It's in the Belly
A 17 yr. old CTAS 2 patient presents with abdominal pain > 3hrs, CBC and lytes are ordered as a medical directive. Name 3 more labs you can order if their pain is more generalized or upper abd. pain.
What is LFT's, AST, ALP, Bilirubin, Albumin or Lipase
A known COPD patient presents with dyspnea, and is only speaking 3-word sentences. In addition to vitals and continuous sat monitoring, you can administer this medication, in this dose and at this frequency.
What is Salbutamol 5mg neb x 1 or 8 puffs Q20 min.
OR
Ipatropium 500mcg neb x 1 or 8 puffs Q20 min.
What are three exclusion criteria for treating fever in an adult?
What is weight less than 60kg (132lbs), temp < 38°C, currently receiving chemo, allergy to ASA, Tylenol or NSAIDS, liver failure, history of GI bleeding ulcers, renal failure/dialysis, ASA-sensitive asthma
A dialysis patient presents with weakness and a temp of 38.1°C, in addition to drawing labs, you can also include these two orders.
What are blood cultures x 2 and a 2-view chest x-ray
A 4 month old presents with active emesis for > 3 hrs. On top of attempting oral rehydration therapy, what drug would you consider giving, and what is one thing you might want to check on this patient.
What is weight-based Ondansetron. Check a blood sugar.
A pediatric asthma patient presents with persistent cough and increased shortness of breath. In addition to Salbutamol and Ipatropium, you can administer this drug if their PRAM score if between 5-12.
What is Dexamethasone 0.6mg/kg (max 10mg) PO/INJ
You would treat a febrile pediatric patient with these 2 medications at this dose. Also, a child under 6 months should not receive this medication.
What is ibuprofen 10mg/kg susp. or Acetaminophen 15mg/kg.
A child under 6 months should not receive Ibuprofen.
A patient complains of ear pain 7/10. There is no bleeding, but you see mild purulent drainage, what can you give?
Pain management only.
You would not give tetracaine ear drops as drainage might indicate a non-intact tympanic membrane.
A man states that while he was working with chemicals, he felt a splash go in his eye. What are the contraindications to applying the Morgan lens with RL?
What is globe rupture, penetrating eye trauma or protruding foreign body in the eye.
A patient enters the ER with c/o substernal chest pain accompanied by palpitations, BP 112/76 HR 106. What 2 medications can you administer? List one contraindication for each.
Nitroglycerin 0.4 mg SL Q5min x3; Contraindication: Rt sided inferior infarct, SPB <100, concurrent use with phosphodiesterase inhibitors. Saline lock must be in place.
Aspirin 160 mg PO chew once; Contraindication: Allergy to ASA, active GI bleeding, sig. head injury in the past year.