Anemias
Vitamin B12 is also called __________.
Pernicious anemia
Which side heart failure has s/s of JVD?
Right-sided heart failure
None. Only treat bradycardia when it is symptomatic. This patient is a young, healthy athlete.
What does ABCD stand for in universal triage?
A = Airway
B = Breathing
C= Circulation
D = Disability
What 4 medications do you give for anaphylaxis?
First: Epinephrine
Then: antihistamines, corticosteroids, and inhaled bronchodilators
Which portion of hemoglobin does oxygen bind to?
heme (the iron portion)
Yesterday, your patient had a BNP that was slightly elevated. Today their BNP is severely elevated. What does a BNP show and what does this mean for your patient?
BNP reflects fluid volume status; the higher the BNP the worse the heart failure is.
What is wrong with this scenario?
You are defibrillating a patient in pulseless V-tach. As another RN is performing CPR, you charge the defibrillator to 360 joules. Another RN administers EPI. Once the defibrillator is charged, the you press the button for the shock to be delivered. The patient is now in NSR.
You forgot to yell ”CLEAR”!!!!!
What is the START triage mnemonic?
Respirations, Perfusion, Mental status
What is tPA and which type of stroke cannot have it?
Tissue plasminogen activator: dissolves/ breaks down the clot to restore blood flow; hemorrhagic strokes cannot have tPA
A patient with hemophilia has an injury to their leg. Do you apply ice, heat, or alternate both?
Ice; cold promotes vasoconstriction & limits bleeding
What is a VAD and what does it do?
Ventricular Assist Device; it is implanted around the ventricle to squeeze it from the outside & push blood forward & restore perfusion
Name the dysrhythmia & how you treat it.
Heart quivers in a totally uncontrolled, irregular pattern.
Ventricular Fibrillation (V-fib)
CPR, Epi, Amiodarone, Defibrillate
Organize these into primary & secondary survey.
Hemorrhage control
Foley catheter
Intubation
V-tach
Vital signs
Antiemetic administration
Primary: Hemorrhage control, Intubation, V-tach
Secondary: Foley catheter, Vital signs, Antiemetic administration
True or false:
Adenosine is given for symptomatic bradycardia
Amiodarone is given for V-fib
Atropine is given for SVT
False.
Adenosine is given for SVT
Amiodarone is correct
Atropine is given for symptomatic bradycardia
True or false: The first line treatment for a patient having a sickle cell crisis is to administer a “clot buster”.
False, there is no way to ”bust up” these clots like you would a platelet-based clot because sickle cell clumps are RBC’s clotting on top of one another.
Name the 2 surgical interventions for CAD
Cardiac Cath & CABG
You walk into a patients room to introduce yourself. They don’t respond when you call their name or touch them. They’re strip shows NSR. What do you do?
Check for a pulse. They may be in PEA.
A male patient comes into the ER after a house fire. His face, anterior chest & abdomen, both palms of his hands & fingers, and genitalia have 3 degree burns. What is his TBSA?
Face = 9%
Anterior chest & abdomen = 18%
Both palms + fingers = 2%
Genitalia = 1%
TBSA is 30%
What is FabAV used for?
Crotaline snake bites
What is the importance of serum MMA?
Distinguishes between folic acid & B12 anemia (they can look alike)
3 truths & 1 lie. Which is the lie?
1. Morphine decreases cardiac demand
2. Nitroglycerin is light-sensitive
3. Chewing aspirin prevents RBC’s from clumping onto plaque
4. Morphine is given if nitro does not relieve the pain
3. Chewing aspirin prevents PLATELETS from clumping onto plaque
When you see a _______, think digoxin toxicity or __________. For any dysrhythmia, check hypoxia & __________ first.
U wave; Hypokalemia; electrolytes
A patient with head trauma comes into the ER. They open their eyes & make sounds when you apply pressure to their sternum and have normal flexion. What is their GCS?
Eye opening: pressure = 2
Verbal response: sounds = 2
Motor response: normal flexibility = 4
GCS score of 8
Name the 5 medications used to treat CAD.
Beta blockers, Digoxin, Calcium channel blockers, Statins, Anti-platelet aggregator