Office Emergencies

Question 1

T/F - All office emergencies should be managed by calling 911?

Answer 1

T and F, it’s situation specific.

Question 2

Transient loss of consciousness due to sudden release of the arterial vasomotor tone and temporary insufficiency of cerebral circulation

Patient revives spontaneously

Answer 2

Syncope

Question 3

Arrhythmia typically occurring with or after palpitations

Answer 3

Syncope of cardiac etiology

Question 4

Precipitated by an unpleasant physical or emotional stress

Answer 4

Vasovagal syncope

Question 5

Syncope treatment

Answer 5

Trendelenberg w/ legs elevated
Ammonia
Oxygen

Question 6

Acute allergic reaction to which an individual has been sensitized

Answer 6

Anaphylactic Reaction

Question 7

Anaphylactic reaction treatment

Answer 7

Airway - oxygen

Epinephrine

Question 8

Epi-pen dosage

Answer 8

Epinephrine 1:1,000
-0.5 cc IM
-0.2 cc into site
Q15min

Question 9

Anaphylactic reaction causing bronchospasm treatment

Answer 9

Aminophylline 250-500 mg IV slowly

Question 10

Acute asthmatic attack stimulants

Answer 10

Aspirin, NSAIDs, pollen, mold, dirt, smoke, perfumes, paints, animal dander

Question 11

Acute asthmatic attack treatment

Answer 11

Reassurance
Oxygen
IV Access

Question 12

Emergency drugs for Asthmatic attack

Answer 12

Salbutamol
Epinephrine
Ipratropium
Aminophylline
Corticosteroids

Question 13

Seizures involve transient symptoms of what?

Answer 13

Motor
Sensory
Psychic
Autonomic

Question 14

Seizure Treatment

Answer 14

Safety
Monitor airway
Reassurance
Valium
Dilantin

Question 15

Valium dosage

Answer 15

Diazepam 10-15mg Q10-20min

Question 16

Acute rise in BP greater than 180/110

Answer 16

Hypertensive crisis

Question 17

Hypertensive crisis treatment

Answer 17

Lower diastolic to 90-100 over 15 mins
Nifedipine
Sit at 45 degree angle

Question 18

Nifedipine dosage

Answer 18

10mg SL

Question 19

Insulin shock treatment

Answer 19

Conscious - oral sugar/orange juice

Unconscious - IV D50, glucagon IM

Question 20

Lidocaine Toxicity treatment

Answer 20

Symptom based

• mental changes - observe
• hypotensive - vasopressors
• respiratory - oxygen, ephedrine
• convulsions - valium

Question 21

Epinephrine reaction treatment

Answer 21

Thorazine

Demerol

Question 22

DKA Symptoms

Answer 22

Polyuria
Polydipsia
Polyphagia
Kussmaul’s respirations

Question 23

DKA treatment

Answer 23

ABCs

IV lifeline

Question 24

Diabetic patient with coma of unknown etiology, what is a general rule of thumb for immediate treatment?

Answer 24

Give glucose