Palliative Care Jeopardy!         A Highly Interactive Game   Mary Lynn McPherson, Pharm.D., BCPS                         ...
Palliative Care Jeopardy – The RulesGame board contain 25 squares with 5 categories   and 5 “answers” of increasing diffic...
Palliative Care Jeopardy – The RulesThe correctness of your team’s “answer” will be determined by me.The correct “answers”...
Let’s Play
TheThe  categories   categories           are …            are …
Nausea, Vomitingand Constipation:    Oh My!
PQRST
PainPathogenesis
Opioid Facts
Neuropsychiatric  Symptoms
NVC   PQRST    Pain   Opioid    Neuro-              Patho   Facts    Psych Sx100    100    100      100       100200    20...
NVC for 100The answer is …Defined as forceful contracture of the abdominalmuscles.The question is …What is retching?      ...
NVC for 200The answer is …An antipsychotic agent also used to treat chemical-induced nausea.The question is …What is halop...
NVC for 300The answer is …The area of the brain that detects toxins and lacks ablood brain barrier.The question is …What i...
NVC for 400The answer is …Epigastric pain, early satiety, and regurgitation aresymptoms of this cause of nausea.The questi...
NVC for 500The answer is …A sugar-coated treatment option for themanagement of high bowel impaction.The question is …What ...
PQRST for 100The answer is …“It’s a lot worse when I roll over, but if I lie perfectlystill, it’s not too bad.”The questio...
PQRST for 200The answer is …“It feels like a lightning bolt at first, but ends upnumb and tingling.”The question is …What ...
PQRST for 300The answer is …“I can’t eat, I can’t sleep, I can’t get out of bed, and Icry all of the time.”The question is...
PQRST for 400The answer is …“Right here in the center of my left rib cage, and itmoves around to my back.”The question is ...
PQRST for 500The answer is …“That long acting morphine generally controls it, butI have to take the short acting when the ...
Pain Pathogenesis for 100The answer is …A myelinated, large diameter fiber that transmitssharp, well localized pain.The qu...
Pain Pathogenesis for 200The answer is …The step during which a noxious stimulus ischanged by the body into an action pote...
Pain Pathogenesis for 300The answer is …Enkephalins, dynorphins and beta endorphins.The question is …What are endogenous o...
Pain Pathogenesis for 400The answer is …Free nerve endings that are activated by noxiousstimuli.The question is …What are ...
Pain Pathogenesis for 500The answer is …A relay station for reception and processing ofnociceptive information.The questio...
Opioid Facts for 100The answer is …This opioid is used as a cough suppressant and hasthe highest incidence of nausea and c...
Opioid Facts for 200The answer is …This long-acting opioid is dosed every 12 hours, hasminimal active metabolites, and is ...
Opioid Facts for 300The answer is …This short-acting opioid has poor oral bioavailabilityand is available parenterally, tr...
Opioid Facts for 400The answer is …This opioid used to be commonly used for acutepain, and has an active metabolite that c...
Opioid Facts for 500The answer is …This combination analgesic is no more effective thanplain acetaminophen and its active ...
Neuropsychiatric Symptoms for 100The answer is …A patient with opioid-induced daytime sedation isbest treated with this ag...
Neuropsychiatric Symptoms for 200The answer is …A patient with acute agitated, confused behavior anda history of Parkinson...
Neuropsychiatric Symptoms for 300The answer is …Neuropathic pain AND depression are best treatedwith this type of antidepr...
Neuropsychiatric Symptoms for 400The answer is …This medication, used adjunctively to treatmetastases to the brain, to red...
Neuropsychiatric Symptoms for 500The answer is …The number of anxiety-induced dyspnea attacksmay be reduced by this agent....
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Transcript of "Palliative care jeopardy i fall 2011"

  1. 1. Palliative Care Jeopardy! A Highly Interactive Game Mary Lynn McPherson, Pharm.D., BCPS ProfessorUniversity of Maryland School of Pharmacy
  2. 2. Palliative Care Jeopardy – The RulesGame board contain 25 squares with 5 categories and 5 “answers” of increasing difficulty and point valuesIn sequential order, teams get to select the square at the beginning of each roundIf the designated team member is able to answer the question, the team earns full point value. If more than one team member works together to supply the correct answer, half the points are awarded to the team.
  3. 3. Palliative Care Jeopardy – The RulesThe correctness of your team’s “answer” will be determined by me.The correct “answers” and my decisions are final. They, admittedly, may be arbitrary.The team with the most points at the end of 50 rounds plus Final Jeopardy WINS!!
  4. 4. Let’s Play
  5. 5. TheThe categories categories are … are …
  6. 6. Nausea, Vomitingand Constipation: Oh My!
  7. 7. PQRST
  8. 8. PainPathogenesis
  9. 9. Opioid Facts
  10. 10. Neuropsychiatric Symptoms
  11. 11. NVC PQRST Pain Opioid Neuro- Patho Facts Psych Sx100 100 100 100 100200 200 200 200 200300 300 300 300 300400 400 400 400 400500 500 500 500 500
  12. 12. NVC for 100The answer is …Defined as forceful contracture of the abdominalmuscles.The question is …What is retching? Return to Game Board Return to Game Board
  13. 13. NVC for 200The answer is …An antipsychotic agent also used to treat chemical-induced nausea.The question is …What is haloperidol (Haldol)? Return to Game Board Return to Game Board
  14. 14. NVC for 300The answer is …The area of the brain that detects toxins and lacks ablood brain barrier.The question is …What is the chemoreceptor trigger zone? Return to Game Board Return to Game Board
  15. 15. NVC for 400The answer is …Epigastric pain, early satiety, and regurgitation aresymptoms of this cause of nausea.The question is …What is gastric stasis? Return to Game Board Return to Game Board
  16. 16. NVC for 500The answer is …A sugar-coated treatment option for themanagement of high bowel impaction.The question is …What are frozen vaseline balls? Return to Game Board Return to Game Board
  17. 17. PQRST for 100The answer is …“It’s a lot worse when I roll over, but if I lie perfectlystill, it’s not too bad.”The question is …What is “what precipitates or worsens your pain?” Return to Game Board Return to Game Board
  18. 18. PQRST for 200The answer is …“It feels like a lightning bolt at first, but ends upnumb and tingling.”The question is …What is “describe the quality of your pain?” Return to Game Board Return to Game Board
  19. 19. PQRST for 300The answer is …“I can’t eat, I can’t sleep, I can’t get out of bed, and Icry all of the time.”The question is …What is “what symptoms accompany your pain?” Return to Game Board Return to Game Board
  20. 20. PQRST for 400The answer is …“Right here in the center of my left rib cage, and itmoves around to my back.”The question is …What is “where is your pain located?” Return to Game Board Return to Game Board
  21. 21. PQRST for 500The answer is …“That long acting morphine generally controls it, butI have to take the short acting when the pain is 5 orhigher, and the heating pad didn’t help at all.”The question is …What is “what have you tried to relieve the pain andhow well did it work?” Return to Game Board Return to Game Board
  22. 22. Pain Pathogenesis for 100The answer is …A myelinated, large diameter fiber that transmitssharp, well localized pain.The question is …What is an A-delta fiber? Return to Game Board Return to Game Board
  23. 23. Pain Pathogenesis for 200The answer is …The step during which a noxious stimulus ischanged by the body into an action potential.The question is …What is transduction? Return to Game Board Return to Game Board
  24. 24. Pain Pathogenesis for 300The answer is …Enkephalins, dynorphins and beta endorphins.The question is …What are endogenous opioids? Return to Game Board Return to Game Board
  25. 25. Pain Pathogenesis for 400The answer is …Free nerve endings that are activated by noxiousstimuli.The question is …What are nociceptors? Return to Game Board Return to Game Board
  26. 26. Pain Pathogenesis for 500The answer is …A relay station for reception and processing ofnociceptive information.The question is …What is the thalmus? Return to Game Board Return to Game Board
  27. 27. Opioid Facts for 100The answer is …This opioid is used as a cough suppressant and hasthe highest incidence of nausea and constipation.The question is …What is codeine? Return to Game Board Return to Game Board
  28. 28. Opioid Facts for 200The answer is …This long-acting opioid is dosed every 12 hours, hasminimal active metabolites, and is available as 10, 15,20, 30, 40, 60 and 80 mg.The question is …What is oxycodone (OxyContin)? Return to Game Board Return to Game Board
  29. 29. Opioid Facts for 300The answer is …This short-acting opioid has poor oral bioavailabilityand is available parenterally, transdermally, and asan oral transmucosal lozenge, an effervescenttablet, a transmucosal film, a sublingual tablet andintranasal spray.The question is …What is fentanyl? Return to Game Board Return to Game Board
  30. 30. Opioid Facts for 400The answer is …This opioid used to be commonly used for acutepain, and has an active metabolite that canaccumulate and cause CNS excitation includingseizures.The question is …What is meperidine? Return to Game Board Return to Game Board
  31. 31. Opioid Facts for 500The answer is …This combination analgesic is no more effective thanplain acetaminophen and its active metabolitecauses sedation and confusion, particularly in theelderly, and most importantly IS OFF THE MARKET!The question is …What is Darvocet N-100? Return to Game Board Return to Game Board
  32. 32. Neuropsychiatric Symptoms for 100The answer is …A patient with opioid-induced daytime sedation isbest treated with this agent, which may also be usedto treat depression.The question is …What is methylphenidate? Return to Game Board Return to Game Board
  33. 33. Neuropsychiatric Symptoms for 200The answer is …A patient with acute agitated, confused behavior anda history of Parkinson’s disease is best treated withthis behavior.The question is …What is quetiapine (or another atypical antipsychoticagent) Return to Game Board Return to Game Board
  34. 34. Neuropsychiatric Symptoms for 300The answer is …Neuropathic pain AND depression are best treatedwith this type of antidepressant.The question is …What is a TCA (e.g., nortriptyline or desipramine) orSNRI (e.g., duloxetine or venlafaxine)? Return to Game Board Return to Game Board
  35. 35. Neuropsychiatric Symptoms for 400The answer is …This medication, used adjunctively to treatmetastases to the brain, to reduce intracerebraledema, and to treat metastatic bone pain maycause anxiety or delirium.The question is …What is dexamethasone (or other CCS)? Return to Game Board Return to Game Board
  36. 36. Neuropsychiatric Symptoms for 500The answer is …The number of anxiety-induced dyspnea attacksmay be reduced by this agent.The question is …What is lorazepam (or other BZD)? Return to Game Board Return to Game Board

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