Shivers
This medication is the drug of choice in treating a fever
What is Tylenol (typically dosed 650mg PO) also available in rectal if patient NPO
While trying to defecate your patient briefly lost consciousness and fell to the floor.
This is the most common cause for what occurred
What is vasovagal (neurocardiogenic syncope)
Bonus 100pts: what 2 medications do we commonly prescribe to prevent constipation in our patients
Its 10pm and your patient can't sleep, nurse calls you to ask if you can give something. First line option is this supplement commonly found OTC
Melatonin
Bonus 100pts: Name three other Rx agents
You are called to a medical teams. ACLS in progress. After 2 minutes of CPR, patient is in PEA arrest. You order this medication
Epinephrine
Bonus 200pts: What is the frequency interval that you are allowed to give it?
Your patient arrived with a stroke. You discover his LKW is 2 hours ago. CTH returns demonstrating ischemic stroke. The nurse pressures you to give tPA, but you see in the chart he had spine surgery. How many months is the cutoff that excludes the use of tPA?
Commonly used for GI complaints, this medication is given in addition to diphenhydramine to improve sx associated with allergic reactions
Famotidine
Nurse calls for her patient who is complaining of bloating and gas. Patient can't stop farting. You order this medication (and strength).
Simethicone 80-160mg (after meals and HS prn (max 480mg/day)
Its midnight and your patient is pulling out his IVs, yelling and fighting the nurses. You consider giving this drug to address his agitation.
Haldol 2-10 mg injectable IM/IV
Bonus Q: What do we need to know prior to ordering it?
MOLST
Your patient has chest pain. The rapid nurse had already given him NTG sl in error. The ECG shows STE in these 3 leads
II, III, aVF
Fever can occur in patients with this type of stroke
What is a Hemorrhagic stroke
Nurse calls you about your patient that fell to the ground with seizure-like activity. When you arrive the patient is unable to answer you and having a tonic clonic seizure. You ask the nurse to administer this medication (and dose)
Lorazepam 2mg IV
Nurse calls you for patient that suddenly complains of the inability to see out of the corner of his eye. You examine him and notice visual field deficit and neglect of one side. You order this imaging study STAT
You don't want to shock (defibrillate) me if I am in one of these two ACLS rhythms
What is Asystole / PEA?
The nurse placed your COPD patient on a non-rebreather at 10L/min O2. His SpO2 is at 100%. You call her to tell her the patient's goal O2 sat should be this...
What is 88-92%
You get called to a patient in cardiogenic shock. He isn't responding to IVFs and you have to start this IV medication
Levophed (Norepi)
Day team signs out to you regarding their patient who might have a GIB. Overnight H&H comes back 6.7. He is having bloody bowel movements. You order a transfusion and also start the patient on this medication (bolus then bid after that)
Protonix IV 80 then 40mg bid
Your patient has a terrible headache and you arrive to find her eyes closed barely able to open them. Vitals show BP 190/120, HR is 56. You order this medication IV stat
Hydralazine
Bonus 100pts: What in this case would go against labetalol?
This medication is your drug of choice in a patient with SVT after vagal maneuvers were unsuccessful.
What is adenosine?
Your patient is in Afib with RVR and has an EF of 30%, Avoid this medication when attempting to control his rate
What is Diltiazem?
Your patient on antibiotics for 5 days now has a fever and nurse tells you she is having multiple watery bowel movements. You make sure they are not on laxatives and order this test
This purple flower which is found along the moist meadows and roadsides of the central and northern California coast and in Sierra Nevada foothills is the original source of a common medication we use in Heart Failure
Digitalis purpurea (foxglove) --Digoxin
Nurse calls you and tells you the patient is hypotensive. You arrive he is lethargic and can barely keep a conversation before falling asleep. History suggests UTI symptoms earlier and BCx + for GNB. You order IVF bolus for septic shock
30cc/kg
This medication is your drug of choice in patients with bradycardia
What is atropine
Rapid response is called on your patient with acute decompensated heart failure for dyspnea. His family brought him chinese food for lunch a few hours ago. You hear crackles and get a CXR that shows worsening pulm vascular congestion. He is on furosemide at home. Your IV bolus dose is how many times his home dose
IV 1-2.5 times the home oral dose.
Lasix 40mg PO = 20mg IV