ER rotation booklet Flashcards
What are the two things that should be covered when signing out patients?
- Complete all pt-related duties
- Inform attending
What is the Hypothetico Deductive decision making?
Working dx is tested as new data is collected (clues in a detective case)
What is the algorithmic decision making model?
Series of steps followed via algorithm
What is pattern recognition decision making model?
Series of s/sx are clumped together into a known grouping
Which decision making model has a risk of premature closure?
Pattern recognition (mostly)
What is the exhaustive decision making model?
Shotgun and figure out later
What is the event-driven decision making model?
Clinician treats symptoms without seeking underlying diagnosis
For each degree F rise in temp, how much faster does the HR go?
10 beats per minute
What is the formula for calculating the normal BP in children?
BP = 80+ 2*(age in years)
What is the 5th vital sign?
Pulse ox
What is the downfall of pulse ox readings?
-Does not reflect ventilatory status
-
What happens to the pulse ox with carboxyhemoglobinemia?
False rise
What happens to the pulse ox with methemoglobinemia?
Will appear as 85% d/t wavelength of light emitted from methHb
What is the definition of an emergency medical condition?
A medical condition manifesting itself by acute symptoms of sufficient severity, such that
- the health of the pt is in serious jeopardy
- Impairment in bodily functions
- Serious dysfunction of any bodily organ or part
What is the grade level at which medical instructions should be written?
6th grade level
What do most pts rescued from fires die of?
Inhalation injuries
How hot should hot water heaters allow water to get?
120 F
What are the six core competencies?
- Pt care
- Medical knowledge
- Professionalism
- System-based practices
- Practice-based learning environment
- Interpersonal and communication skills
What are the two treatments and their dosages for acute dystonic rxn 2/2 neuroleptic use?
1-2 mg IV/IM or benztropine
25-50 mg IV/IM of diphenhydramine
What EKG finding may appear with Haldol use?
Prolonged QT
What life threatening complication can arise from restraint use?
Metabolic acidosis from struggling.
What sort of acidosis does isopropyl alcohol cause? Why?
Non-anion gap, since it is metabolized by alcohol dehydrogenase to ketones. So causes ketosis without anion gap
What electrolyte abnormality usually exist with alcoholics, and should be treated empirically?
Mg
What is the definition of delirium?
Global inability to relate to environment and process sensory input