12-1

Question 1

Say this dose for defib

Answer 1

200 J

then

300 J

then

360 J

Question 2

Epinephrine auto injector typically contain

Answer 2

-0.3 mg (adult)
- 0.15 mg (child)
1:1000 solution.

Question 3

Anaphalaxsis therapy- adult

Answer 3

EPI 0.3 mg 1:1000 intramuscularly (IM)

Diphenhydramine 25-50 mg IV

Famotidine 20 mg IV

Methylprednisolone 60-125 mg IV

albuterol 2.5-5 mg

Question 4

Anaphalaxsis pediatric dose

Answer 4

Epinephrine (1:1,000) 0.01 mg/kg IM

Diphenhydramine 1-2 mg/kg, max dose 50 mg

Famotidine 0.25 mg/kg, max dose 20 mg

Methylprednisolone 1-2 mg/kg

albuterol 2.5-5 mg

Question 5

Patients on beta blockers with refractory anaphylaxis should be given ___________

Answer 5

glucagon

Question 6

“Intubation Bundle”

Answer 6

• Capno
• Breath sounds
• CXR
• Vent
• Sedation
• NG tube
• Foley

Question 7

Toxic Alcohol Poisoning antidote

Answer 7

Fomepizole

Prevents the formation of toxic alcohol metabolites via inhibition of alcohol dehydrogenase

In the severely acidotic patient, especially for methanol poisoning, consider sodium bicarbonate infusion

Question 8

Decompensated Hypothyroidism Critical medications/ interventions

Answer 8

-Levothyroxine (T4) or T3
-Hydrocortisone 100 mg IV
-Dextrose-containing fluids
-Passive rewarming

*Start treatment if the diagnosis of decompensated hypothyroidism is suspected; do not wait for laboratory confirmation.

Question 9

Primary Survey- Exposure

Answer 9

• Undress
• Keep warm

Question 10

Primary survey- Breathing

Answer 10

-Inspect chest wall/ auscultate
- Needle decompression
- Chest tube for unstable pt w/ ptx/ hemo
- Thoracotomy

Question 11

Primary survey- Airway

Answer 11

-Maintain c/spine
-suction/ reposition airway
-Intubate if needed with surgical tray back up

Question 12

Primary Survey-F

Answer 12

Do a fast exam