ESI
Fall on friday night from a chair. Hit head, headache since waking up saturday morning, migrane hx but denies similar symptoms. Lump on L side of head. Person then fell on top of patient's chest. Hurts to breath or take deep breath. C-spine tenderness
4
Radiology only
What is typically given for a patient in pain?
Fentanyl
x1 day fever 102, sinus pain, sore throat, chills, joint pain, diarrhea, had COVID vaccination several months ago. ibuprofen today. VSS, afebrile.
3
Labs, Radiology, possibly IV and meds. VSS
Cystitis vs pyelonephritis symptoms?
Cystitis-dysuria, hematuria, frequency
Pyelonephritis-tenderness, flank pain, fever, nausea
Use this splint for a Boxers Fracture
Recently diagnosed with colitis from PCp. Patient has increase in pain and bloody stools since being discharged. Pain aggravated with movement. VSS
3
Labs, Radiology, IV, IV meds
Most common antibiotic given during trauma workup?
Ancef
Rolled left ankle on gravel.
4
Radiology
Complicated UTI populations
Pregnancy, men, immunosuppression, structural abnormalities
This should be checked before and after any splint application
Pulses
Motor Function
Sensory Function
Benzodiazepine reversal agent?
Flumazenil
Trauma vaccine?
Tdap
Protect against tetanus, diphtheria, and pertussis
Blood in stool and urine x 2 weeks. Abdominal pain, bloating, headaches, n/v. Hx of cirrhosis of liver.
3
Labs, Radiology, IV, IV meds
Keflex dosing in uncomplicated UTI?
500mg QID for 5-7 days
Blood pressure limits for tpa?
BP<185/110
Warfarin reversal agent?
PCC (prothrombin complex concentrate)
What is the dose and frequency of epinephrine during a code?
1mg every 3-5 min
What is the rocuronium reversal agent?
Sugammadex
Is Macrobid safe in pregnancy?
Yes, but only during 2nd trimester
Tpa dosing
0.9mg/kg IV (max 90mg)
10% bolus over 1 min and give rest over 1 hour
SOB week, productive cough, sweating, fever. Increased weakness, tremors, increased SOB with exertion. Saw PCP 3 days ago, taking abx, Hx stage 4 Lung CA with current chemo. HR 140. Temp 38.4
2
Oncology patient.
Sepsis workup. Labs, Radiology, IV, IV meds, VS unstable.
What is the maximum dose of epinephrine during a code?
No max dose
Husband could barely get pt out of the car due to weakness and lethargy. Pt arrives lethargic, tachy, febrile, and very diaphoretic. HR 135. Temp 38.6
2
Sepsis workup.
Labs, radiology?, IV, IV meds, VS unstable.
What antibiotics can be used for UTI prophylaxis?
Macrobid and sulfamethoxazole/trimethoprim
Tpa contraindications
intracranial hemorrhage, head trauma or stroke within 3 months, BP>185/110, active bleeding, endocarditis, glucose<50