I'm not judgmental i just have excellent Assessment skills
Difference between rapid scan and secondary detailed head to toe.
Rapid scan is used to identify injuries and life threats. Secondary head to toe is used when time permits to make sure no problems were missed. It is more in depth and detailed.
Things that may give inaccurate SP02 readings
cold extremities, anemia, nail polish, CO poisoning
Class and MOA of Atrovent
Anticholinergic/Bronchodilator/Antimuscurinic
works by antagonizing acetylcholine at bronchial smooth muscle sites thereby causing bronchodilation
also aids with drying up excessive MUCUS
Name 3 ways to reduce medication errors?
MAC checks, reduce noise, label syringes/bags, only pull out one vial at a time, increase lighting, only perform one task at a time
Alpha 1, 2, and Beta 1,2 responses
a1- vasoconstriction
a2- norepi control
b1- heart rate/force increase
b2-bronchodilation
What is the primary assessment and its components in order?
X-exsanguination, A-airway, B-breathing, C-circulation, D-disability, E- expose
A patient complaining of ear pain may need this tool for assessment
otoscope
Class and dose of Sodium Bicarb
1 meq/kg
Alkalizing agent, hydrogen ion buffer
Name two routes with slow absorption vs two routes with fast absorption
slow- intradermal, oral
fast- IV, IO, IN, IM
eyes with cholinergic response
pupil constriction
Field Diagnosis(impression) vs. Differential Diagnosis
Differential- multiple diagnosis based on patient assessment
Field - gained from chief complaint, assessment and history after ruling out other causes
other than cap refill, what other assessment may be beneficial in determining hydration status
turgor
NTG side/adverse effects (name at least 4)
headache, dizzy, syncope, N/V, dry mouth, reflex tachycardia, hypotension, weakness, diaphoresis
Name 2 IO sites and two contraindications
sites- distal and proximal medial tibia, distal femur, humoral head, sternum
contraindication- bilat knee replacement, able to get an IV, broken bone, bone disease (OI, OA), fake limb
what is affinity?
a meds attraction to a receptor or site
MOI- what is it? When do we do it? Why do we do it?
The way in which traumatic injuries occur.
Done during scene size up.
Helps us with creating a more patient specific assessment or consider injuries that may not be initially seen.
Where do you place a stethescope to listen to the apical pulse
At the PMI- 5th intercostal mid clavicular
Name a depolarizing paralytic and its dose
Succinylcholine(anectine) 1-1.5mg/kg
Steps for administering a med?
1. Establish the route/set up equipment (ex: IV good? IM needle set up?, IN device prepared?)
2.Confirm the dose and draw it up
3. MAC check
4. Give the med
5. Patient Response?
6. Consider additional meds
7. Document Document Document
3 ways we eliminate drugs
Components of history taking you should ask.
Allergies, Current Meds, Serious medical conditions and medical conditions related to current complaint, important surgeries/procedures/hospital stays especially related to complaints,
Capnometry vs capnography
Capnometry- numerical value
Capnography- waveform shape
Bonus: ideal numerical value range and shape?
An 80kg patient is ordered Procanimide 20mg/min, the max dose is 17mg/kg. how many minutes can they safely receive this medication.
68 minutes
Macro vs Micro gtt set
Macro- 10/15 drops to equal 1mL, ideal for rapid fluid/blood administration
Micro- 60 drops to equal 1 mL, ideal for controlled highly concentrated drugs (ex dopamine) needed to be administered for prolonged time
What is the law of inertia
an object at rest stays at rest and an object in motion stays in motion unless acted upon by an outside force.