Oral Board Review

Question 1

Asthma, COPD, RAD Protocol

Answer 1

O2
MDI (if needed)
CPAP (between 5-10 cmH2O)

EPI (IM)
DuoNeb
BiPap

Levalbuterol (1.25mg neb, every 20m, mx 4 doses)
Dexamethasone (10mg)
Methylprednisolone (Solumedrol) (125mg)

…if impending failure
EPI
Mag (2g in 100mL over 10 min)

Question 2

CHF Protocol

Answer 2

Sitting Position
12 lead
Nitro SL
CPAP
BiPAP
Nitro IV (50mcg\min)
Nitro paste option

Question 3

ACLS Brady w/Pulse Protocol

Answer 3

1st V.O.M.I.T
Unstable - Atropine (1mg 3-5 mx3)
TCP
Epi Drip (2-10mcg/min)

Question 4

ACLS Cardiac Arrest - Shockable Protocol

Answer 4

1st CPR (BLS w/BVM)
Monitor w/pads
Vf/Vt - Shock
Resume CPR
Establish IV/IO Access
Pulse rhythm check 2 min
Shock
1mg Epi 1:10,000
Establish advance airway w/capnography
2 min, pulse/rhythm
Shock
300mg Amiodarone
Repeat the pattern every other. 150 amiodarone

always ensure HQ CPR
200, 300, 360 with lifeapak
always think of reversible causes

Question 5

ACLS Tachy Protocol

Answer 5

1st V.O.M.I.T.
Unstable - Cardiovert
Stable -
– Vagal
– Adenosine (12, 6, 6)
–Amiodarone (150 over 10min)

Question 6

ACLS Post Cardiac Arrest Care

Answer 6

Manage ABCs
Patent Airway (ET/Supraglottic)
Respirations
- BVM
- O2%
- EtCO2
Hemodynamics
- BP >90
- MAP >65
12 Lead
- Prepare to treat arrythmias
TTM

Question 7

TCA Overdose Treatment

Answer 7

Sodium bicarbonate

Question 8

Reversable Causes

Answer 8

Hypovolemia
Hypoxia
Hydrogen ion (Acidosis)
Hypo/Hyperkalemia
Hypothermia

Tension Pneumothorax
Tamponade
Toxins
Thrombosis, pulmonary
Thrombosis, coronary

Question 9

ECG Regions

Answer 9

1, AvL, V5, V6 (Lateral)
2,3,AvF (Inferior)
V1, V2 (Septal)
V3,V4 (Anterior)