Drugs
What drug is used Rapid IV push to cause a temporary heart block indicated for stable SVT
Adenosine
Elderly male patient experiencing a myocardial infaction: You should NOT perform this. A. administer oxygen B. have the patient chew baby aspirin C. allow the patient to take his wife's nitro
What is C.?
6yo pale presents with RLQ pain and rebound tenderness
appendicitis
an Amp of this is given for Hyperkalemia or metabolic acidosis
What is Sodium Bicarb
Physical position you should place your patient with SOB
high fowler's. 90' angle
- bystander states: rapid onset of symptoms - confusion/difficulty speaking/ left-side weakness - 210/130 bp, HR 93, RR 18
What is stroke
50 yo male with sudden, sharp stabbing pain to his right flank.
Kidney stones (nephrolithiasis)
get urine sample, IV for CT scan
The window for administering TNK is
3-4 hours depending on criteria
Patient has no breath sounds on the right side. what should you prepare for
What is a chest tube
During a procedural sedation how often do you document vitals
Q5 during procedure
Q15 until return to baseline
Elderly patient: - takes insulin for diabetes/no trauma - deteriorating for a week (according to family) - unconscious - RR 6, HR 130, BP 78/54 This is the most important intervention.
What is Ventilate @ 12 breaths per minute
32 yo female is 28 weeks pregnant with RUQ pain that radiates to the right scapula area. Reports the pain started a short time after eating
What is Cholecystitis
gallbladder inflammation, stones
medication given for stable Afib with RVR
What is Cardizem
These patients should not be placed on high flow oxygen because of CO2 retention
What is COPD
- Healthy 80 yr old female - Hx of diabetes and hypertension - "flu"/not feeling well for 4 days - Stop eating yesterday/ very lethargic/ sleeping all day - RR:22 HR:120 Skin: warm and dry - Bad odor
What is High blood glucose
46 M with left upper abdomen or epigastric pain that may radiate to the back. Nausea and vomiting. Hx of heavy alcohol use.
What is Pancreatitis
elevated serum lipase or amylase and abdominal imaging
what medication is used for anaphylaxis, ACLS arrest and severe asthma
Epinephrine
ACLS 1mg 1:10,000 IV
0.5-1mg 1:1,000 IM
Late signs of increased intracranial pressure include Cushing's Triad which are:
1 bradycardia
2 widening pulse pressure
3 apnea
A 76 yo male presents with AMS and slurred speech. Patient is lethargic and unable to walk. What blood test would you run first
ABG
rule out hypoglycemia before stroke workup
68 F Left lower quadrant pain. Pain is persistent and localized
What is Diverticulitis