Intro to Emergency Management

Question 1

What is the goal of a basic action plan?

Answer 1

maintain oxygenation of brain until help arrives

Question 2

What is included in the basic action plan?

Answer 2

1. same for every office medical emergency
2. maintain oxygenation of brain until help arrives
3. position the patient
4. BLS
5. Definitive care

Question 3

How should you position a conscious patient? Unconscious?

Answer 3

Conscious - any position that is comfortable

Unconscious - supine with legs elevated above the heart

Question 4

What are the ABCs to basic life support?

Answer 4

A - airway
B - breathing
C - circulation

Question 5

What are two examples of airway management?

Answer 5

1. head-tilt-chin-lift

2. jaw-thrust

Question 6

Oxygen is in a portable ___ cylinder is delivered to a conscious patient with a ___ ___ and an unconscious patient with a ___-___-___.

Answer 6

E; nasal cannula; bag-valve-mask

Question 7

What is the single most important injectable drug in the kit?

Answer 7

epinephrine

Question 8

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?

Answer 8

epinephrine

Question 9

___ is the drug of choice for treating CV and respiratory manifestations of acute allergic reaction (severe).

Answer 9

Epinephrine

Question 10

What is the subcutaneous and intramuscular (more serious) dosages of epinephrine?

Answer 10

subcutaneous - 0.3mg of 1:1,000 soln

intramuscular - 0.4mg of 1:1,000 soln

Question 11

What drug is a histamine blocker used for mild or delayed-onset allergic reactions?

Answer 11

diphenhydramine

Question 12

What is the treatment of choice for acute chest pain? How is it administered?

Answer 12

Nitroglycerin

sublingual tablet or spray

Question 13

What is the action of nitroglycerin?

Answer 13

relaxes the vascular smooth muscle causing a reduction in venous return and decrease in SVR leading to a reduced myocardial oxygen consumption

Question 14

What is the dosage of nitoglycerin?

Answer 14

on tablet/metered spray (0.4mg) Q5 minutes up to 3 doses

Question 15

T/F. Relief with nitroglycerin usually occurs in 5 minutes and no relief is concerning for MI.

Answer 15

False, Relief with nitroglycerin usually occurs in 1-2 minutes and no relief is concerning for MI.

Question 16

What are two contraindications for Nitro?

Answer 16

Hypotension (SBP less than 90)

Prescribed meds for ED

Question 17

What is a beta-2 adrenergic agonist used to treat acute bronchospasm?

Answer 17

albuterol (bronchodilator) = less CV adverse effects than other options

Question 18

What is given to treat hypoglycemia?

Answer 18

Glucose
DM: fasting or insulin/carb mismatch
non-DM: hypoglycemia

Question 19

A ___ diabetic patient is treated with oral carbohydrates whereas an ___ patient is given BLS and EMS.

Answer 19

conscious; unconscious

Question 20

Aspirin is a anti-___ medication that is administed for evolving ___. It is contraindicated with aspirin ___ or severe ___ disorder.

Answer 20

platelet; MI; allergy; bleeding

Question 21

How should a patient take aspirin?

Answer 21

CHEW and SWALLOW full-strength tablet

Question 22

What is a respiratory stimulant for vasodepressor syncope?

Answer 22

Aromatic ammonia

Question 23

What are areas for injectable drug access?

Answer 23

1. subcutaneous
2. intramuscular
   (vastus lateralis, mid-deltoid)
3. sublingual