OME - Day 3 Flashcards
In a question about a code, there’s always one answer that’s right every time. What is it?
Compressions
Which rhythms can you shock in a code?
Pulseless Vtach, Vfib
Which rhythms can you NOT shock in a code?
All rhythms that are not Vtach, Vfib
You come upon an unresponsive patient, what is the FIRST thing you do?
Check a pulse (not airway, not arousal)
A patient is in Afib and in shock, what do you do?
Shock them (not anticoagulated)
A patient is in 3rd degree block, what do you do?
Pace (not shock)
How do you treat SVT?
Adenosine (stable), cardioversion (unstable)
How do you treat Vtach?
Amiodarone (stable), cardioversion (unstable)
How do you treat a symptomatic Sinus Bradycardia?
Atropine (stable), pace (unstable), and fix underlying cause
Asthma question, the wheezing stops but air movement is reduced. What do you do?
Intubate
How do you diagnose asthma?
PFTs, FEV1/FVC is reduced and reversible
What are the danger of Long Acting Beta Agonists?
Asthma related death, must be used with inhaled corticosteroids
What is the mechanism of action of Beclomethasone?
Inhaled Corticosteroids (-asone)
What is the mechanism of action of formoterol?
Long Acting Beta Agonist (-terol)
What is the mechanism of action of Zafirlukast?
Leukotriene-Antagonist (-leukast)
What medications are used in an asthma exacerbation?
Albuterol + Ipratropium, Methylprednisolone / Prednisone
Air movement stops or the CO2 rises in a COPD exacerbation, what do you do?
Intubate
CO2 is elevated from baseline but patient is moving air in a COPD exacerbation, what do you do?
BiPap (Non-invasive positive pressure ventilation)
COPD exacerbation, you want antibiotics, but there is a prolonged QT, what do you give them?
Doxycycline, NOT azithromycin
COPD exacerbation, you want antibiotics, there is no heart history, what do you give them?
Azithromycin preferred, Doxycycline is ok
First long-acting medication in COPD management?
Tiotropium
How do you diagnose COPD?
PFTs
How do you spot a long acting beta agonist by its name?
(-oterol)
How do you spot an inhaled corticosteroids by its name?
(-asone)
What improves COPD mortality?
Oxygen and smoking cessation
Who gets antibiotics in COPD exacerbation?
Productive cough, increased sputum
