Internal Med #1

Question 1

what is the goal of a Basic Action Plan?

Answer 1

maintain oxygenation of the brain until help arrives

Question 2

how do you position the patient in a basic action plan?

Answer 2

conscious - any comfortable position

unconscious - supine with legs elevated above the heart

Question 3

how is oxygen delivered to the patient?

Answer 3

consious - nasal annula

unconsious - bag-valve mask

Question 4

single most important injectable drug in an emergency kit?

Answer 4

epi

Question 5

when is epi used?

Answer 5

CV and respiratory manifestations of acute allergic reactions

(epi pens)

Question 6

is a histamine blocker that is used for mild or delayed-onset allergic reactions (less severe than use with epi)

Answer 6

diphenhydramine (benadryl)

Question 7

treatment of choice for acute chest pain

Answer 7

nitroglycerin (sublingual tablet/spray)

Question 8

what does nitroglycerin do?

Answer 8

relaxes vasculature smooth m, reduces venous return and decreases SVR. this results in reduced myocardial oxygen consumption

Question 9

what happens if there is no relief after giving nitroglycerin for acute chest pain?

Answer 9

concern for MI

Question 10

what are the contraindications for nitro?

Answer 10

hypotension (makes sense)

prescribed meds for erectile dysfunction

Question 11

albuterol

Answer 11

bronchodialator that is used to treat acute bronchospasms

beta-2 adrenergic agonist

Question 12

what is glucose used for?

Answer 12

treat hypoglycemia

consious - oral carbohydrate (OJ, cake icing)
unconscious - BLS and EMS

Question 13

aspirin

Answer 13

an anti-platelet that is administered for evolving MI

Question 14

what are the contraindications for aspirin?

Answer 14

aspirin allergy

severe bleeding disorder

Question 15

aromatic ammonia

Answer 15

respiratory stimulant used with syncope