Day 3 - EM1 Quiz Flashcards
EKG abnormality in hypothermia
J wave
Tx lead poisoning in adults v. children
EDTA, Dimercaprol v. Succimer
Parkland formula
Dose at LR = 4 mL * Kg * % body surface burned; Half in 1st 8 hr, Half in next 16 hrs; Only resuscitation, not maintenance
Tx black widow spider bite
Wound care, 24 hr observation, Erythromycin, Possibly dapsone or steroids; Lactodectism - Ca gluconate, Benzos, methocarbamol, antivenom
Muscle spasm, stiffness, abdominal pain, AMS, tachycardia due to spider bite
Lactodectism; Ca gluconate, Benzos, methocarbamol, antivenom
Tx of laceration on dorsum of hand resulting from closed fist hitting human teeth
Human bite injury; Antibx, not close, copious irrigation, x-ray
Next mgt. organophosphate poisoning
Put on gloves, help remove clothes; Tx pralidoxime, atropine
Alkaline fluid ingestion mgt. steps to avoid
Avoid Vomiting, Neutralize, NG tube
Meds cyanide poisioning
Sodium thiosulfate; Hydroxycobalamin; Nitrates
COPD pt tachycardia, hypotension, seizures
Theopylline overdose
PEA common etiologies
H’s & T’s: hypovolemia, hypoxia, hydrogen ions, hypokalemia, hyperkalemia, hypoglycemia, hyperthermia; toxins/tablets, tamponade, tension ptx, thrombosis (mi or pe), trauma
ACLS tx Vfib
Defibrillation at 360 J, CPR, shock, Epi (or vasopressin w/ 1st dose only), rep Epi q 3-5 min, Consider antiarryhthmics (e.g., Amiodarone/Lidocaine)
Tx asystole
Alt Epi & Atropine, consider transcutaneous pacemaker
Meds used in bradycardia induced by beta blocker overdose
Atropine, Calcium gluconate or chloride, glucagon
Pt. in pt w/ elevated INR due to warfarin overdose - when to give vitamin K
Bleeding or INR > 9 definitely, INR > 5 consider it
