You Make My Heart Beat
Your patient presents with a complaint of weakness and BP 80/45, HR 30 and is pale, diaphoretic and short of breath - being on top of it what medication do you anticipate your provider will order?
What is ATROPINE
The patient is found unresponsive in the room, what is your next step
What is shout for help, get AED/emergency equipment or send someone to do this, look for no breathing or only gasping AND check for pulse (less than 10 sec)
I am easily relieved by rest or NTG, I have transient EKG changes that are fully reversible with pain relief and my cardiac enzymes will be normal
What is Stable Angina
A temporary interruption of cerebral blood flow that resolves on its own that can manifest itself as arm drift, facial droop, headache, aphasia / dysphasia among other signs and symptoms
What is a TIA
A condition of acute symptoms of sufficient severity that the absence of immediate medial attention could be reasonably be expected to result in placing the health of an individual or the health of an unborn child in serious jeopardy, cause serious impairment to bodily functions or serious dysfunction of bodily organs
What is an Emergency Medical Condition.
This is two or more SIRS criteria with a suspected source of infection
What is sepsis
Your patient that presents with a complaint of weakness and BP 80/45, HR 30 and is pale, diaphoretic and short of breath - The appropriate ESI Triage acuity level for this patient would be
What is ESI 1
Stridor and hoarseness are indications of what?
What is UPPER AIRWAY Obstruction
This chest pain will last longer than 20 minutes, occurs with less exertion, has transient EKG changes that resolve with rest or pain relief and the cardiac enzymes are normal
What is Unstable Angina
Hypoglycemia, hypoxia, migraines, bell's palsy
What are stroke mimics
The hallmark presentation would include polyuria, polyphagia, polydipsia with weakness and fatigue
What is hyperglycemia (DKA)
This lab determines the level of tissue hypoperfusion
The patient that presents with a complaint of weakness and BP 80/45, HR 30 and is pale, diaphoretic and short of breath - Essential interventions for this patient that need to be completed include
What is notify provider, oxygen per policy, cardiac monitor, IV access and labs, 12 lead EKG
Expiratory wheeze and complaint of shortness of breath might indicate what?
What is LOWER AIRWAY Obstruction
Chest pain lasts longer than 20 minutes, note ST segment depression, T wave abnormalities and ST segment elevation that may resolve with rest or pain relief; the troponin will be elevated
What is a Non-STEMI
Door to physician in 10 minutes, door to CT completed in 25 minutes, door to CT interpreted results 45 minutes, door to needle (tPA) 60 minutes
What are the core measures for care of the stroke patient.
Average fluid loss for an adult in DKA
What is 6 liters
These are the three stages of shock
What is compensated, progressive and irreversible
Atropine had no effect on a patient that presents with a complaint of weakness and BP 80/45, HR 30 and is pale, diaphoretic and short of breath - this is your next step
What is transcutaneous pacing (also accept Dopamine / Epinephrine infusion)
An excellent Triage nurse makes sure to document the patients airway status, positioning, speech and ability to manage their secretions / saliva when they present with this EENT chief complaint
What is sore throat, tonsillitis, epiglottis, peri-tonsillar abscess
I cause crushing chest pain that often radiates into the jaw and down the arm, associated with nausea, vomiting and shortness of breath, ST segment elevation in 2 or more contiguous leads, elevated troponin
What is a STEMI
This is critical to determine for the patient presenting with suspected stroke to determine interventions
What is time last known normal and symptom onset
Anxiety disorder that can develop after exposure to terrifying event / ordeal in which grave physical harm occurred or was threatened
What is PTSD
This is a hematological complication of shock whereby all the clotting factors are used and results in excessive bleeding
What is DIC
During your re-assessment of a patient that presented with a chief complaint of weakness, BP 80/45, HR 30, pale, diaphoretic and short of breath - how would you know your interventions have been effective?
What is the patient's peripheral perfusion would improve (HR increase, BP increase, color improve, decrease shortness of breath, skin dry, patient awake, alert and oriented)
When a patient presents with sudden onset chest pain, dyspnea, hypoxia, and you are able to palpate subcutaneous emphysema over the left ribs you suspect
What is a pneumothorax
Three interventions that indicate quality care for the patient presenting with chest pain (core measures)
What is EKG within 10 minutes of arrival, ASA 324mg on arrival and door to balloon within 90 minutes (door to needle within 30 minutes)
Identify the dosing guidelines for tPA for acute stroke
What is 0.9 mg / kg IV (max dose 90 mg) over 1 hour. Give 10% of the total dose as IV bolus over 1 minute then give the remaining 90% over the next hours (make sure the patient receives the medication in the tubing)
These patients are in your triage waiting room: 16 year old female who has been arguing with mom, 32 year old female whose father recently died and a 85 year old male whose wife passed away last month - which patient is at higher risk for suicide?
What is the 85 year old male
The MAP goal in patient with Septic Shock
What is greater than 65