Term 1
73YOM with a CC of SOB. Upon arrival Pt is tripodding, with audible wheezing, and is unable to speak. Pt has multiple inhalers and is usualy on oxygen but ran out. Pt vitals are SPO2 84%, BP 160/80, HR 110. What is the most appropriate inital treatment?
CPAP
Your Pts 12 lead shows an irregularly irregular rhythm at a rate of 130 with multiple P wave morphologies. What rhythm is this indicative of?
Wandering Atrial Pacemaker
How mcuh fluid whould be administered to a child burn Pt for fluid resuscitation?
20ml/kg
What is the pediatric dose for Succinylcholine?
2mg/kg
What does sludgem stand for? must name all for points
salivation, lacrimation, urination, defecation, GI upset, Emesis and Miosis
A type of respiratory pattern that has an irregular rate, depth, and pattern with periods of apnea? Commonly caused by ICP
Biots (Ataxic)
When does hypertension during pregnancy start to be considered preeclampsia?
After 20 weeks
What is the does of Narcan for a pediatric with suspected opiate OD?
What are the contrainidcations for ketamine?
Schizo
hypersensitivty
What is becks triad?
Hypotension, JVD, and muffled heart tones
What are the five factors to consider when assessing a fall Pt?
Height, Position, Area, Surface, Physical conditions (conditions like osteoporosis that would make the fall worse)
What is the main difference between a 2nd degree type 1 and a type 2?
Type 1 blocks the PRI will increase until a dropped beat occurs
What are 3 indicators of child abuse?
Hx inconsistent with injury obtained, Old injuries that weren't reported or treated, Bruises in multiple stages of healing, Inappropriate reactions of caregiver about injury, recall of injury inconsistent with childs developmental abilities
What are 4 contraindications for Ketorolac?
Anticipated surgery, active bleeding, hypersensitivty, asthma, renal insufficiency or failure, and currently taking NSAIDs
What are the 3 types of distributive shock?
anaphylactic, septic, and neurogenic
Your Pt is a 67YOF with a Hx of CHF and COPD, Pts complains of chills, fever for a few days, and chest pain when they cough up phlegm. Upon examination Pt temp is 101.4, CBG 89, BP 144/92, SPO2 91%, LS crackles. What should you suspect?
Pneumonia
You respond to a 48YOF. Pt appears to have a round face and is morbidly obese. Pt states shes been more depressed lately and weaker thewn normal. What do you suspect?
Cushing syndrome
What is Congenital adrenal hyperplasia?
Disorder of an enzyme responsible for the metabolism of cortisol and aldosterone in adrenal glands
What is the pediatric dose for the first line med for treatment o hyperK? (name the med and the dose)
Calcium gluconate 60mg/kg
What does START triage stand for?
simple treatment and rapid transport
What type of spinal injury presents with loss of sensation to pain on one side of the body?
Brown-sequird syndrome
THis gentic disorder involves the sodium channels of the heart. On a 12 lead it will present with an incomplete RBBB and STE.
Brugadas syndrome
You are responding to a 3YOM CC of sick. Mom states Pt has had a fever and a productive cough for 5 days. Pt appears to be grunting and breathing at a rate of 38. What is suspected?
Pneumonia
What is does each pregnancy drug classifcation stand for? 125 points for each category
Class A-Adequate and well-controlled studies have failed to demonstrate a risk to the fetus in the first trimester of pregnancy
Class B-Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women
Class C-Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks
Class D-There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks
You respond to a 41YOF for CC of abdominal pain. Pt appears jaundiced and vomiting and your arrival. Pt states the pain is in her RUQ. What do you suspect?
Cholecystitis