GENIAL ESCAPE ROOM

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Can you escape the hospital?

Escape Room

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Welcome, TCOP Pharmacy School Students. This game is to

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Introduction

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

Tests

Final Test: Psychology

Test 5: Nutrition

Test 4: Hyperlipidemia

Test 3: Pulmonology

Test 2: Endocrinology

Test 1: Cardiology

Test 1: Cardiology

STEMITotal occlusion of the blood vessel. Blood flow is blocked by plaque and thrombosis. More fibrin as compared to platelets (aka red clot)

NSTEMIPartial occlusion of the blood vessel. Abnormal blood flow due to plaque build up. More platelets as compared to fibrin (aka white clot)

Case: AC is a 70 YOM who was experiencing chest pain and SOB. It is continually getting worse, so he called his doctor. He was instructed to call EMS. Once EMS arrived they administered one spray of nitroglycerin and started him on oxygen. Upon arrival to ED testing was done. An EKG shows 2-3mm ST elevation in leads II, III, and aVF which is consistent with a myocardial infarction. What type of MI is AC having?

1/3

Test 1: Cardiology

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Loading doses: Aspirin 325mg chewable PO and Clopidogrel 600mg POMaintenance doses: Aspirin 81mg PO QD and Clopidogrel 75mg PO QD

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2/3

You're doing great. Next question:Now AC is about to undergo a PCI with placement of a drug-eluding stent. What should his antiplatelet regimen be?

Test 1: Cardiology

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Nitroglycerin 0.4mg SL PRN Aspirin 81mg PO QD Clopidogrel 75mg PO QD Atorvastatin 80mg PO QD Lisinopril 5mg PO QD Carvedilol 6.25mg PO BID

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Nitroglycerin 0.4mg SL PRN Aspirin 81mg PO QD Clopidogrel 75mg PO QD Fenofibrate 160mg PO QD Amlodipine 5mg PO QD Metoprolol tartrate 25mg PO BID

3/3

You're almost there.What other medications should be initiated for secondary prevention?

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

Tests

Final test: Psychology

Test 5: Nutrition

Test 4: Hyperlipidemia

Test 3: Pulmonology

Test 2: Endocrinology

Test 1: Cardiology

Test 2: Endocrinology

Diabetic Ketoacidosis (DKA) uncontrolled hyperglycemia, increased ketone concentrations, metabolic acidosis

Hyperosmolar Hyperglycemic State (HHS) Severe hyperglycemia, dehydration, hyperosmolality

Case: MM is a 20 YOF who became weak and nauseated during soccer practice. She was diagnosed 3 years ago with T1DM. Her coach had noticed her insulin pump was disconnected and MM began to vomit. Her coach called 911 and she was taken to the hospital. Upon testing, her labs show a blood sugar of 450, urine and serum ketones, and serum bicarb of 10. What is likely her diagnosis?

1/3

Test 2:Endocrinology

Give her a potassium 10mEq PO once, then start IV insulin in 2 hours

Start IV insulin STAT, she is having a hyperglycemic crisis

Correct: Hold insulin and give IV potassium 20mEq until K>3.3

2/3

After her initial evaluation, the physician has ordered 1L/hr of 0.9% NaCl. The BMP has returned and shows a potassium level of 3.1. What is the proper way to manage her DKA?

Test 2:Endocrinology

Correct: Add D5W to NS; Start SQ insulin and overlap with IV insulin for at least 2 hours, then discontinue IV insulin

Transition to 1/2 NS; Start SQ insulin and overlap with IV insulin for at least 2 hours, then discontinue IV insulin

Continue NS; Stop IV insulin and give SQ rapid acting insulin

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3/3

IV insulin regular was started at 0.14units/kg/hr continuous infusion. Her blood sugar has now reached 190. What is the recommended IV fluid now and the proper technique for transitioning her off of IV insulin?

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

Tests

Final Test: Psychology

Test 5: Nutrition

Test 4: Hyperlipidemia

Test 3: Pulmonology

Test 2: Endocrinology

Test 1: Cardiology

Test 3: Pulmonology

False ✓

True

1/3

Case: RK is a 36 YOF with cystic fibrosis. Her current regimen consists of albuterol HFA, HyperSal 7%, and inhaled tobramycin alternating monthly with aztreonam. This is a complete regimen for this CF patient. True or False?

Test 3:Pulmonology

Creon to the rescue!

True ✓

False

2/3

RK has now developed complications from CF. She was diagnosed with exocrine pancreatic insufficiency and was started on PERT. This will help with digesting fats, proteins, and complex carbohydrates. True or False?

Test 3: Pulmonology

3/3

RK is having persistent P. seruginosa infections. What agent can she be started on that has antimicrobial and anti-inflammatory properties?

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

Tests

Final Test: Psychology

Test 5: Nutrition

Test 4: Hyperlipidemia

Test 3: Pulmonology

Test 2: Endocrinology

Test 1: Cardiology

Test 4: Hyperlipidemia

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D. Lorem ipsum dolor sit amet consectetur adipiscing

C. Lorem ipsum dolor sit amet consectetur adipiscing

B. Lorem ipsum dolor sit amet consectetur adipiscing

A. Lorem ipsum dolor sit amet consectetur adipiscing

Solution

Solución

continue

1/3

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Test 4: Hyperlipidemia

6. Fluvastatin XL 80mg

SOLUTION

5. Rosuvastatin 20mg

4. Atorvastatin 40mg

Solución

3. Simvastatin 40mg

2. Pitavastatin 4mg

1. Pravastatin 40mg

Moderate Intensity Statins

High Intensity Statins

Drag the statins to their correct intsensity!

continuE

2/3

Test 4:Hyperlipidemia

Serie 2

Serie 1

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Solución

continuE

3/3

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

Tests

Final Test: Psychology

Test 5: Nutrition

Test 4: Hyperlipidemia

Test 3: Pulmonology

Test 2: Endocrinology

Test 1: Cardiology

Test 5:Nutrition

Wrong answer

Correct answer

Turn up the volume:lorem ipsum dolor sit amet consectetuer adipiscing elit?

1/3

Test 5:Nutrition

Wrong answer

Wrong answer

Correct answer

Well done!Lorem ipsum dolor sit amet consectetuer adipiscing elit?

2/3

Test 5:Nutrition

Wrong answer

Wrong answer

Wrong answer

Correct answer

Respuesta incorrecta

Respuesta incorrecta

Respuesta incorrecta

Respuesta correcta

You're almost there, press play!Lorem ipsum dolor sit amet consectetuer adipiscing elit?

3/3

3/3

3/3

3/3

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

Tests

Final Test: Psychology

Test 5: Nutrition

Test 4: Hyperlipidemia

Test 3: Pulmonology

Test 2: Endocrinology

Test 1: Cardiology

Test 6:Psychology

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1/5

Surely you know the answer to this question:Lorem ipsum dolor sit amet consectetuer adipiscing elit?

Test 6:Psychology

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False ✓

True

2/5

Test 6:Psychology

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D. Lorem ipsum dolor sit amet consectetur adipiscing

C. Lorem ipsum dolor sit amet consectetur adipiscing

SOLUTION

B. Lorem ipsum dolor sit amet consectetur adipiscing

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continuE

3/5

Test 6:Psychology

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4/5

Test 6:Psychology

Wrong answer

Wrong answer

Wrong answer

Right answer

Respuesta incorrecta

Respuesta incorrecta

Respuesta incorrecta

Respuesta correcta

Trust your ear for the final question:Lorem ipsum dolor sit amet?

5/5

Start over?

Congratulations, you have successfully completed the escape room!

Completed

Oh oh!

But don't lose your balance, continue on your way and try again!

That answer is not correct...

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5 - C

4 - B

3 - E

1- A

1 - D

5 - C

4 - E

3 - B

1- D

1 - A

1. Pravastatin 40mg 2. Pitavastatin 4mg 3. Simvastatin 40mg 6. Fluvastatin XL 80mg

Moderate Intensity Statin

4. Atorvastatin 40mg 5. Rosuvastatin 20mg

High Intensity Statin