Lecture 1 Office Emergencies Dr. Bennet Flashcards
What is the underlying cause of Syncope?
Temporary insufficiency of cerebral circulation.
Tx Trendellenberg.
Pallor, Sweating, Yawning, faintness, light headed….
Signs and symptoms of syncope.
Syncope of cardiac etiology will have what unique signs and symptoms?
Arrythmias/ Palpatations.
Can occur in a seated patient.
Syncope of vasovagal origin have which unique symptoms?
Percipitated by an unpleasant physical or emotional stress.
Treatment options for syncope?
Trendelenberg with legs elevated.
Inhalation of Ammonia.
O2 administration.
Treatment for anaphylaxis?
Airway control
epinephrine 0.5cc IM or .2cc into site Q 15min.
CPR
Hypotension: Ephedrine
Bronchospasm: Aminophyline
What is the pathophysiology of asthma?
Spasm of smooth muscle Airway edema Increased mucous Eosinophilic infiltrate Injury/desquamation of epithelium.
Emergency medications for asthma attacks (5)
Salbutamol Epinephrine Ipratropium aminophylline Corticosteroids
Medical treatment for acute seizures
Valium 10-15 mg every 10-20 mins.
Dilantin 4mg/kg IV
Hypertensive Crisis measurement?
180/110 mm Hg
What is the medical goal when treating hypertensive crisis?
Lower the diastolic to 90-100 mm Hg over 15 mins.
What is insulin shock?
Extreme hypoglycemia due to over-administration of insulin or insulin intake without food.
What is the treatment for hypoglycemia in a conscious vs unconscious patient?
Conscious: Patient is able to swallow give oral sugar or orange juice.
Unconscious: Start IV 20-50 ml of D50 slowly with 1 mg glucagon.
What are some of the signs and symptoms of epinephrine reactions?
Headaches, seizures, tachycardia, palpitations, SOB.
Treatment for a local anesthetic reaction?
Thorazine 0-5 mg - 1 mg IV
Demerol 12.5 mg - 25 mg IV
