Respiratory Emergencies Flashcards

1
Q

Nurse calls you for “SOB”, what do you want to know?

A

AS MUCH AS POSSIBLE
ECG + previous ECG, vitals, supplemental O2, “please start monitor,” order CXR stat, more history from chart
think ahead to when you might need help from senior/intubate

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2
Q

when to check for right sided EKG?

A

when you see ST elevations in inferior leads and/or patient is hypotensive

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3
Q

MI mgmt mnemonic

A

ONAB

o2, nitroglycerin, ASA, BBlocker

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4
Q

room air = ?? FiO2

A

21%

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5
Q

1 L increase in nasal cannula flow = ???% increase in Fi02

A

3-4% increase

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6
Q

what to use if patients o2 sats are in the 80s

A

oxygen rebreather masks with bag connected to wall

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7
Q

How many times can you give sublingual nitro?

A

can repeat 3 times

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8
Q

in emergency situation how can you order BBlockers?

A

5 mg metoprolol IV push if needed quickly

PO if pt can tolerate

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9
Q

cath fellow arrives, orders heparin…what else to worry about?

A

cath lab = contrast = PROTECT KIDNEYS (mucomyst, nacetylcysteine)

  • treat hyperglycemia
  • NPO
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10
Q

if high suspicion for PE what to do?

A

ANTICOAGULATE

unfractionated (can easily reverse) or lovenox (LMWH)

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11
Q

what to watch out for in lovenox

A

morbidly obese, impaired Cr clearance, high chance of bleeding

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12
Q

what can you try if patient with hx of afib complains of chest pain with ecg showing afib with rvr

A

metop 5 mg IV push and see what happens

or dilt/dig

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13
Q

Patient desatting from CHF, order chest xray then what?

A

LMNOP

lasix
morphine
nitrates
O2
position/positive pressure
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