Syndromes/ Signs
what is Guillain-Barre syndrome
neurological disorder that affects the neurolemma of the nerve wall. Usually starts at feet with numbness and tingling and moves upward. may be triggered by virus or bacteria infections.
how many cranial nerves are there?
12
should the drip be higher or lower than the primary set?
higher
what is the dose and route for a pt in anaphylaxis of epinephrine
0.01mg per kg up to 0.3-0.5 IM
then can give 5-20mcg ivp every 1-2 minutes for b/p > 90.
What is the normal EtCo2?
If the EtCo2 is 48 do you increase or decrease the RR
Increase.
current EtCo2 x RR/ what EtCo2 you want
What is dolls eyes syndrome
oculocephalic reflex. eyes deviate from opposite of head direction.
What is the Latin name for the area that the spinal cord exits.
Caudal equina
L4
how do you mix a dirty epi IVP
1mg epi 1:1000 mix in 9ml to make 10mcg/ml
(can mix 1:1000 into 100ml makes 10mcg/ml)
Dose for Tylenol
Ibprophen
APAP-15MG/KG up to 650mg
ibprophen- 10mg/kg up to 600mg
ages 13 and above
Pt is c/o chest pain and SOB. He is hypotensive and and borderline bradycardic. You do a passive leg raise and his b/p drops. What medical problem is this likely to be>
Pulmonary Embolis
what is kehr's sign
pain to the tip of the shoulder. It is done by laying pt supine with legs slightly elevated. This is typical with blood in the peritoneal space (ruptured spleen)
what is neurological shock
decreased hr
sweaty or flushed
low b/p
decreased loc
loss of feeling below injury
irregular temperature control
How do you mix amiodarone with someone with Vtach with a pulse?
150mg/100ml and give over 10 minutes
what are the meds given for hyperkalemia?
dextrose, albuterol. calcium, sodium bicarbonate
(diuretics, k-excelate) given by hospital
Pt is on a ventilator these are the settings. Which value is too high?
EtCo2 36
PEEP- 5
PIP pressures 30
Pplat 23
PIP- Peak inspiratory pressure normal is 20mmHg
low is usually not enough flow
high is pinched or dislodged Ett.
What is Cullen's or Grey Turners sign?
Bleeding in the abdomen area usually caused from abdominal trauma. can be seen in pancreatitis hemorrhage
What does it mean when a patient has a dysconjugate gaze
Usually seen in head injuries. It is when the patients eyes go in opposite directions when evaluating 8-10 inches away from their face.
You have 6mg in 100ml what is the mcg/ml
60mcg
what is the second medication given to a patient with chest pain?
1. oxygen
2. ?
aspirin 324mg
What is a curare cleft?
notch during the expiratory phase. the patient takes a breath. better seen when pt is paralyzed or sedated and the medication is wearing off
What is the Babinski sign
This is a neurological assessment to evaluate neurological issues usually secondary to a head injury or spinal injury. Normal is big toe lifts up and the toes fan out.
What is the primary neurotransmitter for the peripheral and central nervous center.
acetylcholine
you have given 300mg amiodarone
followed up with 150mg amiodarone and then the patient converts. What is the drip you hang and the rate?
Amiodarone 150mg mixed in 100ml and run at 40ml/hr or 40gtts/min.
You have a male with atrial fibrillation with a RVR. What is the drug/drip of choice and the drip rate.
Diltiazem 10mg SIVP 2-3 minutes may give second dose of 10mg SIVP 2-3 minutes with a max of 20mg
Where should an Arterial line be zeroed on the body.
Phlebostatic axis
4th intercostal space mid anteror/ posterior diameter of the chest.