CARDIAC
code meds?
Epi 1mg to try to get BP, q3-5min
Atropine
Amiodarone 300mg bolus and then second dose of 150mg
Lidocaine drip- if all else fails.
dka respirations?
kusmal
Correct metabolic acidosis. Kussmaul breathing is the body's compensation. Treat with IV fluids first, then insulin drip, monitor potassium closely.
priority and risk factors for GSW
AIRWAY, bleeding control
head abdo and legs most vascular and bleeding risk
if to abdo OR stat
traction purose
align bones, reduce pain
dont let the weights be on the floor, nurses dont move them w out orders
Skeletal: pin in bone
- Bucks: foot in boot, elevated – traction at head of bed, countertraction at foot of bed, weights stay on the ground
- Cervical traction – pins go in the skull, not the temples
- S/S DVT: leg pain, swelling, leg may appear erythematous and feel warm (page 811)
S/S Cholelithiasis.
RUQ pain, fatty food intolerance, jaundice
triad for cardiac tamponade?
JVD, muffled heart sounds, hypotension
patho-increase of pericardial fluid, more than 20ml, raises pressure
tx-pericardiocentesis
priority intervention in respiratory emergency/arrest
secure airway
Bag-valve-mask ventilation — oxygenating is more critical than compressions initially if it is a respiratory cause. Prepare for intubation.
s/s internal bleeding
Rigid abdomen, hypotension, tachycardia, bruising
s/s dvt
Unilateral swelling, warmth, pain
Portal hypertension risk complication.
Esophageal varices/bleeding
post stent priority meds?
ANTIPLATELETS
clopidgrel, aspirin
s/s tension pneumothorax
Tracheal deviation (late sign), unilateral absent breath sounds, hypotension, distended neck veins. Treat with needle decompression → chest tube.
long hiss
frostbite/ heatstroke tx
Rapid rewarming in warm water (98.6–104°F)
cool down, iv fluids for heat
Difference: sprain vs strain.
Sprain = ligament; strain = tendon/muscle
Signs of hepatic encephalopathy.
Asterixis (flapping hands), confusion, ↑ ammonia (LACTULOSE!!!)
positioning for air embolus
left lateral- book says
rich says trendleberg
smoke inhalation priority?
100% humidified oxygen, early intubation if airway edema risk. Monitor for carbon monoxide poisoning — pulse ox is NOT reliable → get carboxyhemoglobin level.
nerve agent tx
Atropine & Pralidoxime (2-PAM)
Volkmann fracture concerns.
Compartment syndrome → ischemia → contracture
"claw"
immobolize, put in sling
Whipple procedure post-op care priority.
Monitor glucose, pancreatic leak, nutrition
Pulseless VT/VF refractory to shocks
amiodarone
carbon monoxide poisoning?
100% O₂. Carboxyhemoglobin may give false-assuring o2 nl sats. pt will be ruddy
if suicide attempt, and they survive will need MH counseling
blast injury?
what organs can it affect
Lungs / Tympanic membranes
assessment for cast patient circulation.
5 P’s (pain, pallor, pulse, paresthesia, paralysis)
Fluids appropriate for cirrhosis w/ hyponatremia.
Albumin + avoid hypotonic solutions