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Often found in Fluid Volume Deficit.

A 100

What is hypernatremia?

A 100

Classic signs of this are those of the neuromuscular system, including tetany and hyperactive DVRs.

A 200

What is hypercalcemia?

A 200

Patient may show signs of lethargy, headaches, personality changes, and confusion.

A 300

What is hypercalcemia? (Tried to trick you here these symptoms may be exhibited, in part, with other electrolyte imbalances, but this combo points to excess calcium.)
A 300

Patient may demonstrate anemia, bruising, or bleeding and spasms.

A 400

What is hyperphosphatemia? (including associated anxiety and slurred speech)

A 400

Patient presents a slow, irregular heartbeat with ECG changes of a tall peaked Twave and a prolonged PRinterval.

A 500

What is hyperkalemia? (may include nausea and diarrhea).

A 500

Flattened T waves and ST segment depression, if patient is hooked to a heart monitor.

B 100

What is hypokalemia?

B 100

Causes bone pain and the formation of kidney stones.

B 200

What is hypercalcemia?

B 200

A blood pressure cuff is applied to the arm and inflated at least 20 mm Hg greater than the systolic blood pressure.

B 300

What is the method for checking for Trousseaus sign? (seen in patients with HYPOcalcemia)
B 300

General manifestations may include hyperactive bowel sounds and increased bleeding and bruising.

B 400

What is HYPOcalcemia?

B 400

As blood volume decreases, heart rate increases and pulse is weak and thready.

B 500

What is FVD? (also note flattened veins in the neck and hands)

B 500

Total serum level falls below 8.9 mg/dL.

C 100

What is HYPOcalcemia? (ionized Ca2+ falls below 4.5 mg/dL)

C 100

Serum levels are less than 1.4 mEq/L.

C 200

What is HYPOmagnesemia? (Symptoms may not appear until levels fall below 1.0 mEq/L)

C 200

Serum levels are less than 2.5 mg/dL (note slurred speech)

C 300

What is HYPOphosphatemia? (with fingertip numbness, tremors, and generalized muscle weakness)

C 300

DAILY Place A Wager DOUBLE

C 400

Serum levels fall below 135mEq/L and affect mostly the neurological system. (a major as-SALT on the body!)

C 400

What is HYPOnatremia? (may include nausea, diarrhea, cramps, tremors, and particularly headaches)

C 400

FVD leads to this tendency to become lightheaded (dizzy) upon rising to stand up.

C 500

What is postural HYPOtension? (related to a decrease in blood pressure)

C 500

FVE

D 100

What is Fluid Volume Excess (Overload)?

D 100

CVP

D 200

What is Central Venous Pressure? (It reflects the amount of blood returning to the heart a good approximation of right atrial pressure)
D 200

Value of deepest assessed edema.

D 300

What is +4? (That would be the pits!)

D 300

Tap on a patients cheek and a contraction of the upper lip, nose and cheek occurs.

D 400

What is a positive Chvosteks sign? (seen in HYPOcalcemia, but also in HYPOmagnesemia)

D 400

Note its location, amount, bilateral status and capillary refill.

D 500

What are the documentation values for edema?

D 500

Full and bounding pulse, increased blood pressure, brisk capillary refill, and distended neck veins.

E 100

What is Fluid Volume Overload (Excess)?

E 100

With FVE, the percentage weight gain related to the renal system that is considered severe.

E 200

What is 8%? (causing edema gravity dependent and first appears distally in a patients extremities)

E 200

The best places for this assessment are the forehead, sternum, and the inner thigh. (Should we canvass all the student nurses?)

E 300

What is skin tenting? (Maybe we should take a pole instead!)

E 300

1.003 1.035.

E 400

What is the normal range for urine specific gravity? (optimal range is 1.010 1.025) (I was pissed when I missed this one!)
E 400

A cuffed patient demonstrates a spasm with a flexed wrist and extended fingers.

E 500

What is a positive Trousseaus sign? (seen in HYPOcalcemia)

E 500

Blood serum level exceeds 145 mEq/L.

F 100

What is HYPERnatremia?

F 100

Blood values are greater than 4.5 mg/dL (anorexia and tachycardia may also be present).

F 200

What is HYPERphosphatemia? (I have a stinging sensation it includes paresthesias and tetany, he said jerkily.)
F 200

Patient complains of thirst and has dry, sticky mucous membranes, plus some muscle twitching.

F 300

What is HYPERnatremia? (may also have flushed skin and increased body temperature)

F 300

Total electrolyte level is greater than 10.1 mg/dL or (ionized) greater than 5.1 mg/dL. (Really trying to milk this one)
F 400

What is HYPERcalcemia?

F 400

Serum levels are greater than 2.1 mEq/L (including muscle twitching and decreased DTRs).

F 500

What is HYPERmagnesemia? (also note a prolonged P-R level and a slow heart rate)

F 500

The Final Jeopardy Category is: Fluid Volume Deficit Please record your wager.

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Cultural phenomenon that explains why certain patients do NOT remedy a dehydrated condition.

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What is perceiving thirst as hunger and thereby seeking food, rather than liquids in order to rehydrate themselves.

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