Just give me the drug!
I may treat your pain, but I can also cause significant respiratory depression also, so monitor your patients carefully after giving me.
What is Opioid?
Expands alveoli and improves gas exchange, but be careful, may cause barotrauma if levels too high
What is PEEP?
Risk factors for this type of shock include multiple lines and drains
What is sepsis?
Tachypnea to decrease CO2 levels, HOB 15-30 degrees, seizure prevention, antiemetics, and avoiding stimulation are ways to decrease this
Caused by blood filling the pericardium, compresses the heart, symptoms include elevated CVP, JVD, faint or muffled heart sounds and low cardiac output
What is cardiac tamponade?
This class of drugs can treat anxiety but not recommended for delerium.
What are Benzodiazapines?
Caused by an indirect or direct injury, I will cause the patient to breathe faster, causing respiratory alkalosis, later the patient will develop respiratory acidosis
What is ARDS?
Findings of me may include temperature higher than 100.4 or lower than 96.8, tachycardia, hypotension, and elevated lactate and WBC count
What is Sepsis?
Complications of this drain may include infection and displacement
What is an EVD drain?
Can be caused by fracture of the right lower ribs, symptoms of injury can include massive blood loss, RUQ pain, hypoactive or absent bowel sounds
What is liver injury/trauma?
Side effects/adverse effects of this drug may include apnea, bradycardia, low blood pressure, drowsiness
What is Ativan?
This type of positioning is used in late stages of ARDS to improve lung expansion and oxygenation
What is prone position?
Treatment of this type of shock includes volume replacement with blood or IV fluids, if successful blood pressure MAP >65 and urine output will be at least 30ml/hr
What is hypovolemic shock?
Normal values for ICP
What is 0-15mmHg?
Prehospital management must include ABCs and also this
What is cervical spine immobilization?
Reversal agent for Benzodiazepines
What is Flumazenil?
Interpret this blood gas:
pH 7.38
PaCO2 40
HCO3 23
PaO2 97
What is normal ABG?
This type of arterial blood gas is seen in advanced stages of shock?
What is metabolic acidosis?
May be caused by traumatic brain injury, brain tumor, stroke, bleeding and if too high may lead to brain herniation
What is elevated ICP?
This score is critical to complete on all acutely ill patients who need rapid evaluation and whose status may change quickly. Scores given include eye opening, verbalization, and movement
What is Glascow Coma Score?
These drugs should be given prior to a paralytic administration
What are sedatives such as Propofol, Ketamine, Precedex?
This involves multiple rib fractures where injured segment moves inward with inspiration, treatment focuses on pain control and pulmonary hygeine
What is flail chest?
These shock states are caused by decreased venous return due to vasodilation, includes neurogenic, anaphylactic and sepsis
What are distributive shock states?
Setting this higher on the ventilator may reduce CO2 levels causing a decrease in ICP
What is respiratory rate?
Elevated clotting factors, low platelet counts, pH<7.35, and hypothermia make up this deadly spiral
What is lethal triad?