Resp Emergencies

Question 1

Allergic reactions are characterized by?

Answer 1

Urticaria, mild resp distress, difficulty swallowing, swelling, and edema of tongue or face

Question 2

Mild Allergy (urticaria only) treatment

Answer 2

Benadryl 50 mg IV/IO/IM

Question 3

Moderate allergy (swelling, mild resp distress, bronchospasm, swelling) treatment?

Answer 3

• Epi 1:1,000 0.3 mg IM may repeat x 2 every 5 min
• Benadryl 50 mg IV/IO/IM
• Albuterol 2.5 mg in 3 ml after Epi.
• Atrovent 0.5 in 2.5 ml with albuterol.
• Solumedrol 125 mg IV/IO/IM over 2 min

*** DO NOT administer Epi within 5 min of EPi pen.

Question 4

Severe anaphylaxis reaction wiht hypotension or loss of radial pulse treatment?

Answer 4

• Epi 1:100,000 titrate
• NS 1 liter may repeat 1x
• Benadryl 50 mg
• Albuterol 2.5 mg in 3 ml after Epi.
• Atrovent 0.5 in 2.5 ml with albuterol.
• Solumedrol 125 mg IV/IO/IM over 2 min

Question 5

o2 levels for resp distress?

Answer 5

Keep above 95%
ETCO2 between 35-45 mmHg

Question 6

COPD asthma O2 levels?

Answer 6

Keep above 90% or greater

Question 7

Moderate to Severe resp distress treatment?

Answer 7

CPAP 10 cm H2O

Question 8

Contraindications of CPAP?

Answer 8

Systolic less than 90 mmHg
Airway obstruction
Acute MI
Pneumo
Decreased level of conciousness.

Question 9

Brochospasms/Wheezing treatment?

Answer 9

• Albuterol 2.5 mg in 3 ml after Epi.
• Atrovent 0.5 in 2.5 ml with albuterol.
• Solumedrol 125 mg IV/IO/IM over 2 min

Question 10

Worsening Bronchospasms after albuterol treatment?

Answer 10

Epi 1:1,000 0.3 mg IM

Question 11

Severe asthma not responding to treatments?

Answer 11

Mag Sulfate 2gm in 50 mL of NS over 10 min in 10 gtt/set