12-1 2

Question 1

First step in a sick peds case

Answer 1

Get braslow tape

Question 2

Dont forget to treat this usually non threatening lab

Answer 2

Hyperglycemia- no need for fancy fluids just be normal about it

Question 3

Toxic Alcohol Poisoning antidote

Answer 3

Fomepizole

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

Question 4

Toxic Alcohol Poisoning- In the severely acidotic patient, especially for methanol poisoning, consider ________________- rx

Answer 4

sodium bicarbonate infusion

Question 5

Decompensated Hypothyroidism Critical medications/ interventions

Answer 5

-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 6

Anaphalaxsis pediatric dose

Answer 6

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 7

Anaphalaxsis therapy- adult

Answer 7

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 8

Primary survey

Answer 8

Airway
Breathing
Circulation
Disability
Exposure
FAST

Question 9

Primary survey- Airway

Answer 9

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

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- Circulation

Answer 11

• 2 IVs
• BP, HR
• Look for source
• Direct pressure/ tourniquet

Question 12

Primary Survey- Disability

Answer 12

• Pupil size
• GCS
• Deficits

Question 13

Primary Survey- Exposure

Answer 13

• Undress
• Keep warm

Question 14

Primary Survey-F

Answer 14

Do a fast exam