Common office emergencies Flashcards
1
Q
acute asthma attack
A
- reassurance
- O2 and IV access
- administration of emergency drugs: albuterol (2.5-5mg in 3-4mL of saline given via nebulizer every 20mins), epinephrine (1:1000 - 0.2-1mg SC q5-15min), ipratropium (8 actuations from inhaler q20mins, up to 3 doses)
2
Q
- reassurance
- O2 and IV access
- administration of emergency drugs: albuterol (2.5-5mg in 3-4mL of saline given via nebulizer every 20mins), epinephrine (1:1000 - 0.2-1mg SC q5-15min), ipratropium (8 actuations from inhaler q20mins, up to 3 doses)
A
acute asthma attack
3
Q
Epinephrine reaction
A
- headache, restlessness, agitation, tachycardia, and/or palpitations
- thorazine (0.5-1.0mg IV), Demerol (12.5-25mg IV)
4
Q
- headache, restlessness, agitation, tachycardia, and/or palpitations
- thorazine (0.5-1.0mg IV), Demerol (12.5-25mg IV)
A
Epinephrine reaction
5
Q
local anesthesia toxic reaction
A
- observe for mental changes
- hypotension - give vasopressors
- respiratory depression - give O2, ephedrine (25-50mg IM/SC)
- convulsions - give valium (5-10mg IV or 25mg IM)
6
Q
- observe for mental changes
- hypotension - give vasopressors
- respiratory depression - give O2, ephedrine (25-50mg IM/SC)
- convulsions - give valium (5-10mg IV or 25mg IM)
A
local anesthesia toxic reaction
7
Q
anaphylaxis
A
- epinephrine (1:1000, 0.5cc IM q15 mins)
- hypotension - ephedrine (25-50mg IM/SC once or twice)
- bronchospasm - aminophylline (250-500mg IV, given slowly)
- CPR and airway control if needed (O2, may require endotracheal tube)
8
Q
- epinephrine (1:1000, 0.5cc IM q15 mins)
- hypotension - ephedrine (25-50mg IM/SC once or twice)
- bronchospasm - aminophylline (250-500mg IV, given slowly)
- CPR and airway control if needed (O2, may require endotracheal tube)
A
anaphylaxis
9
Q
Syncope
A
- trendelenberg position (legs elevated)
- inhalation of spirits of ammonia
- O2
10
Q
- trendelenberg position (legs elevated)
- inhalation of spirits of ammonia
- O2
A
Syncope
11
Q
Seizures
A
- valium (10-15 mg q10-20mins)
- safety, monitor airway, reassurance as pt comes out
12
Q
- valium (10-15 mg q10-20mins)
- safety, monitor airway, reassurance as pt comes out
A
Seizures
13
Q
hypertensive crisis
A
- Nifedipine 10mg SL
- goal: lower diastolic pressure to 90-100mmHg over 15 mins
- sit at 45 degree angle
14
Q
- Nifedipine 10mg SL
- goal: lower diastolic pressure to 90-100mmHg over 15 mins
- sit at 45 degree angle
A
hypertensive crisis
15
Q
hypoglycemia
A
- headache, cold clammy skin, weak rapid pulse, irritability
- check blood sugar
- conscious pt: give oral sugar and/or orange juice, start IV 20-50mL D50 slowly
- unconscious pt: 1mg glucagon IM
- any pt in coma of unknown etiology should receive glucose
