Blood Pressure
What is HBP? How do we treat it and when?
Hypertension, >120/80, Labetolol; SYMPTOMATIC: headache, slurred speech, dizzy, blurred vision
How can you recognize an allergic reaction?
Hives, difficulty breathing, itching, throat swelling
Explain "closed loop communication" and why it is important?
Making sure team knows where we are at and what help is still needed. Supporting eachother easier when you know whats needed!
If the blood pressure cuff is too tight on the patient how could that affect our reading?
It would increase the BP reading
What is a primary assessment?
What is involved and what do we use to measure it?
ASSESSMENT of the patients condition
ABC - airway, breathing, circulation
pulse ox, blood pressure
What is Hypotension and tx?
MAP <70 after 2 bp readings, oxygen, ephedrine, fluid, PATIENCE!!! *pt should already have full monitoring including ECG in place
If a patient is having a cutaneous reaction what are you seeing? TX?
rash, flushing, hives, itching ; benadryl IV 25-50mg, wait for change and repeat
Name of drug that reverses Benzos
Name os drug that reverses opioids
Flumazenil
Naloxone
What is low heart rate considered? What is its official name? How is this treated?
Under 30-40bpm, Bradycardia, Atropine (1mL)
Who is responsible to call 911 in case of medical emergency?
3rd assistant unless otherwise instructed by Dr. B
What drug do we give that causes hypotension
precedex
What is one of the most common allergic reactions we might run into? *hint ppl carry around their RX with them*
ASTHMA ATTACK!!! Wheezing, trouble breathing, coughing, hives
What is the most important thing when doing BLS?
COMPRESSIONS!
What is the rate?
Tachycardia >150bpm, eval for SYMPTOMS (chest pain, hypotension), oxygen and vital management
Atropine
Signs of a stroke?
F-ace A-rm S-peech T-ime
What is the magic number cutoff for blood pressure?
Shouldnt add up to the value of 300 - consult Dr B. - eval for symptoms; >200 SYS/>150DIA
If your patient starts to have tongue swelling, facial swelling, and/or shortness of breath - whats happening? tx?
Seizure txt
Support airway/neck, oxygen, vitals if able, IM Midazolam (Versed) or IV versed if IV inplace
*10mg IM, 5mg IV
20-50 / why is this a trick question?
Pt is sweating and pale - what may be causing this and what do you do?
FAINTING - vasovagal syncope: less blood flow briefly to the brain as a bodily reaction usually to IV start or getting numb - MONITOR, O2, place IV if necessary, repeat vitals
What every day supply item of ours can help with hypotension??
FLUID!!! bolus - esp w end of syringes
How is the administration of epinephrine different in an allergic rxn vs. cardiac arrest?
allergic reaction is IM, cardiac arrest is IV
0.3mg IM
Signs of an asthma attack?
Treatment?
Wheezing, shortness of breath, chest pain, cough; Albuterol inhaler 2-4 puffs, epinephrine **IM 0.3mg **
When do you put the BP cuff on your pt? When do you remove it?
AT THE START OF THE APPT before any IV, Blood draw, numbing!! *pt could pass out - we need baseline - if already monitoring we can see the change and treat it!!
-Remove AFTER vitals are appropriate and pt has met discharge criteria
Angina treatment and frequency?
VITALS -> admin either aspirin or nitro (nitro only if pt has rx for it) - wait 5 min -> repeat up to 3x