Medical Scenario Flashcards
What does AEIOUTIPS stand for?
Alcohol/acidosis
Epilepsy/electrolytes
Insulin
Overdose
Uremia
Trauma
Infection
Poison/psychiatric
Stroke/shock
FAST stands for?
Facial droop
Arms
Speech
Time (make note of time)
Questions to ask for poisoning?
What was taken
When was it taken
How much was taken
How was it absorbed
Call poison control
GI exam details?
Feel for DRT
Ask about:
What was their last poop like
Any nausea/vomiting
Are they pregnant?
Previous surgeries?
Pregnancy questions
How far along are you?
How many pregnancies have you had? How many live births?
Numbers of baby expecting?
Any abnormalities your doctor has informed you of?
Frequency of contractions?
4 assessments for neurological exam?
CMS
LOR
Eyes
AEIOUTIPS
What 7 drugs can we give?
O2
ASA
Ventolin
Atrovent
Epi
Narcan
Oral glucose
Drug details of Narcan
Dose: .4ml IM
Route: big muscle groups
Indications: opioid overdose
Drug details for ASA (Aspein)
Dose: 160-325mg (80mg per pill)
Route: must be chewed
Indication: ischemic chest pain
Contraindications: asthma, bleeding disorder, allergy to ASA, GI bleed
Side effects: rash, GI ulcers, abdomen pain, upset stomach, heartburn, drowsiness, headache, cramping, nausea, gastritis, bleeding, vomiting
What are the adverse effects of ASA?
- rash
- abdominal pain
- upset stomach
- cramping
- headache
- drowsiness
- nausea
- bleeding
- vomiting
Atrovent details
Dose: 20 mcg spray, 2 puffs every 2 mins
Route: inhaled, puff as patient is inhaling
Indications: bronchiospasms
Contraindications: hypersensitivity to drug
Side effects: headache, blurred vision, dizziness, back pain, tachycardia, hypertension, palpitations, shortness of breath, nausea, abdomen pain, constipation, dyspnea
Ventolin drug details
Dose: 100mcg spray, 2 puffs every 2 mins
Route: inhaled
Indications: bronchiospasms
Contraindications: hypersensitivity to drug
Side effects: nervousness, shaking, headache, mouth/throat dryness, change in taste, cough, nausea, dizziness
Epi pen drug details?
Dose: .3mg adult .15mg jr
Route: IM lateral thigh
Indication: anaphylaxis
Contraindication: none
Side effects: anxiety, apprehension, restlessness, tremor, weakness, dizziness, sweating, palpitations, pallor, nausea, vomiting, headache, respiratory difficulties
Oral glucose drug details?
Dose: 25 g
Route: oral
Indications: hypoglycemia
Contraindications: not alert or able to follow commands, no gag reflex
Side effects: may cause nausea or patient may gag
When is ASA, Ventolin, Atrovent, or glucose administered?
After vitals and before head to toe
When is o2 administered?
At the B in primary ABC check
When is Narcan administered?
Before you begin secondary
