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Escape Room

Can you escape the hospital?

start

Introduction

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Welcome, TCOP Pharmacy School Students. This game is to

+ info

Test 1: Cardiology

Test 2: Endocrinology

Test 3: Pulmonology

Test 4: Hyperlipidemia

Test 5: Nutrition

Final Test: Psychology

Tests

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

Let's get started with the cardiology case!

1/3

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?

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

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

Test 1: Cardiology

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?

2/3

Write the wrong option hereLorem ipsum dolor sit amet consectetur adipiscing

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

Write the wrong option hereLorem ipsum dolor sit amet consectetur adipiscing

Test 1: Cardiology

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

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Nitroglycerin 0.4mg SL PRNAspirin 81mg PO QDClopidogrel 75mg PO QDFenofibrate 160mg PO QDAmlodipine 5mg PO QDMetoprolol tartrate 25mg PO BID

Write the wrong option hereLorem ipsum dolor sit amet consectetur adipiscing

Nitroglycerin 0.4mg SL PRNAspirin 81mg PO QDClopidogrel 75mg PO QDAtorvastatin 80mg PO QDLisinopril 5mg PO QDCarvedilol 6.25mg PO BID

Write the wrong option hereLorem ipsum dolor sit amet consectetur adipiscing

Test 1: Cardiology

Test 1: Cardiology

Test 2: Endocrinology

Test 3: Pulmonology

Test 4: Hyperlipidemia

Test 5: Nutrition

Final test: Psychology

Tests

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

Let's get started with the endocrinology case!

1/3

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?

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

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

Test 2: Endocrinology

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?

2/3

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

Start IV insulin STAT, she is having a hyperglycemic crisis

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

Test 2:Endocrinology

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?

3/3

Lorem ipsumdolor sit!

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

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

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

Test 2:Endocrinology

Test 1: Cardiology

Test 2: Endocrinology

Test 3: Pulmonology

Test 4: Hyperlipidemia

Test 5: Nutrition

Final Test: Psychology

Tests

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

Let's get started with the pulmonology case!

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?

1/3

True

False ✓

Test 3: Pulmonology

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?

2/3

False

True ✓

Creon to the rescue!

Test 3:Pulmonology

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

3/3

Test 3: Pulmonology

Test 1: Cardiology

Test 2: Endocrinology

Test 3: Pulmonology

Test 4: Hyperlipidemia

Test 5: Nutrition

Final Test: Psychology

Tests

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

Let's get started with the hyperlipidemia test!

Drag and sort correctlylorem ipsum dolor sit amet consectetuer adipiscing elit

1/3

1

2

3

4

5

continue

Solución

Solution

A. Lorem ipsum dolor sit amet consectetur adipiscing

B. Lorem ipsum dolor sit amet consectetur adipiscing

C. Lorem ipsum dolor sit amet consectetur adipiscing

D. Lorem ipsum dolor sit amet consectetur adipiscing

E. Lorem ipsum dolor sit amet consectetur adipiscing

Test 4: Hyperlipidemia

2/3

continuE

Drag the statins to their correct intsensity!

High Intensity Statins

Moderate Intensity Statins

1. Pravastatin 40mg

2. Pitavastatin 4mg

3. Simvastatin 40mg

Solución

4. Atorvastatin 40mg

5. Rosuvastatin 20mg

SOLUTION

6. Fluvastatin XL 80mg

Test 4: Hyperlipidemia

3/3

continuE

Solución

Drag and complete the series correctlylorem ipsum dolor sit amet consectetuer adipiscing elit

Serie 1

Serie 2

Test 4:Hyperlipidemia

Test 1: Cardiology

Test 2: Endocrinology

Test 3: Pulmonology

Test 4: Hyperlipidemia

Test 5: Nutrition

Final Test: Psychology

Tests

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

Let's get started with the nutrition test!

1/3

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

Correct answer

Wrong answer

Test 5:Nutrition

2/3

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

Correct answer

Wrong answer

Wrong answer

Test 5:Nutrition

3/3

3/3

3/3

3/3

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

Respuesta correcta

Respuesta incorrecta

Respuesta incorrecta

Respuesta incorrecta

Correct answer

Wrong answer

Wrong answer

Wrong answer

Test 5:Nutrition

Test 1: Cardiology

Test 2: Endocrinology

Test 3: Pulmonology

Test 4: Hyperlipidemia

Test 5: Nutrition

Final Test: Psychology

Tests

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

Let's get started with the psychology test!

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

1/5

Write the wrong option hereLorem ipsum dolor sit amet consectetur adipiscing

Write the correct option hereLorem ipsum dolor sit amet consectetur adipiscing

Write the wrong option hereLorem ipsum dolor sit amet consectetur adipiscing

Test 6:Psychology

2/5

True

False ✓

Pay attention to this image:Lorem ipsum dolor sit amet consectetuer adipiscing elit?

Test 6:Psychology

3/5

1

2

3

4

5

continuE

A. Lorem ipsum dolor sit amet consectetur adipiscing

B. Lorem ipsum dolor sit amet consectetur adipiscing

SOLUTION

C. Lorem ipsum dolor sit amet consectetur adipiscing

D. Lorem ipsum dolor sit amet consectetur adipiscing

E. Lorem ipsum dolor sit amet consectetur adipiscing

Drag and sort correctlylorem ipsum dolor sit amet consectetuer adipiscing elit

Test 6:Psychology

4/5

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

Test 6:Psychology

5/5

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

Respuesta correcta

Respuesta incorrecta

Respuesta incorrecta

Respuesta incorrecta

Right answer

Wrong answer

Wrong answer

Wrong answer

Test 6:Psychology

Completed

Congratulations, you have successfully completed the escape room!

Start over?

back

That answer is not correct...

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

Oh oh!

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genial.ly

1 - D

1- A

3 - E

4 - B

5 - C

1 - A

1- D

3 - B

4 - E

5 - C

High Intensity Statin

4. Atorvastatin 40mg5. Rosuvastatin 20mg

Moderate Intensity Statin

1. Pravastatin 40mg2. Pitavastatin 4mg3. Simvastatin 40mg6. Fluvastatin XL 80mg