Sinus Bradycardia
What is the Combivent (Albuterol/Atrovent) for a patient with S&S of asthma?
Albuterol-2.5mg/3ml
Atrovent 0.5/2.5ml
How many liters of blood does an adult have?
5-6 liters
How many bones are there in the adult body?
206
typically around 270 at birth however they fuse together as we age.
KED
2 minutes...Go!!!!!
Atrial Fibrillation
What is the 1st dose for NTG for the following pt.
48 y/o male cx pain radiating to left arm
vs: hr-110 R-22 b/p-88/62 SPO2 95% Temp-98.8
None need b/p to be above 100mmHg
55 y/o male with burns to his chest, abdomen right and left legs. What is the estimated % area burned.
chest-9%
Abdomen-9%
Front legs- 9% each
Total: 36%
Your ekg shows a hr of 166 although your radial pulse is only 80. Why is this or is this even possible?
This is a result of someone in SVT. Their heart is beating so fast it isn't giving the ventricles enough time to fill therefore not creating a coinciding pulse.
Pressure infuser
2 minutes.
also must demonstrate how to use it properly
Anterior wall MI
What is the medication used for nausea and the dose?
Zofran (ondansetron) 0.15mg/kg (max dose 4.0mg and may repeat once)
What is it called when a person legs are pinned under an object and there is restricted or no blood flow to the distal area? And what is the treatment?
Compartment syndrome. 2 large bore iv's and with 2 amps of sodium bicarbonate ivp. (helicopter on standby)
You have a head bleed with suspected ICP. Do you raise the head or lower the head and why?
Raise the head if possible to decrease the ICP. By raising the head it helps decrease the ICP. 45 degrees is optimal
EGR
2 minutes...GO!!!!!
Early Inferior wall MI
Pt is in V-tach with a pulse and is stable. What is the medication, dose and route.
Amiodarone.
Mix 150mg in 100ml and run it over 10 minutes
What is it called when you divide the HR by the systolic b/p and what is the normal range?
Shock index
normal is 0.5-0.7
What is Kern's sign?
Pain to the tip of the left shoulder by the irritation of the diaphragm by blood leaking from a ruptured spleen.
EtCo2 ETT filter line
2 minutes...GO!!!!!
2nd degree AV block
Push Epi dose and the best way to set it up?
5-20mcg every 1-2 minutes PRN
Mix 1mg in 100ml Pull up 10ml syringe and give 1ml every 1-2 minutes making it 10mcg/ml
What is toxic shock syndrome?
infection with certain types of bacteria. Usually seen in women on their cycle and is usually associated with the use of tampons.
Pt is a 58 y/o male with massive swelling to his lips and tongue. LS clear with O2 saturations in the mid 90's of room air. He has no known allergies and only drank a cup of coffee with his meds this morning that he has been taking for years. meds listed below. What is this and the treatment.
lisinopril
lovastatin
k-dur
Potassium
labetalol
Angio edema
meds hospital gives: icatibant, ecallantide,, and C1-INH.
fresh frozen plasma (FFP)
sterioids, antihistamines, EPI and little to no effect.
Magill forceps
2 minutes...GO!!!!