Respiratory
What is the goal saturations with O2 administration?
94%
Can you administer nitro for unexplained shortness of breath?
Yes, if their pressure adequate
What medication do we administer in head trauma?
HIGH flow O2
What medication, dose and route do you administer for anaphylaxis? How about pediatric?
Epinephrine 1:1,000 Intramuscular 0.5mg
Peds same dose
Bonus: Albuterol for severe respiratory distress
what is the medications we give for chest pain and their doses?
1.
2.
3.
Nitro .04mg sublingual
Oxygen titrate to 94%
Aspirin 324mg
What medication do we administer for wheezing?
Albuterol
What systolic pressure do you need to administer nitro?
100
What do we look for in a stroke scale and what should we rule out for all stroke patient's?
Facial drooping, arm drift, slurred speech
Blood sugar
What can we give for someone with low blood sugar?
What is it's contraindication?
Glutose
Unable to maintain airway
what medication is administered through a nebulizer and what's the dose?
Albuterol 2.5mg
What is associated with a seal barking cough?
Croup
How can you try to lower a rapid heart rate prior to Allina's arrival?
Vagal maneuver
what are most pediatric seizures caused by and what are those seizures called?
Febrile seizures are caused by a fever. The temperature of the fever itself doesn't necessarily cause the seizure, it's how quickly the temperature rises that induces the seizure.
What can we do for patient's with low blood pressure?
Lay them on the ground and elevate their feet
what dosage does the AED administer on the first three shocks? In Joules
200
300
360 (this is the highest dose and is repeated until ROSC or ceased efforts)
What is end tital CO2?
Carbon dioxide being breathed off
What are the two interventions that improve CHF?
Nitro and CPAP
What is the phase called after a seizure has stopped and what is a common symptom for patients in that phase?
post ictal (confusion, sweating, unconscious, altered, incontinence)
What is building in the blood stream during a panic attack that makes the patient feel crummy?
Carbon dioxide
Narcan binds to the neuroreceptors for narcotics at a stronger/better rate. This kicks off the opiate and takes the receptors space to remove the effect of the narcotic.
What is the goal end tital CO2 percentage range?
35-45%
what's the loading dose of nitro for CHF?
What's the required systolic pressure for nitro administration in CHF?
0.8mg
140
What common symptoms could we see after head trauma? (6)
unequal pupils (anisoscoria)
Confusion/memory loss
Seizures
Hypertension
Combative
HeadacheNausea/vomitting
What is DKA? (Diabetic Ketoacidosis)
Body cannot make enough insulin to use sugar. Body in return uses fat for energy which releases ketones, which build up in the blood and urine. Sugars are typically very high with DKA.
What are the two ways Epinephrine works on the body for anaphylaxis?
Bronchodilation (opens lungs)
Vasoconstriction (shrinks the pipes to increase blood pressure)