CRITICAL PATIENT

Shock

100

Early stage in shock where body can still compensate for blood loss.

-Blood loss it at 15%-30% at this point.

-Patients Mental status is you best indicator at this point than most vital signs.

Compensated Shock

200

Terminal Stage in Shock.

-permanent organ damage

-40% or greater blood volume loss

Irreversible Shock.

-blood shunts away from the liver, kidneys and lungs and begin to try to keep the heart and brain perfused

300

Describe Shock.

failure in cardiovascular system

400

List 4 types of Shock

Cardiogenic, Anaphylactic, Neuro, Obstructive, Septic, Distributive, Hypovolemic

500

List 5 causes of shock.

All 5 must be correct to receive points.

anaphylaxis, trauma, bleeding, severe infection, MI, PE.

Cardiac Arrest

100

Shockable Rhythms ?

Non-Shockable Rhythms ?

Shock- V-fib V-tach

Dont Shock- Asystole, PEA

200

How can ETCO2 indicate ROSC?

JUMP FROM 15 TO 40+

300

Starting Joules in Narrow complex?

Wide complex?

100J

200J

400

Name Two anti arrhythmic drugs used in cardiac arrest.

Lidocaine, Amiodorone, 

500

Name your Hs and Ts.

Hypovolemia, Hypoxia, Hydrogen Ions (acidosis), Hypo/Hyperkalemia, Hypothermia

Tension Pneumo, Cardiac Tamponade, Toxins, Thrombosis (PE), Thrombosis (NSTEMI & STEMI)

Drugs

100

Fentanyl Drug Card

-dose

-indication

50-100mcg dose or 2mcg/kg

used for pain

200

Dopamine starting dose?

5mcg 

2-20mcg/kg/min

300

Second line Medication for anaphylaxis?

Benadryl

400

Lidocaine Drug Drip

(Look at Board)

Brian?

500

Dopamine Drip calculation

188lb patient->85kg

8mcg/kg/min

400mg/250mL

25gtt/min

Random

100

First Line Medication in Anaphylaxis?

Route?

Dose?

Epi 1:1000

0.3mg IM

200

Explain how you would manage a patient in SVT.

Patient is symptomatic and altered.

Hypotension and AMS.

Rhythm Irregular.

Sync Cardiovert (consider sedation)

50-100J Narrow Regular

120-200 Narrow Irregular

100J Wide Regular

200J Wide Irregular (defibrillate)

300

What type of shock is Anaphylaxis

Distributive

400

Pick which of following is late sign in fluid loss?

-Postural Syncope

-Drop in BP

-Tachycardia

-Cyanosis

Drop in BP

500

Describe Epinephrine effects on Beta 1, Beta 2 and Alpha 1 receptors. Explain how this will benefit someone in cardiac arrest

Beta 1- heart contraction is faster and stronger

Beta 2- Bronchodialators

Alpha 1- Vasoconstricton