Intro to Emergency Management Flashcards
What is the goal of a basic action plan?
maintain oxygenation of brain until help arrives
What is included in the basic action plan?
- same for every office medical emergency
- maintain oxygenation of brain until help arrives
- position the patient
- BLS
- Definitive care
How should you position a conscious patient? Unconscious?
Conscious - any position that is comfortable
Unconscious - supine with legs elevated above the heart
What are the ABCs to basic life support?
A - airway
B - breathing
C - circulation
What are two examples of airway management?
- head-tilt-chin-lift
2. jaw-thrust
Oxygen is in a portable ___ cylinder is delivered to a conscious patient with a ___ ___ and an unconscious patient with a ___-___-___.
E; nasal cannula; bag-valve-mask
What is the single most important injectable drug in the kit?
epinephrine
What drug has endogenous catecholamines with alpha and beta adrenergic effects that is preloaded into synringes and ampules and used at a resuscitative dosage to cause bronchodilation and pressor affects?
epinephrine
___ is the drug of choice for treating CV and respiratory manifestations of acute allergic reaction (severe).
Epinephrine
What is the subcutaneous and intramuscular (more serious) dosages of epinephrine?
subcutaneous - 0.3mg of 1:1,000 soln
intramuscular - 0.4mg of 1:1,000 soln
What drug is a histamine blocker used for mild or delayed-onset allergic reactions?
diphenhydramine
What is the treatment of choice for acute chest pain? How is it administered?
Nitroglycerin
sublingual tablet or spray
What is the action of nitroglycerin?
relaxes the vascular smooth muscle causing a reduction in venous return and decrease in SVR leading to a reduced myocardial oxygen consumption
What is the dosage of nitoglycerin?
on tablet/metered spray (0.4mg) Q5 minutes up to 3 doses
T/F. Relief with nitroglycerin usually occurs in 5 minutes and no relief is concerning for MI.
False, Relief with nitroglycerin usually occurs in 1-2 minutes and no relief is concerning for MI.
What are two contraindications for Nitro?
Hypotension (SBP less than 90)
Prescribed meds for ED
What is a beta-2 adrenergic agonist used to treat acute bronchospasm?
albuterol (bronchodilator) = less CV adverse effects than other options
What is given to treat hypoglycemia?
Glucose
DM: fasting or insulin/carb mismatch
non-DM: hypoglycemia
A ___ diabetic patient is treated with oral carbohydrates whereas an ___ patient is given BLS and EMS.
conscious; unconscious
Aspirin is a anti-___ medication that is administed for evolving ___. It is contraindicated with aspirin ___ or severe ___ disorder.
platelet; MI; allergy; bleeding
How should a patient take aspirin?
CHEW and SWALLOW full-strength tablet
What is a respiratory stimulant for vasodepressor syncope?
Aromatic ammonia
What are areas for injectable drug access?
- subcutaneous
- intramuscular
(vastus lateralis, mid-deltoid) - sublingual
