

57 year old elderly adult status post PCI following three days of chest pain at home. The patient recieved two drug eluding stents and is feeling much better now. They are ready to be discharged and have questions about the instructions they were given. What do you tell them?

Take it easy for a few days. Don't lift more than a few pounds with the wrist they accessed. Take up to three doses of your nitro five minutes apart for chest pain. If the chest pain doesn't get better before your third dose call 911. Don't take your nitro with erectile dysfuntion meds.

Make sure you eat a low fat diet and monitor your blood pressure. If you forget a dose of your medication take two the next time you remember. If you experience stable angina at home you don't need to call your provider unless it persists for twenty-four hours

After your stents there is nothing to worry about! Eat a low fat diet and take it easy for a few days. You shouldn't need to worry about any new medications.

Test 1

2/3

You explain to your patient that angina is the result of....

Ventricular dysfunction

Increased oxygen demand and decreased oxygen supply

Genetic Disposition

Test 1

3/3

Next

Tests

Complete each test to beat the game: there is no other way to escape!

Test 2

Test 1

Test 3

Test 5

Final test

Test 4

1/3

Test 2

Unfortunately you patient is no longer being discharged. Click on one area of the EKG with ST elevation.

2/3

Test 2

Your provider called and has ordered a nitro drip! This is to be started at a rate of 5mcg/min and increased by 5mcg every 5 minutes for chest pain of 5 or greater to a maximum dose of 80mcg. Over the course of 30 minutes your patients pain remains at a 6 with continuous uptitrating of the nitro drip. What is your drip at at the end of the half hour?

3/3

Test 2

After an hour on the nitro drip your patient is still experiencing chest pain. What nursing intervention would you expect next?

Cardiac MRI

Repeat EKG

PCI

Tests

Complete each test to beat the game: there is no other way to escape!

Test 1

Test 2

Test 3

Test 4

Test 5

Final Test

Test 3

1/3

Meanwhile, your patient in bed two a 78 year old elderly adult who presented with shortness of breath, and crackles on examination was admitted due to a severely low EF and the possible need of MCS. Is this patient most likely in right or left sided hart failure?

Left

Right

2/3

Test 3

Click to continue

Test 3

3/3

Before lunch you explain to your patient that in order to treat their heart failure it is important to improve the pump function of the heart and reduce cardiac workload. This will be achieved by:

Go to lunch!

Tests

Complete each test to beat the game: there is no other way to escape!

Test 1

Test 2

Test 3

Test 4

Test 5

Final Test

1/3

Test 4

Oh no! While you were at lunch your patient in bed 1 returned from the cath lab after the provider determined the need for repeat PCI! One of their stents had collapsed and needed to be reopened. They were acessed through their right FEM. Place your post cath care interventions in order from MOST to Least important.

A. Monitor site bleeding and pulses

B. Keep patient head of bed at 30 degrees or lower

C. Pain management

D. Give antiplatelet medication

continue

Solución

Solution

2/3

Test 4

Drag concepts to the corresponding groupYour patients family is wondering what they should help their family member do at home to manage their care

Group A - You should

Group B - You should not

1. Encourage medication adherence

2. Give nitro for chest pain up to three doses

3. Call 911 for any chest pain

4. Encourage patient to ambulate

5. Wait on patient as they are no longer able to complete ADLs

6. Cancel next years family vacation, its not safe to travel

continuE

Solución

SOLUTION

Tests

Complete each test to beat the game: there is no other way to escape!

Test 1

Test 2

Test 3

Test 4

Test 5

Final Test

3/3

Test 4

Next

Test 5

1/3

The shift is almost over! Charge is so happy you picked up. Sadly the unit IS short staffed and you will need to take an admission and settle them before shift change in an hour.

Let's learn about this human Click them to get report

Test 5

2/3

27 year old patient presents with fever, chills, and fatigue. They report having had oral surgery a few weeks ago.

Next

Test 5

3/3

3/3

3/3

3/3

Move On

Tests

Complete each test to beat the game: there is no other way to escape!

Test 1

Test 2

Test 3

Final Test

Test 5

Test 4

Test 6

Its time to hand off to the next shift! After giving report you explain to the nurse that you feel your most critical patient is:

CAD patient s/p PCI

Heart failure patient requiring MCS

Endocarditis patient needing a new valve

Completed

Congratulations, you have successfully completed your shift!

Start over?

Try again!

Go Back

1 - A

2- D

3 - B

4 - C

Group A You should

1 2 4

Group B You should not

3 5 6