Emergency l

Question 1

steeple sign, seal like bark cough

Answer 1

Croup

Question 2

Tx Croup

Answer 2

self-limiting, supportive care

no F usu

Question 3

young, toxic looking, acute onset, caused by H flu or beta hemolytic strep

Answer 3

epiglottitis

EMERGENCY

Question 4

how many breaths/min until you need 02
adult
child
infant

Answer 4

adult - < 12, > 20
child - < 15, > 30
infant - < 25, > 50

Question 5

Which 02 delivery methods are for unconscious ppl?

Answer 5

resuscitation mask, BVM

Question 6

Which 02 delivery methods are for breathing victims only?

Answer 6

nasal, non-rebreather

Question 7

Nasal cannula
% 02
who?
flow rate

Answer 7

24-44%
breathing victims conscious
1-6 LMP

Question 8

Resuscitation Mask
% 02
who?
flow rate

Answer 8

35-55%
breathing and unconscious
6-15 LMP

Question 9

Non-Rebreather
% 02
who?
flow rate

Answer 9

90+%
breathing conscious only 
10-15 LMP
can place 2 inch over face of child
reservoir bag is inflated 2/3

Question 10

BVM
% 02
who?
flow rate

Answer 10

90+%
breathing and unconscious
15+ LMP
can squeeze bag for more 02

Question 11

if Stridor, consider UPPER AIRWAY OBSTRUCTION

think two causes likely

Answer 11

infection - epiglottitis

mechanical - choking, heimlich

Question 12

how many heimlich thrusts? and where to thrust?

Answer 12

5

above umbilicus unless pregN or obese then chest

Question 13

prevent choking in unconscious victim by

Answer 13

head tilt - lift chin

Question 14

DDx choking - airway obstruction or cough?

Answer 14

if coughing, do not intervene

Question 15

Choking conscious infant

Answer 15

5 to back
check for object
5 chest
check for object
repeat

Question 16

Choking unconscious infant

Answer 16

2 breaths
check for object
2 breaths
if breaths dont go in, do compressions
30 compressions
check
2 breaths

Question 17

What do you do if IV in pt starts anaphylactic?

SXS

Answer 17

keep IV in, change bag to NS

SXS: urticaria, edema, thraot sensations, increase HR, decrease BP

Question 18

Biggest sign of anaphylactic shock?

Answer 18

decrease in BP, increase HR

Question 19

Check pulses manually - what systolic BP?
radial
femoral
carotid

Answer 19

80 systolic
70 systolic
60 systolic

Question 20

1:1000 EPI used for

Answer 20

IM, SQ
takes 2-10 min to be effective
IM 0.5-1.0 mg/mL
SQ 0.2-0.5 mg/mL

Question 21

1:10,000 EPI used for

Answer 21

IV
0.1-0.2 mg of 1-2 mL
repeat q 3-5 min

Question 22

When to use diphenhydramine and how much for anaphylactic shock?

Answer 22

after epi

50 mg of 1 ML IV or IM

Question 23

Steps for anaphylactic shock:
EPI, diphenhydramine, 02, steroids
how much 02?
which steroid? how much?

Answer 23

15 L/min mask 
if COPD, reduce to < 3L/min or max which is 3 L
IV dexamethasone 10-20 mg
IV hydrocortisone 100-500 mg
IV prednisone 30-60 mg

Question 24

Tx anthrax with what drug

Answer 24

doxy or minocycline or cipro

Question 25

Tx head injuries

Answer 25

with 100% 02 and as if C-spine is injured
non-rebreather if conscious
BVM if unconscious

Question 26

BURNS grading by nine’s for adults

Answer 26

head - 9
both arms - 9
legs - 9, 9, 9, 9 
torso - 18, 18 
genitalia - 1

Question 27

Burn Tx

Answer 27

non-rebreather 100% 15 LPM
if 15%+ burns, IV fluid resuscitation
lactated ringer