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EMED > General EM > Flashcards

General EM Flashcards

1
Q

epinephrine (code)

A

1 mg IV/IO q3-5 min

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2
Q

Vasopressin

A

40 units IV/IO to replace first or second dose epi

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3
Q

Amiodarone (pulseless)

A

300 mg bolus, second dose 150 mg bolus

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4
Q

5H/4T’s

A

Hypovolemia, hypoxia, hydrogen ion (acidosis), hypo/hyperK, hypothermia, tension ptx, tamponade, toxins, thrombosis (PE or ACS)

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5
Q

epinephrine gtt

A

0.1-0.5 mcg/kg/min (7-35 mcg/min for 70 kg adult)

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6
Q

Atropine (code)

A

0.5 mg q3-5 min to 3 mg total

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7
Q

Norepinephrine gt

A

0.1-0.5 mcg/kg/min (7-35 mcg/min for 70 kg adult)

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8
Q

dopamine gtt

A

5-20 mcg/kg/min

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9
Q

Synchronized cardioversion narrow regular

A

50-100J

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10
Q

synchronized cardioversion narrow irregular

A

100-200J

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11
Q

Synchronized cardioversion wide regular

A

100J

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12
Q

Procainamide

A

25-50 mg/min until 17 mg/kg given, hypotension, QRS widens >50%

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13
Q

Amiodarone (stable)

A

150 mg over 10 minutes followed by infusion 1 mg/min for 6 hrs

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14
Q

Sotalol (stable)

A

100 mg

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15
Q

Lidocaine (pretreatment)

A

100 mg

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16
Q

Fentanyl (pretreatment)

A

200 mcg

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17
Q

etomidate (RSI)

A

0.3 mg/kg (20 mg)

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18
Q

succinylcholine (RSI)

A

1.5 mg/kg; 100-120 mg

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19
Q

versed (RSI)

A

0.1 mg/kg; 7 mg

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20
Q

ketamine (RSI)

A

2 mg/kg, 140 mg

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21
Q

Vecuronium (RSI)

A

0.1 mg/kg; 7 mg

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22
Q

Rocuronium (RSI)

A

1 mg/kg, 70 mg

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23
Q

propofol (sedation)

A

10-80 mcg/kg/min or 40 mg boluses prn

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24
Q

precedex (sedation)

A

1 mcg/kg load, 0.2-1.5 mcg/kg/hr

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25
Q

Defibrillation

A

200 J

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26
Q

Lidocaine (code)

A

1 mg/kg

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27
Q

Nitroglycerin

A

10-400 mcg/min

SCAPE: bolus 200 mcg over 1 min, then start at 100mcg/min, titrate 20 mcg/min every 3 mins

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28
Q

Push dose epi

A

5-20 mcg q5-10 min

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29
Q

Push dose neo

A

50-200 mcg q2-5 min

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30
Q

Neosynephrine gtt

A

10-200 mcg/min

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31
Q

Vasopressin gtt

A

0.04 units/min

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32
Q

Dobutamine gtt

A

5-20 mcg/kg/min

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33
Q

Methergine

A

0.2 mg IM

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34
Q

Misoprostol

A

200-800 mcg buccal, vaginal, and rectal

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35
Q

RhoGam

A

13 weeks 300 mcg IM

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36
Q

Haldol

A

2-10 mg IV/IM

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37
Q

tPA

A

0.9 mg/kg to max 90 mg (10% as bolus and remaining 90% over 1 hour)

38
Q

Heparin ACS

A

60 units/kg bolus followed by 12 units/kg/hr (max 4000 units bolus and 1000 units/hr)

39
Q

Canadian CT head

A

GCS 15, open or depressed skull fx, vomiting >2, age >65, amnesia >30 mins, mechanism (pedi vs auto, ejection, fall >3 ft or 5 stairs)

40
Q

ABCD2

A

Age>60, BP>140/90, clinical (2 for unilateral weakness, 1 for speech disturbance w/o weakness) Duration (2 for >60 min, 1 for 10-59 min) DM
0-3 =low risk

41
Q

Nexus C spine

A

Midline Cspine ttp, intoxication, aloc, deficit, distracting injury

42
Q

TIMI

A

Age >65, 3 RF (FH, male, HTN, HLD, DM, smoking, obesity), hx CAD, ASA use, severe recurrent sx, ST changes, trop

43
Q

C5-6

A

Arm abduction, elbow flexion

44
Q

C6-7

A

wrist extension

45
Q

C7-8

A

elbow extension

46
Q

T2-T7

A

chest/intercostal muscles

47
Q

T9-T12

A

abdominal muscles

48
Q

L1-L3

A

Hip flexion

49
Q

L2-L4

A

knee extension

50
Q

L4-S1

A

Knee flexion

51
Q

L4-L5

A

Ankle dorsiflexion

52
Q

L5-S1

A

Great toe dorsiflexion

53
Q

S2-S4

A

voluntary rectal tone

54
Q

Hydrocortisone (sepsis)

A

100 mg

55
Q

Status Ativan

A

2 mg IV q2 min (max 8 mg)

56
Q

Status fosphenytoin

A

20 PE/kg, may repeat 5-10 PE/kg x1

57
Q

status thiamine

A

100 mg IV

58
Q

Peds PRBC

A

10-20 mL/kg raises Hb by 1-2 pts

59
Q

Peds FFP

A

10-20 mL/kg

60
Q

Peds plts

A

0.1 units/kg raises plts by 10,000

61
Q

PALS Adenosine

A

SVT 0.1 mg/kg rapid IV push, 2nd dose 0.2 mg/kg rapid IV push, max 12 mg

62
Q

PALS Albumin

A

Shock, trauma, burns: 0.5-1 g/kg (10-20 mL/kg of 5%) IV/IO rapid infusion

63
Q

PALS Albuterol

A

Asthma, anaphylaxis, hyperkalemia: MDI 4-8 puffs INH q20 min PRN with spacerNeb: 2.5 mg/dose (wt 20 kg) inh q20min PRNContinuous: 0.5 mg/kg per hour INH (max 20 mg/hr)

64
Q

PALS Amiodarone

A

SVT, VT5 mg/kg IV/IO load over 20-60 min (max 300 mg), repeat to daily max 15 mg/kg (or 2.2 g)PEA5 mg/kg IV/IO bolus, repeat to daily max 15 mg/kg

65
Q

PALS Atropine sulfate

A

Bradycardia (symptomatic)0.02 mg/kg IV/IO (min dose 0.1 mg, max single peds dose 0.5 mg) max total dose child 1 mg, adolescent 2 mg

66
Q

PALS Calcium chloride 10%

A

Hypocalcemia, hyperkalemia, hypermagnesemia,CCB OD20 mg/kg IV/IO slow push

67
Q

PALS Dexamethasone

A

Croup0.6 mg/kg PO/IM/IV (max 16 mg)

68
Q

PALS Dextrose

A

Hypoglycemia0.5-1g/kg IV/IO (D25W 2-4 mL/kg, D10 5-10 mL/kg)

69
Q

PALS Diphenhydramine

A

Anaphylactic shock1-2 mg/kg IV/IO/IM q4-6H (max 50 mg)

70
Q

PALS Dobutamine

A

CHF, cardiogenic shock2-20 mcg/kg/min IV/IO infusion

71
Q

PALS Dopamine

A

Cardiogenic, distributive shock2-20 mcg/kg/min IV/IO

72
Q

PALS Epinephrine for pulseless arrest

A
  1. 01 mg/kg IV/IO q3-5 min;

0. 1 mg/kg ETT q3-5 min

73
Q

PALS Lasix

A

Pulmonary edema, fluid overload1 mg/kg IV/IM (usual max 20 mg)

74
Q

PALS Ipratropium bromide

A

Asthma250-500 mcg inh q20 min PRN

75
Q

PALS Lidocaine

A

VF/pulseless VT, wide complex tachy (with pulses)1 mg/kg IV/IO bolus20-50 mcg/kg/min IV/IO infusion maintenance (repeat bolus if started >15 mins after bolus)

76
Q

PALS Magnesium sulfate

A

Asthma, torsades, hypomag25-50 mg/kg IV/IO bolus over 15-20 min (max 2g)

77
Q

PALS Methylprednisone

A

Asthma, anaphylactic shockLoad 2 mg/kg IV/IO/IM (max 80 mg), then 0.5 mg/kg q6h

78
Q

PALS Naloxone

A

Opioid reversalOD: 0.1 mg/kg IV/IO/IM/SQ q2min PRNslow: 1-5 mcg/kg titrated to effect

79
Q

C8-T1

A

finger abduction, hand grasp

80
Q

S1-S2

A

ankle plantar flexion

81
Q

PALS Norepinephrine

A

Hypotensive shock0.1-2 mcg/kg/min

82
Q

PALS Sodium Bicarbonate

A

Metabolic acidosis, hyerkalemia1 mEq/kg IV/IO slow bolus

83
Q

PALS Procainamide

A

SVT, aflutter, VT (with pulses)15 mg/kg IV/IO load over 30-60 min

84
Q

Curb 65

A

Confusion, bUn >19, Rr >29, low Bp, age>65
If 2 consider admit
If 3 def admit

85
Q

Sf syncope

A

CHF, HCT, EKG, SBP<90, sob

86
Q

Perc

A

Age less than 50, sat greater than 95%, no hemoptysis, no unilateral leg edema, no exo estrogen, no prior dvt/PE, no immob within last 4 weeks

87
Q

PALS EPI for hypotension

A

0.1-1 mcg/kg/min IV/IO

88
Q

PALS EPI for anaphylaxis or asthma

A

0.01 mg/kg IM q15m PRN

89
Q

Parkland formula

A

4 * %BSA * weight (kg)

Half over first 8 hrs and remaining over next 16 hrs

90
Q

Rule of 9s for burn BSA

A 
9 for head
18 for chest
18 for back
18 for each leg
9 for each arm
1 for groin

EMED (3 decks)

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